Is it important for gallbladder polyps to be smaller than 1 centimeter

Gallbladder polyps smaller than 1 centimeter are usually not important and do not require special treatment in most cases. Gallbladder polyps may be related to abnormal cholesterol metabolism, chronic inflammatory stimulation, and other factors. They usually have no obvious symptoms, and a few may be accompanied by upper right abdominal pain or indigestion. When the gallbladder polyp is less than 1 centimeter, the probability of malignant transformation is low, and it is usually recommended to have regular follow-up ultrasound monitoring for changes. These types of polyps are mostly cholesterol polyps or inflammatory polyps, with a slow growth rate. Patients need to undergo abdominal ultrasound every 6-12 months, and if there is no change for 2-3 consecutive years, the interval for follow-up can be extended. Maintain a low-fat diet in daily life and avoid excessively greasy foods that stimulate gallbladder contraction.

In rare cases, gallbladder polyps smaller than 1 centimeter but with malignant transformation risk characteristics should be taken seriously. If the ultrasound shows a wide base of polyps, abundant blood supply, and thickening of the gallbladder wall, or if the patient has a history of gallstones and is over 50 years old, it is recommended to shorten the follow-up period to 3-6 months. When combined with jaundice, persistent pain, or rapid enlargement of polyps, cholecystectomy should be considered. Maintaining a regular diet and moderate exercise can help maintain gallbladder function. Avoid long-term fasting and overeating, and increase dietary fiber intake in moderation. If there is persistent abdominal pain, fever, or yellowing of the skin and sclera, seek medical attention promptly. Regular follow-up observation is the core strategy for treating small polyps, and specific treatment plans need to be developed by hepatobiliary surgeons based on individual circumstances.