Handling Gallbladder Polyps: Single Center Experience

Öz

Objective: Gallbladder polyps are the enlargements from the gallbladder wall towards the lumen. Non-neoplastic cholesterol polyps comprise the great majority of these structures. We aimed evaluating the operation indications and pathology results of patients who had been operated due to gallbladder polyps.

Material and Methods: The data belonging to 21 patients operated due to gallbladder polyps were examined retrospectively, from among 806 cholecystectomies performed in our clinic between January 2016 and December 2018.

Results: Twenty-one patients were identified. Thirteen of the patients (61,9%) were women and 8 (38,1%) were men. The median value for age was 47 and the ages of the participants varied between 18 and 77. It was found that 5 patients (23,8%) were operated for having polyp dimensions equal to or greater than 10 mm, 6 patients (28,6%) for having accompanying gallbladder stone, 6 patients (28,6%) due to an increase in polyp dimensions during follow up, 4 patients (19%) for being symptomatic. When the pathology results were examined, cholesterol polyp was found in 15 patients (71,4%), adenomyomatosis in 3 patients (14,3%), hyperplastic polyp in 1 patient (4,8%), pyloric gland adenoma in 1 patient (4,8%) and adenocarcinoma in 1 patient (4,8%).

Conclusion: We are of the opinion that cholecystectomy should be performed, when the diameter of the gallbladder polyp is measured as 10 mm and above, if the patient is over 50 years old, when an increase in the diameter of the followed polyp is observed and the polyp is accompanied by stones.

Anahtar Kelimeler

• Gallbladder polyp
• cholecystectomy
• ultrasonography

SAFRA KESESİ POLİPLERİNE YAKLAŞIM: TEK MERKEZ DENEYİMİ

Öz

Amaç: Safra kesesi polipleri, safra kesesi duvarından lümene doğru olan büyümedir. Büyük çoğunluğunu non-neoplastik olan kolesterol polipleri oluşturur. Çalışmamızda safra kesesi polibi nedeni ile opere edilen hastaların ameliyat endikasyonları ve patoloji sonuçlarını değerlendirmeyi amaçladık.

Gereç ve Yöntemler: Ocak 2016-Aralık 2018 yılları arasında, kliniğimizde yapılan 806 kolesistektomi içerisinden, safra kesesi polibi nedeni ile opere edilen 21 vakanın verileri retrospektif olarak incelendi.

Bulgular: Yirmi bir hasta tespit edildi. Hastaların 13'ü (%61,9) kadın, 8'i (%38,1) erkek olarak izlendi. Yaş ortanca değeri 47 olup, 18 ile 77 arasında idi. Hastaların 5'inin (%23,8) polip boyutu 10 mm ve üzerinde olduğu için, 6'sında (%28,6) polibe taş eşlik ettiği için, 6'sının (%28,6) takipte polip boyutunda artış olduğu için, 4'ünün (%19) ise semptomatik olduğu için opere edildiği gözlendi. Patoloji sonuçları incelendiğinde; 15 hastada (%71,4) kolesterol polibi, 3 hastada (%14,3) adenomiyomatozis, 1 hastada (%4,8) hiperplastik polip, 1 hastada (%4,8) pilorik gland adenomu ve 1 hastada (%4,8) adenokarsinom izlendi.

Sonuç: Safra kesesi polip çapı 10 mm ve daha büyük ölçüldüğünde, hasta yaşı 50'nin üzerinde ise, takip edilen polip çapında artış gözlendiğinde ve polibe taş eşlik ediyorsa kolesistektomi yapılması gerektiği kanaatindeyiz.

Anahtar Kelimeler

• Safra kesesi polibi
• Kolesistektomi
• Ultrasonografi

Kaynakça

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