title: [Surgical indications in gallbladder polyps].
abstract: BACKGROUND
  The surgery of gallbladder polyps is not well defined due to the lack of evidence-based clinical guidelines.
  
  
  OBJECTIVE
  To analyse the management of polyps in Spain, and a review of the literature and treatment standards.
  
  
  METHODS
  The reports on cholecystectomy with gallbladder polyps (GBP) were extracted from the Pathology data base. Patients subjected to surgery with a diagnosis of GBP were identified in the Surgery data base. A single list was prepared and a review was made of the clinical histories, including, age, gender, clinical data, ultrasound report, and histopathology report.
  
  
  RESULTS
  A total of 30 patients, with a median age of 51 years (range 22-83), 21 of whom were female, were included. The ultrasound diagnosis was GBP in 19 patients, GBP and calculi in 7 cases, and calculi with no polyps in 4 cases. Other diagnoses concurrent with GBP were multiple haemangiomas (3), large single simple cyst (1), and multiple simple cysts (1). Eleven patients had typical pain (biliary origin), 5 of which showed no calculi on ultrasound. Eight had non-specific pain, which persisted in 3 cases after the cholecystectomy. Pseudopolyps were found in 20 gallbladders, and true polyps in 4 cases. In 3 cases, polyps were not found in the pathology study.
  
  
  CONCLUSIONS
  The ultrasound report must specify the size, shape, and number of polyps. Patients with biliary type pain would benefit from a cholecystectomy. The probability of malignancy is minimum if the GBP is less than 10mm and aged under 50 years, and a cholecystectomy is not required. A GBP greater than 10mm should be an indication of cholecystectomy.
authors.affiliation: Servicio de Cirugía General, Hospital de Requena, Valencia, España. fmoreraocon@aecirujanos.es
authors.forename: Francisco José
authors.initials: FJ
authors.lastname: Morera-Ocón
authors.forename: Javier
authors.initials: J
authors.lastname: Ballestín-Vicente
authors.forename: Ana María
authors.initials: AM
authors.lastname: Calatayud-Blas
authors.forename: Leonardo Cataldo
authors.initials: LC
authors.lastname: de Tursi-Rispoli
authors.forename: Juan Carlos
authors.initials: JC
authors.lastname: Bernal-Sprekelsen
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005706:Gallbladder Neoplasms / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011127:Polyps / Q000601:surgery*; D012189:Retrospective Studies; D013030:Spain; D055815:Young Adult