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It is not necessary to remove the gallbladder, but if the polyp is relatively large, it is still recommended to remove the gallbladder, because the gallbladder polyp is very likely to be resected again in the later stage.
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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.
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Most gallbladder polyps are benign and not cancerous. However, if clinical symptoms are present, or if there are suspected factors that suspect malignancy, surgical removal of the gallbladder should be considered.
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Gallbladder polyps are very common benign lesions of the gallbladder. Generally speaking, small polyps have little impact on the function of the gallbladder, and at the same time, they are basically not cancerous, so in this case, we recommend that patients can be observed regularly, and there is no need to undergo surgery.
However, for cases where the growth is relatively rapid, the base is relatively wide, or the polyp is relatively large, and the blood vessels of the polyp are very abundant for imaging examination, it is considered that the probability of cancerous transformation will increase significantly, and in this case, we generally recommend that the polyp should be removed.
The first choice is to do laparoscopic gallbladder resection. In this way, we remove the polyp together with the basic whole of the long polyp, which can minimize the ** of polyps and the problem of polyps becoming cancerous.
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Gallbladder polyps do not need to be removed, if the diameter of the gallbladder polyp is less than one centimeter, and there are no gallbladder symptoms, it only needs to be rechecked regularly, and the gallbladder ultrasound is repeated every three to six months, and surgical removal is not required. However, in the following cases, gallbladder polyps are prone to malignant transformation and need to be removed. First, gallbladder polyps are more than one centimeter in diameter.
Second, gallbladder polyps are solitary and have a wide base. Third, there is a tendency for gallbladder polyps to gradually increase in size. Fourth, gallbladder polyps with gallstones or thickening of the gallbladder wall, especially in patients over 50 years of age.
In this case, surgery should be given, so for asymptomatic patients with small gallbladder polyps, it can be conservative at this time.
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It stands to reason that gallbladder polyp surgery should not cut off the gallbladder, but if it is outside the gallbladder, the small polyp will be cut off. It's best to ask your doctor what the results are, and he will tell you whether you want to move your gallbladder or not, mainly to see if you can keep it.
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Most people think that it can only be surgically removed, but in fact, this disease can also be controlled without surgery**, through drug control and a certain amount of traditional Chinese medicine** method comparison.
Analysis: Gallbladder removal does not affect lifespan.
Suggestion: The role of bile is mainly the effect of bile salts or bile acids. Bile salts or bile acids can be used as emulsifiers to emulsify fats, reduce the surface tension of fats, and emulsify fats into microdroplets, which are dispersed in aqueous solution, so as to increase the area of action of pancreatic lipase; Bile acids can also be combined with fatty acids to form water-soluble complexes that promote the absorption of fatty acids, in short, bile is of great significance for the digestion and absorption of fats. >>>More
Do gallbladder polyps have to be surgical? Indications for surgery for gallbladder polyps include: >>>More
Although the gallbladder has been removed, the pain may persist for a while because the surgery will inevitably injure the nerves, so be prepared. For 3 months, avoid: exertion, greasy diet, regular routine. Seek medical attention promptly if you have any conditions.
There are three main causes of gallbladder polyps: First, excessive bile secretion. Second, irregular diet. The third is caused by the social environment.
Single, relatively small gallbladder polyps are generally not cancerous if there is no inflammation and no other symptoms; Large gallbladder polyps have a certain chance of becoming cancerous, so it is recommended to remove large and symptomatic gallbladder polyps at an early stage and reduce the intake of high-fat foods. Tian Shaodan: Whether the gallbladder polyp will become cancerous or not, this should be a question mark, because if the gallbladder polyp is a single small polyp, then long-term observation, there is no inflammation of the gallbladder and no obvious symptoms, generally speaking, it is relatively stable, so there is such a large gallbladder polyp will also have this kind of malignant changes, then it has a certain chance of cancer. >>>More