title: Management and follow-up of gallbladder polyps : Joint guidelines between the European Society of Gastrointestinal and Abdominal Radiology (ESGAR), European Association for Endoscopic Surgery and other Interventional Techniques (EAES), International Society of Digestive Surgery - European Federation (EFISDS) and European Society of Gastrointestinal Endoscopy (ESGE).
abstract: OBJECTIVE
  The management of incidentally detected gallbladder polyps on radiological examinations is contentious. The incidental radiological finding of a gallbladder polyp can therefore be problematic for the radiologist and the clinician who referred the patient for the radiological examination. To address this a joint guideline was created by the European Society of Gastrointestinal and Abdominal Radiology (ESGAR), European Association for Endoscopic Surgery and other Interventional Techniques (EAES), International Society of Digestive Surgery - European Federation (EFISDS) and European Society of Gastrointestinal Endoscopy (ESGE).
  
  
  METHODS
  A targeted literature search was performed and consensus guidelines were created using a series of Delphi questionnaires and a seven-point Likert scale.
  
  
  RESULTS
  A total of three Delphi rounds were performed. Consensus regarding which patients should have cholecystectomy, which patients should have ultrasound follow-up and the nature and duration of that follow-up was established. The full recommendations as well as a summary algorithm are provided.
  
  
  CONCLUSIONS
  These expert consensus recommendations can be used as guidance when a gallbladder polyp is encountered in clinical practice.
  
  
  CONCLUSIONS
  • Management of gallbladder polyps is contentious • Cholecystectomy is recommended for gallbladder polyps >10 mm • Management of polyps <10 mm depends on patient and polyp characteristics • Further research is required to determine optimal management of gallbladder polyps.
authors.affiliation: Department of Radiology, Royal Liverpool and Broadgreen University Hospitals NHS Trust, Liverpool, L78XP, UK. Rebecca.wiles@rlbuht.nhs.uk.
authors.forename: Rebecca
authors.initials: R
authors.lastname: Wiles
authors.affiliation: Department of Radiology and Biomedical Imaging, University of California, San Francisco, Medical School, San Francisco, CA, USA.
authors.forename: Ruedi F
authors.initials: RF
authors.lastname: Thoeni
authors.affiliation: 4th Surgery Department, University of Medicine and Pharmacy "Iuliu Hatieganu", Cluj-Napoca, Romania.
authors.forename: Sorin Traian
authors.initials: ST
authors.lastname: Barbu
authors.affiliation: Section for Visceral Surgery, Department of Surgery, Kantonsspital Aarau, Aarau, Switzerland.|Department of General, Visceral and Thoracic Surgery, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany.
authors.forename: Yogesh K
authors.initials: YK
authors.lastname: Vashist
authors.affiliation: Department of Radiology, Clinical Cancer Centre, Vejle Hospital, University of Southern Denmark, Odense M, Denmark.
authors.forename: Søren Rafael
authors.initials: SR
authors.lastname: Rafaelsen
authors.affiliation: Department of Radiology, Mercy University Hospital, Grenville Place, Cork, Ireland.
authors.forename: Catherine
authors.initials: C
authors.lastname: Dewhurst
authors.affiliation: Department of Gastroenterology, Erasme University Hospital ULB, Brussels, Belgium.
authors.forename: Marianna
authors.initials: M
authors.lastname: Arvanitakis
authors.affiliation: Department of Radiology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
authors.forename: Max
authors.initials: M
authors.lastname: Lahaye
authors.affiliation: 1st Department of Surgery LF UPJS a UNLP, Kosice, Slovakia.
authors.forename: Marek
authors.initials: M
authors.lastname: Soltes
authors.affiliation: Department of Hepatobiliary and Pancreatic Surgery, Edouard Herriot Hospital, Lyon, France.
authors.forename: Julie
authors.initials: J
authors.lastname: Perinel
authors.affiliation: Department of Radiology, University Hospital of Wales, Cardiff, UK.
authors.forename: Stuart Ashley
authors.initials: SA
authors.lastname: Roberts
mesh_terms: D000368:Aged; D015209:Cholangitis, Sclerosing / Q000175:diagnosis / Q000601:surgery; D002763:Cholecystectomy / Q000379:methods; D032921:Consensus; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D005706:Gallbladder Neoplasms / Q000175:diagnosis / Q000208:ethnology / Q000601:surgery*; D005770:Gastrointestinal Neoplasms / Q000601:surgery; D006801:Humans; D033162:Incidental Findings; D008297:Male; D008875:Middle Aged; D011127:Polyps / Q000175:diagnosis / Q000208:ethnology / Q000601:surgery*; D011860:Radiography, Abdominal; D012307:Risk Factors; D014463:Ultrasonography
keywords: Cholecystectomy; Gallbladder; Neoplasms; Polyps; Ultrasonography