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Nature of Medium Sized Gallbladder Polyps |
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| รหัสดีโอไอ | |
| Creator | 1. Thada Yongpradit 2. Romyen Jitmungngan |
| Title | Nature of Medium Sized Gallbladder Polyps |
| Publisher | Text and Journal Publication |
| Publication Year | 2561 |
| Journal Title | Vajira Medical Journal |
| Journal Vol. | 62 |
| Journal No. | 5 |
| Keyword | Medium sized gallbladder polyps, cholecystectomy, adenomatous polyp |
| URL Website | https://tci-thaijo.org/index.php/VMED |
| Website title | Vajira Medical Journal (วชิรเวชสาร) |
| ISSN | 0125-1252 |
| Abstract | Abstract Objective: This study aimed to trace and study the nature of medium sized gallbladder polyps for analysis and improving the guideline for screening and follow up the patients with gallbladder polyps in Golden Jubilee Medical Center. Methods: Prospective descriptive study. All patients with medium sized gallbladder polyps (size more than 6 mm, but less than 10 mm) underwent follow up by ultrasound every 6 months for at least 2 years (February 2013 to February 2015). These patients will have an advice for cholecystectomy when meet indications including: symptoms, increasing in size of polyps or size of polyps equal or more than 10 mm, abnormality of gallbladder polyps from ultrasound, patient need. Main outcome measures: Prognosis of medium sized gallbladder polyps and Incidence of gallbladder cancer. Results: There were total 35 cases of medium sized gallbladder polyps within 2 years follow up with female 21 cases (60%) and male 14 cases (40%). Diabetes mellitus (40%) and dyslipidemia (20%) were found as underlying diseases. Patients with age equal or more than 50 years old (89%) had gallbladder polyps more than patient with age below 50 years old. Twenty-seven cases (77%) of gallbladder polyps remained stable in size, but eight cases (23%) had average growth rate of gall bladder polyps at 0.05 mm per month. 9 mm. but eight cases (23%) had average growth rate of gall bladder polyps at 0.05 mm per month. 9 mm. cancer in this study (just 1 patient with adenomatous polyp). Conclusion: Medium sized gallbladder polyps remained asymptomatic if there was no associated gallstone. Female with age equal or more than 50 years old with diabetes mellitus and dyslipidemia tend to find a higher rate of gallbladder polyps. More than two third of medium sized polyps remained stable in size, but 9mm. sized polyps had rapid growth 10 times more than smaller polyps. |
