How large a gallbladder polyp is that needs to be surgically removed

Do gallbladder polyps have to be surgical? Indications for surgery for gallbladder polyps include:

1) Single hair, more than 10mm, with a thick pedicle, especially in the neck of the gallbladder, and older than 50 years old.

2) Lesions, accompanied by gallstones, manifestations, age >50 years.

3) Single hair, less than 10mm, no manifestation, age less than 50 years old, observation and follow-up are allowed; Surgery is indicated if the lesion is enlarged or morphologically changed.

4) Doppler ultrasound examination of the lesion with abundant blood supply suggests that it is a malignant new organism.

5) CEA (tumor marker), the measured value is significantly elevated and other gastrointestinal tumors are excluded.

After the gallbladder is removed, the body loses the functions of the gallbladder such as storage, concentration, excretion of bile and secretion.

Pay attention to your diet:

1. Limit the intake of fat, especially not eating foods containing too much animal fat. Generally, the method of eating small meals and eating more often is adopted, and the amount of food in one meal should not be too full.

2. The food content can be low-fat semi-liquid food or low-fat soft rice, such as various porridges, noodles, bread, biscuits, tofu, egg whites, fat-free milk, low-fat lean meat, low-fiber vegetables and fruits.

For those who do not meet the above conditions, such as small polyps or no obvious enlargement trend, no surgery is required, conservative methods are fine, and it is recommended that Devoke Yushu tea can be controlled after three to six months of general conditioning.

You can go to the hospital and ask the doctor.

Gallbladder polyps are very common biliary lesions, occurring in 10% of people worldwide.

Generally speaking, polyps smaller than 10 mm or 1 cm are basically benign and do not need to be removed or removed, only need to be ultrasounded every year to observe whether they have become larger.

For gallbladder polyps larger than 1 cm, the likelihood of becoming cancerous increases, so consider excision, and then the polyps to see if they are cancerous.

Gallbladder polyp is a benign precancerous lesion of the gallbladder with a high incidence, but there are very few clinical signs and symptoms, and most patients are found incidentally during physical examination or other diseases through abdominal ultrasound. Precancerous lesions are closely related to the size of the tumor, and when the polyp is 1cm in diameter, it should be actively observed and rechecked regularly to assess whether there is a tendency to grow before deciding whether to take surgical intervention. When the polyp is 1cm in diameter, the probability of cancer is significantly increased, and it is advisable to take surgical methods to remove it in time to prevent cancer.

How big are your gallbladder polyps? What are the main symptoms and sensations of discomfort in the body? It can be removed without surgery, and it can be done with traditional Chinese medicine to distinguish yin and yang deficiency, cold and heat, as well as the disease location and viscera.

Generally, when people think of gallbladder polyps, the first method that comes to mind is surgery, but in fact, if the patient's polyp condition is not serious, there is no need to undergo surgery, and the patient often only needs to receive drugs, but patients need to pay attention to the fact that they should regularly go to the hospital for detailed examinations at the same time, so that the polyps can be controlled.

Generally, as long as the size of the polyp has been checked over 2 mm, it is necessary to undergo surgery, because there is already a risk of deterioration of polyps of this size, generally if the patient's condition is not serious, as long as the polyp is removed, but if it cannot be carried out in time, the polyp will begin to grow over time, and will eventually directly affect the patient's body, at this time, the patient should consider gallbladder removal, in addition, when the polyp can not be controlled in time, Once the patient's body suffers from these problems, their normal life and work will be greatly disturbed, so that the patient's own psychology and family members around him will begin to be affected by the huge disease, therefore, it is recommended that once diagnosed, the patient should take measures as soon as possible to avoid making a decision that he regrets for life.

Not all patients with gallbladder polyps need surgery, and surgery is only recommended when the diameter of the gallbladder polyp is greater than 10 mm, as it does not continue to grow and develop into cancer. When the gallbladder polyp is less than 10 mm, the patient can be treated with integrative medicine**.

Patients can adjust their diet, patients should try to eat low-cholesterol and low-fat foods, if you use foods with too high cholesterol and fat content, it is easy to aggravate the condition, you can eat more foods with high vitamin A content, eat less spicy and hot foods, and avoid food research.

Patients should also appropriately adjust their bad living habits, insist on going to bed early and getting up early, avoid staying up late, staying up late will increase the burden on the gallbladder, adjust their psychological state, and exercise regularly to improve their physical fitness and enhance the body's ability to resist diseases.

Although more and more people are now suffering from gallbladder polyps, only a small number of people can really understand the existence of this disease, and for most people: they do not know how to treat this disease? In order to increase people's understanding, today, let me introduce you to the best method of gallbladder polyp.

Generally, when people think of gallbladder polyps, the first method that comes to mind is surgery, but in fact, if the patient's polyp condition is not serious, there is no need to undergo surgery, and the patient often only needs to receive drugs, but patients need to pay attention to the fact that they should regularly go to the hospital for detailed examinations at the same time, so that the polyps can be controlled.

Generally, as long as the size of the polyp has been checked over 2 mm, it is necessary to undergo surgery, because there is already a risk of deterioration of polyps of this size, generally if the patient's condition is not serious, as long as the polyp is removed, but if it cannot be carried out in time, the polyp will begin to grow over time, and will eventually directly affect the patient's body, at this time, the patient should consider gallbladder removal, in addition, when the polyp can not be controlled in time, Once the patient's body suffers from these problems, their normal life and work will be greatly disturbed, so that the patient's own psychology and family members around him will begin to be affected by the huge disease, therefore, it is recommended that once diagnosed, the patient should take measures as soon as possible to avoid making a decision that he regrets for life.

In short, I still hope that patients can accept ** as soon as possible, in fact, with the continuous progress of science and technology, the ** for gallbladder polyps has always been progressive, patients do not need to have too much psychological burden, I believe that as long as the patient can actively accept **, it is only a matter of time to achieve the disease.

Gallbladder polyps are generally benign, but there is also the possibility of malignant transformation, and polyps that are generally no more than one centimeter can be observed by follow-up, as long as you have regular ultrasound observation.

Analysis: The size of gallbladder polyps that need to be surgically removed depends on the specific situation of the patient. For patients with significant symptoms, conservative medications** can be used first, and cholecystectomy is recommended if there is no significant response, regardless of the size of the polyp.

If the patient has no obvious symptoms, but the largest diameter of the gallbladder polyp is greater than 1 cm, or the diameter of the gallbladder polyp is not more than 1 cm, but the gallstones are combined, surgical removal is also required.

It is divided into the following 3 situations:

1) Symptomatic gallbladder polyps: cholecystectomy is recommended when the "polyp" is ruled out as gallbladder cholesterol crystals, or the gallbladder cholesterol crystals are not significantly relieved by choleretic **, regardless of the specific size of the polyp;

2) Asymptomatic gallbladder polyps, surgical removal of gallbladder is recommended for those with the following conditions: combined with gallstones; The maximum diameter of the polyp is more than 10 mm (CT or magnetic resonance diagnosis); polyps have a wide base; The polyps grew in a fine pedicle-shaped sac, and the blood supply was good, and the polyps were significantly strengthened by enhanced CT examination. Neck polyps or polyp growth sites adjacent to the cystic duct opening;

3) Asymptomatic gallbladder polyps should be followed up and re-examined regularly, and cholecystectomy is recommended for patients with the following conditions: patients over 50 years old, the maximum diameter of polyps is 8mm, and the polyps are rapidly enlarged by imaging (CT or magnetic resonance) re-examination within 1 year.

Gallstones in the neck of the gallbladder are not necessary to be surged, although in most cases surgery is the main method, but if the stone is relatively small and does not cause other uncomfortable symptoms, you can first use anti-inflammatory and choleretic drugs, such as tauroursodeoxycholic acid capsules, liver and choleretic oral liquid, etc., to assist in ancestral tea therapy, clear the liver and gallbladder, two cups a day to moisturize the gallbladder, mild taste, pure plant herbal formula. Observe the effect of the drug to see if the stone can be drained into the gallbladder, and if it is discharged into the gallbladder, surgery can be temporarily avoided. If the stones are relatively large and the physiological and anatomical structure of the gallbladder neck is relatively narrow, when the gallstones in the gallbladder move to the gallbladder neck, due to the relatively narrow space for movement, it is more likely to cause incarceration, which will cause a series of sequelae, and then surgery must be performed**.

1. Cholecystitis: when the gallbladder neck stones are incarcerated, the bile in the gallbladder is not easy to be discharged to the common bile duct through the cystic duct, and the stones in the bile duct are not easy to enter the gallbladder through the cystic duct.

2. Mirizzi syndrome: if the stones in the neck of the gallbladder are incarcerated for a long time, with the inflammation of the gallbladder wall, the inflammation can infiltrate to the periphery and soak into the common hepatic duct, the gap between the neck of the gallbladder and the common hepatic duct shrinks or even disappears, and the local fibrosis and scarring gradually form, and the stones may be stuck in the hilar bile duct, causing compression, resulting in relative narrowing of the hilar bile duct and even obstructive jaundice. If the stone continues to be stuck in this area, it may make the surrounding inflammatory response more serious, and even due to the compression of the stone, the cystic duct or the wall of the gallbladder neck and the common hepatic duct will be damaged, and then the stone will enter the common hepatic duct;

3. Gallbladder perforation: If the gallbladder neck calculus is too severe, it can also cause adhesion of the gallbladder wall, duodenum, stomach wall and colon wall, and even cause perforation. Stones in the gallbladder can swim into the digestive tract, forming a fistula in the gallbladder and digestive tract.

At present, the surgical methods for gallbladder neck calculus incarceration mainly include cystic duct retrograde dissection, gallbladder neck incision and stone removal, and cholecystectomy. Postoperative patients need to fast for a period of time, and be given gastrointestinal decompression, and should be given adequate intravenous water and electrolytes according to the doctor's instructions to maintain fluid balance. Patients should also avoid overexertion and eat small, frequent meals to avoid overeating.

The first thing to look at is whether the gallbladder polyp is single or multiple, and then to observe the size and nature of the polyp. The probability of multiple cases is smaller than that of a single case, and the general cholesterol nature is more likely to be observable; Now the means of ** are very advanced, as for the use of medicine, you can drink De Yan's Li Qi Shu choleretic to inhibit the growth of polyps.

Surgical intervention should be performed if the diameter is more than 1 cm, but it is not the full standard;

Generally speaking, polyps with pedicles on the form are mostly benign, and those with a wide base have the possibility of malignancy, that is to say, if they are a polyp with a wide base, even if the diameter is less than 1 cm, surgery should be intervened as soon as possible because of the possibility of malignant transformation.

In the final analysis, a wide-based single gallbladder polyp with a diameter of more than 1 cm needs surgery, and the others can be observed, and the observation method is to start ultrasonography every six months to monitor the changes in the size and morphology of the polyp. Don't worry too much.

Hello, this needs to be seen by the doctor to know specifically.

Gallbladder polyps are benign tumors of the gallbladder that generally do not become cancerous. Under normal circumstances, gallbladder polyps grow slowly, and there are no obvious clinical symptoms, even if there are digestive symptoms, it is recommended that patients use Hunyushu tea, which is specially developed for gallbladder polyps, and can achieve satisfactory results. Surgery may also be considered when gallbladder polyps undergo the following changes**

Single polyps greater than 1 cm in diameter;

Those who are older than 60 years old and have obvious symptoms;

combined with cholecystitis, cholelithiasis;

B-ultrasound follow-up showed significant enlargement in the short term or mucosal infiltration around the polyp.

Patients with gallbladder polyps pay attention to problems in daily life.

Regularly conduct dynamic observation of gallbladder polyps through B-ultrasound, and check once every 3-4 months, and be sure to choose a hospital with better medical equipment and higher medical level during the examination.

In daily life, do not drink alcohol and avoid fatty and greasy foods (such as fatty meat, animal offal, seafood, scaleless fish, etc.).

Dietary life should be regular, avoid overwork, mood is not easy to fluctuate too much, so as not to affect the normal contraction of the gallbladder due to plant dysfunction and cause bile to remain in the gallbladder for a long time.

Biliary polyps do not need surgery** because they are not real polyps, but rather mulberry-shaped changes formed by the clumping of cholesterol crystals in the bile, which are usually less than 1 cm in diameter. Non-surgical and Chinese medicine can be used**.