Is the physical examination showing severe gallbladder polyps

Most cases of gallbladder polyps discovered during physical examination are not severe, but a comprehensive evaluation is needed based on the size, shape, and other characteristics of the polyps. Gallbladder polyps mainly include cholesterol polyps, inflammatory polyps, adenomatous polyps, gallbladder adenomyosis, malignant polyps, and other types.

1. Cholesterol polyps

Cholesterol polyps are the most common benign lesions of the gallbladder, usually associated with abnormal cholesterol metabolism. These types of polyps have a diameter of less than 10 millimeters and exhibit multiple growths. Ultrasound examination shows strong echogenic nodules. Patients usually have no special symptoms, and a few may experience hidden pain in the upper right abdomen. Generally, no special treatment is required. It is recommended to have ultrasound examinations every 6-12 months and maintain a low cholesterol diet.

2. Inflammatory polyps

Inflammatory polyps are often secondary to chronic cholecystitis, formed by inflammation of the gallbladder wall. The polyp has a wide base and may be accompanied by thickening of the gallbladder wall. The patient may have symptoms such as recurrent upper right abdominal pain and indigestion. The treatment should be targeted at the original inflammation, and medication such as anti-inflammatory and choleretic tablets and Danshu capsules can be used according to the doctor's advice. Surgery should be considered for patients with gallstones.

3. Adenomatous polyps

Adenomatous polyps are precancerous lesions, often solitary and with a diameter exceeding 10 millimeters. Ultrasound shows that the polyp has abundant blood supply and a wide base. This type of polyp may gradually enlarge and become malignant. It is recommended to undergo laparoscopic cholecystectomy when the diameter exceeds 10 millimeters. Regular follow-up examinations are required after surgery to rule out the possibility of other gastrointestinal tumors.

4. Gallbladder adenomyosis

Gallbladder adenomyosis is a proliferative disease of the gallbladder wall, characterized by localized or diffuse thickening of the gallbladder wall. Ultrasound shows characteristic changes in the Ro A sinus. Patients may experience postprandial upper right abdominal distension and pain, with obvious symptoms or concomitant stones, and surgical resection may be considered. Asymptomatic individuals need to be followed up annually to observe the progression of the disease.

5. Malignant polyps

Malignant polyps are relatively rare and more common in people over 60 years old. Polyps grow rapidly, with diameters often exceeding 15 millimeters, often accompanied by invasive changes in the gallbladder wall. Patients may exhibit symptoms such as jaundice and weight loss. Pathological examination is required for diagnosis, and radical surgery is the main treatment. After surgery, radiation and chemotherapy should be combined. Early detection is crucial for prognosis. After discovering gallbladder polyps, it is recommended to avoid high-fat and high cholesterol diets and limit the intake of animal organs, egg yolks, and other foods. It is recommended to maintain regular eating habits and avoid prolonged fasting. Moderate exercise can help improve bile excretion by engaging in aerobic activities such as brisk walking and swimming. Quit smoking, limit alcohol consumption, and control weight within the normal range. Regular follow-up ultrasound monitoring of changes in polyps. If symptoms such as persistent abdominal pain and fever occur, seek medical attention promptly. For single polyps with a diameter exceeding 10 millimeters, rapidly growing polyps, or those accompanied by gallbladder wall thickening, surgical treatment should be actively considered.