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With the change of people's lifestyle, more and more people are suffering from gallbladder polyps, and it is time to pay attention to this disease. We know that there are different types of gallbladder polyp methods, and it is recommended that you learn about these different methods.
1. Single lesions, generally the diameter of the polyp in the gallbladder is greater than 10mm, and the patients with broad-based nodules or thick pedicles are mainly located in the neck of the gallbladder, and the age of this type of patients is generally greater than 50 years old.
2. Multiple lesions, most of these people are accompanied by gallstones, only some symptoms are not very obvious, and the age is obviously greater than 50 years old.
3. Patients with single lesions and polyps less than 10mm, who have no obvious symptoms and are less than 50 years old, are allowed to observe and follow-up. In daily life, it is recommended to drink Lizishu tea to control the growth of polyps and reduce inflammation and choleretic. As the lesion grows and bleeding occurs, surgery is warranted.
4. After the relevant blood test CEA (tumor marker) is done, the measured value of polypoid lesions is significantly increased and other gastrointestinal tumors are excluded.
5. Asymptomatic patients with a diameter of less than 5mm should be followed up at an interval of 3 to 5 months. Surgery is indicated once the lesion is enlarged, symptoms are evident, or other indications for surgery are present**.
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Gallbladder polyps can be improved through dietary therapy, and care should be taken not to consume too much cholesterol, which will not only increase the burden on the patient's liver, but also cause excess cholesterol to crystallize, accumulate and precipitate on the gallbladder wall, thus forming gallstones or gallbladder polyps. Therefore, patients should reduce their cholesterol intake, especially at dinner, and avoid eating high-cholesterol foods.
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What are the best ways to get gallbladder polyps?
Drugs**. Bile salts.
Objective: To regulate cholesterol and bile acid metabolism.
Commonly used drugs: bile salts, etc.[4].
Surgery**. Laparoscopic cholecystectomy: the aim is to remove the gallbladder directly and send the polyp for pathological biopsy. The advantages are less trauma, less postoperative complications and low rate.
Open cholecystectomy: the goal is to remove the gallbladder under open vision and send the polyp for pathological biopsy[5][6].
So so**. Eat on time: the aim is to promote the rhythmic nature of bile secretion. Patients need to develop the habit of eating on time, so that the secretion of bile, the contraction and relaxation of the gallbladder are rhythmic.
Eat in moderation: The purpose is to avoid a large amount of bile secretion at one time and promote the rhythmic contraction of the gallbladder.
**: The purpose is to promote the normalization of cholesterol metabolism and avoid cholesterol precipitation and deposition.
What is the outcome of the disease development?
If not received in time**: Gallbladder polyps may become larger, bleed, and become cancerous, which can affect the patient's longevity and quality of life. A small number of gallbladder polyps may be early-stage gallbladder cancer, and if not timely**, they can lead to metastasis.
If accepted in a timely manner**: it can be well controlled with minimal impact on longevity and quality of life.
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Approaches to gallbladder polyps include conservative and surgical. Conservative** is suitable for patients with small diameter gallbladder polyps and no clinical symptoms, which can be improved by taking medications, dietary conditioning and physical exercise, but it is important to pay attention to regular reexamination. If symptoms are severe or there is a risk of malignant transformation, surgical excision should be done as soon as possible.
Suggestions: In normal times, we should pay attention to outdoor activities, breathe fresh air, do more physical exercise, and improve our physical fitness. Keep warm to avoid getting cold on your abdomen.
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The method of gallbladder polyp** should be selected according to the specific situation of the disease: 1. If there is a high suspicion of malignant transformation of gallbladder polyps, it is recommended to completely remove the gallbladder and conduct pathological examination to confirm benign and malignant. If it is malignant, liver and hepatic lobectomy, lymph node dissection, etc. should be added according to the pathology report**.
2. If it is clear that there is no malignant transformation, pay attention to a light diet. Because a significant part of the clinical function is a pseudopolyp caused by cholesterol deposition, it is not a real polyp.
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In general, the standard method for gallbladder polyps is cholecystectomy, which is the best method for gallbladder polyps, but the choice of surgical removal or conservative treatment of polyps depends on the specific situation. Because gallbladder polyps are a common disease, the vast majority are benign and do not require surgery, and the indications for cholecystectomy are as follows:
1. The polyp is obviously 1cm and has a tendency to continue to increase;
2. The polyp is horizontal, and the periphery is raised;
3. Gallbladder polyps have obvious blood**;
4. Gallbladder polyps combined with gallstones. For multiple gallbladder polyps with thin pedicles and no more than 1 cm in size, conservative observation can be performed.
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If the gallbladder polyp is less than 1 cm, the best plan is regular follow-up, follow-up and dietary regulation. Usually reduce high-fat, high-cholesterol foods, eat more fresh vegetables and fruits, drink more water, and exercise more.
If the bile polyp is more than 1cm, the best way is to surgically remove the macrobend. The probability of cancerous gallbladder polyps exceeding 1cm is significantly increased, so it is recommended to undergo surgical resection as soon as possible to prevent the risk of carcinogenesis in the later stage, especially for single polyps, wide base and severe gallbladder inflammation, and gallstones, and patients have corresponding symptoms. If the polyp is larger than 1cm, surgery is strongly recommended**.
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For gallbladder polyps, the best way is to remove them surgically.
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The best** method for gallbladder polyps needs to be decided based on the size of the gallbladder polyps. Gallbladder polyps are bulging lesions of the gallbladder wall that protrude into the gallbladder cavity and are classified as neoplastic and nonneoplastic. If it is a non-tumor type, if the polyp is 1 cm, it will not affect your life too much, so you can pay attention to observation.
If it is a neoplastic polyp, and the polyp is obviously 1cm and has a tendency to continue to enlarge, it is horizontal, and there is a peripheral bulge, there is obvious blood**, and there are gallstones in combination with a detailed examination, and the gallbladder is surgically removed.
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Gallbladder polyps have no obvious clinical symptoms in the early stage and are often found on physical examination. Some patients with chronic cholecystitis may have a feeling of distention, swelling and tingling in the right upper abdomen, especially after eating a high-fat diet and a full stomach, it is recommended to go to the hospital in time, and the diagnosis can be confirmed by abdominal ultrasound. For patients with gallbladder polyps of 1cm, it is recommended to have surgery as soon as possible for gallbladder polyps of 1cm** to avoid malignant transformation, and high-risk patients should be alert, go to the hospital as soon as possible for examination, clear diagnosis, and formulate corresponding reexamination and ** strategies.
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Gallbladder polyps are predominantly surgical**, but not all patients need surgery**. Based on the results of ultrasound examination, the doctor will conduct a comprehensive evaluation based on the patient's condition, make a decision, and decide whether to perform surgical resection.
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