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...

Overview

Journal Eur Radiol

Specialty Radiology

Date 2017 Feb 11

PMID 28185005

Citations 68

Authors

Rebecca Wiles

Ruedi F Thoeni

Sorin Traian Barbu

Yogesh K Vashist

Soren Rafael Rafaelsen

Catherine Dewhurst

Marianna Arvanitakis

Max Lahaye

Marek Soltes

Julie Perinel

Stuart Ashley Roberts

Affiliations

Soon will be listed here.

Abstract

Objectives: 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.

Key Points: • 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.

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