Masood Raza Khan, Saeed Al Ghamdi, Mohammad Fawzy Mostafa Nasser.
Management of polypoid lesions of gallbladder: a retrospective study at King Abdullah Hospital, Bisha, Kingdom of Saudi Arabia.
Pak J Surg Jan ;28(3):182-5.

Objective: To evaluate the outcome of all patients admitted with Polypoid lesions of the Gallbladder. Study Design: it is a retrospective observational study Setting and duration: This study is carried out at King Abdullah Hospital, Bisha, Kingdom of Saudi Arabia from July 2008 till July 2012. Methodology: We included all the cases who were admitted with polypoid lesions of Gall Bladder during the above period. There were 26 patient above the age of 16 who were treated during above period. Results: A total of 26 patients were admitted with polypoid lesion of Gallbladder from July 2008 till July 2012. Nineteen were female and 7 were male, with male to female ratio was 2.9:1. Out of 26 histopathology suggestive of 21 cholesterol polyp, 4 had true polyps. All the true polyps were more than = 10mm. 1 patient had no polyp showing changes of chronic cholesystitis. In 12(46%) patients there were associated gall stones. Conclusions: The risk of Gallbladder malignancy from accidently discovered polypoid lesion is extremely rare. Less than 6 mm polypoid lesion does not require any treatment just requires follow up in clinic. The polypoid lesions of 8 mm and above in over 50 years of age and lesion greater than 10 mm of any age requires Laparoscopic Cholecystectomy. The Gallbladder polyps associated with Gall stones also require surgical excision. Simultaneously symptomatic polypoid lesion with biliary colic also requires surgical treatment.

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