Gall Bladder Polyps : A Paradigm Shift – Need for Reappraisal of Guidelines

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dc.contributor.authorChrungoo, Inakshien_US
dc.contributor.authorAbrol, Surbhien_US
dc.contributor.authorMahajan, Aseemen_US
dc.contributor.authorBhardwaj, Rajnien_US
dc.contributor.authorBali, Harbinder Singhen_US
dc.contributor.authorChrungoo, R Ken_US
dc.date.accessioned2023-06-17T08:34:11Z
dc.date.available2023-06-17T08:34:11Z
dc.date.issued2022-06
dc.description.abstractBackground : Gall Bladder Polyps are mucosal lesions that project from the Gall Bladder wall into the Gallbladder lumen. They form morphologically distinct lesion/s with internal characteristics different than that of neighboring structures as verified by microscopic examination. About 4-6% are picked up clinically, 2-12% in Cholecystectomy specimens and 4% on Ultrasound. Materias and Methods : A three calendar year retrospective single surgical unit study compromised of 1442 cholecystectomies performed for benign Gall Bladder Disease. The patient were subjected to Ultrasound of abdomen for diagnosis and routine clinic work up. The Gall Bladders Harboring Polyps were examined grossly for site ,number, and microscopy for histological details. Results : In a total number of 40 cases of Gall Bladder Polyp, females outnumbered males. This series spreads over age groups of 3rd decade - 9th decade, most of the patients were seen in 6th decade of life. Youngest patients were 27 years old and oldest one was 85 years old. Incidentally, none of the old patients had evidence of malignancy on histopathology in their Gall Badder Polyp, only 2% were necessitated for a pre-operative diagnosis of Gall Bladder Polyps alone. Rest required it for presence of Gallstones with or without Polyp. None of >10mm size showed any malignant change on histopathological examination. On the Contrary, among the polypoid lesions <10mm size, one polypid lesion (7mm) showed a malignant change (Carcinoma in situ) Conclusion : A predictive model for neoplastic potential of Gall Bladder Polyp may support clinical decision to achieve an ideal therapeutic outcome. Hence a need for reappraisal of management guidelines.en_US
dc.identifier.affiliationsMBBS, Senior Postgraduate Resident, Department of Surgery, Government Medical College and Hospital, Jammu 180001en_US
dc.identifier.affiliationsMBBS, MS (General Surgery), Senior Resident, Department of Surgery, Acharya Shri Chander College of Medical Sciences and Hospital, Jammu 180017en_US
dc.identifier.affiliationsMBBS, Postgraduate, Department of Surgery, Acharya Shri Chander College of Medical Sciences and Hospital, Jammu 180017en_US
dc.identifier.affiliationsDGO, MS (General Surgery), Assistant Professor, Department of Surgery, Government Medical College and Hospital, Jammu 180001en_US
dc.identifier.affiliationsDGO, MS (General Surgery), Associate Professor, Department of Surgery, Acharya Shri Chander College of Medical Sciences and Hospital, Jammu 180017en_US
dc.identifier.affiliationsMS, FICS, FIAGES, FCLS, FIMSA, FMAS, Emeritus Professor, Department of Surgery, Acharya Shri Chander College of Medical Sciences and Hospital, Jammu 180017 and Corresponding Authoren_US
dc.identifier.citationChrungoo Inakshi, Abrol Surbhi, Mahajan Aseem, Bhardwaj Rajni, Bali Harbinder Singh, Chrungoo R K. Gall Bladder Polyps : A Paradigm Shift – Need for Reappraisal of Guidelines. Journal of The Indian Medical Association. 2022 Jun; 120(6): 13-18en_US
dc.identifier.issn0019-5847
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/216555
dc.languageenen_US
dc.publisherIndian Medical Associationen_US
dc.relation.issuenumber6en_US
dc.relation.volume120en_US
dc.source.urihttps://www.onlinejima.com/read_journals.php?article=956en_US
dc.subjectGall Bladder Polyp (GBP)en_US
dc.subjectPolypoid Lesions of Gallbladder (PLG)en_US
dc.subjectLaparoscopic Cholecytectomy (LC)en_US
dc.subjectEndoscopic Ultrasound (EUS)en_US
dc.subjectPhotoacoustic imagingen_US
dc.titleGall Bladder Polyps : A Paradigm Shift – Need for Reappraisal of Guidelinesen_US
dc.typeJournal Articleen_US
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