Please use this identifier to cite or link to this item: http://hdl.handle.net/11452/28228
Title: Gallbladder polyps: Factors affecting surgical decision
Authors: Uludağ Üniversitesi/Tıp Fakültesi/Genel Cerrahi Anabilim Dalı.
0000-0003-1825-6736
Sarkut, Pınar Tasar
Kılıçturgay, Sadık
Özer, Ali
Öztürk, Ersin
Yılmazlar, Tuncay
AAU-4896-2020
55806454400
6603131340
57194509547
35070171400
6701800362
Keywords: Gastroenterology & hepatology
Gallbladder
Polyps
Ultrasound
Cholecystectomy
Malignancy
Risk-factors
Operative indications
Lesions
Diagnosis
Prevalence
Chinese
Issue Date: 28-Jul-2013
Publisher: Baishideng Publishing Group
Citation: Sarkut, P. vd. (2013). "Gallbladder polyps: Factors affecting surgical decision". World Journal of Gastroenterology, 19(28), 4526-4530.
Abstract: AIM: To determine the factors affecting the decision to perform surgery, and the efficiency of ultrasonography (USG) in detecting gallbladder polyps (GP). METHODS: Data for 138 patients who underwent cholecystectomy between 1996 and 2012 in our clinic with a diagnosis of GP were retrospectively analyzed. Demographic data, clinical presentation, principal symptoms, ultrasonographic and histopathological findings were evaluated. Patients were evaluated in individual groups according to the age of the patients (older or younger than 50 years old) and polyp size (bigger or smaller than 10 mm) and characteristics of the polyps (pseudopolyp or real polyps). chi(2) tests were used for the statistical evaluation of the data. RESULTS: The median age was 50 (26-85) years and 91 of patients were female. Of 138 patients who underwent cholecystectomy with GP diagnosis, only 99 had a histopathologically defined polyp; 77 of them had pseudopolyps and 22 had true polyps. Twenty-one patients had adenocarcinoma. Of these 21 patients, 11 were male, their median age was 61 (40-85) years and all malignant polyps had diameters > 10 mm (P < 0.0001). Of 138 patients in whom surgery were performed, 112 had ultrasonographic polyps with diameters < 10 mm. Of the other 26 patients who also had polyps with diameters > 10 mm, 22 had true polyps. The sensitivity of USG was 84.6% for polyps with diameters > 10 mm (P < 0.0001); however it was only 66% in polyps with diameters < 10 mm. CONCLUSION: The risk of malignancy was high in the patients over 50 years old who had single polyps with diameters > 10 mm.
URI: https://doi.org/10.3748/wjg.v19.i28.4526
https://pubmed.ncbi.nlm.nih.gov/23901228/
http://hdl.handle.net/11452/28228
ISSN: 1007-9327
Appears in Collections:Scopus
Web of Science

Files in This Item:
There are no files associated with this item.


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.