Gallbladder polyps are small, abnormal growth tissue with a stalk protruding from the lining of the inside of the gallbladder. They are relatively common. A polyp is an abnormal growth of tissue. Some are small, flat bumps, while others are suspended from tiny stalks. can form in various parts of the body, including the gallbladder.
The gallbladder is a small organ that stores bile and passes it from the liver to the small intestine.
Although these can be cancerous(malignant), still about 95% of these are non cancerous (benign).
It’s size is often an indication of the presence of cancer-
• Small gallbladder polyps – less than half inch in diameter – are typically benign and in most cases, don’t need to be treated.
• longer than half inch in diameter have a greater likelihood of being or becoming malignant.
• larger than half inch in diameter have a greater likelihood of being or becoming malignant.
• polyps larger than 3/4 inch have a high probability of being malignant.
There are three main types of gallbladder polyp-
Pseudopolyps or cholestrol polyps are the most common type, accounting for 60-90% of all gallbladder polyps. Pseudopolyps are non cancerous, cholestrol- filled growths.
Their presence sometimes indicates an underlying gallbladder issue, such as chronic cholecystitis. This in gallbladder inflammation that occurs when the gallbladder does not empty sufficiently.
• Inflammatory polyps –
Inflammatory polyps account for 5-10% of all gallbladder polyps. They indicate inflammation in the wall of the gallbladder.
Doctors usually find inflammatory polyps in people who have experienced cholecystitis more than once or people who have acute biliary colic, which involves a gallstone blocking the duct of the gallbladder.It typically results in pain after eating.
Inflammatory polyps, like pseudopolyps, cure not associated with gallbladder cancer.
• True gallbladder polyps –
True gallbladder polyps are rare and have the potential to become cancerous. These polyps typically measure 5-20mm. Any larger than 1cm are more likely to become cancerous.
When a person has larger polyps, the doctor may recommend removing the gallbladder.
Gallbladder polyps do not always cause symptoms. Gallbladder polyps can cause the following symptoms-
• discomfort in the upper right side of the abdomen
• food intolerances
Cause and Risk factors –
People with high level of cholestrol or salts in their bile have an increased rink of developing gallbladder polyps. Bile is produced by the liver and stored in the gallbladder. Its main function is to help the body digest fat.Gall bladder polyps are associated with the formation of gallstones.Many people have both gallbladder polyps and gallstones.
The following health issues may increase a person’s risk of developing the gallbladder polyps –
• familial polyposis, an inherited condition
• gardner syndrome, a type of familial polyposis
• peutz-jeghers syndrome, a genetic condition
• hepatitis B, an infection that can be acute or chronic
The most significant complication of true gallbladder polyps is gallbladder cancer.
Most gallbladder polyps are diagnosed while your doctor examines you for another, unrelated illness.Possible tests include –
• abdominal ultrasound, which is noninvasive
• endoscopic ultrasound, which is minimally invasive
Pseudopolyps and inflammatory polyps that are smaller than 1cm and do not cause symptoms do not require treatment.
However, doctors routinely monitor all gallbladder polyps, using ultrasound scans.The first scan usually takes place 6months after the initial discovery of the polyp. Subsequent scans tend to occur at yearly intervals.
If a polyp has grown by 2mm or more since the last checkup, the doctor will recommend treatment.
Treatment is surgical removal of the gall bladder. This is called Cholecystectomy. There are two types –
• Open cholecystectomy (OC)
• Laproscopic cholecystectomy (LC)
• Warm water enemas
• Applying hot water packs externally
• Drinking pear juice or eating pears
• Drinking unrefined olive oil on an empty stomach
• Drinking beet juice or eating beets
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