1, daily care:
If the gallbladder polyp is small and the patient has no other discomfort symptoms, he should eat regularly, especially breakfast, so as to avoid bile deposition in the gallbladder to stimulate the mucosa and induce inflammation of the gallbladder mucosa to induce diseases. In addition, we should avoid eating foods with high cholesterol, such as egg yolk, fat, seafood and animal offal. And actively quit smoking and drinking. It is suggested to eat more fruits and vegetables, supplement vitamins for the body, increase exercise to promote fat consumption and avoid obesity.
2, drug therapy:
If there are small gallbladder polyps, but the patient has symptoms such as nausea and vomiting, you can take ursodeoxycholic acid capsules and other drugs according to the doctor's advice, which can effectively reduce or even disappear the polyps. However, if gallbladder polyps have caused cholecystitis, the treatment can be combined with doctor's advice and oral anti-inflammatory and cholagogic drugs, such as Shudan tablets and Jindan tablets, which can eliminate local inflammation and promote disease recovery.
3, surgical treatment:
If the patient has other accompanying symptoms and the gallbladder polyp is large, laparoscopic cholecystectomy and other surgical treatments are usually needed to avoid further enlargement or growth of the polyp and affect the health.
In addition, drink plenty of water every day to avoid high bile concentration, which can promote the circulation of the body and help the recovery of the disease. If you have long-term drinking habits, you should give up drinking, so as to avoid alcohol causing poor bile excretion, causing gallbladder polyps and even inducing cancer. Gallbladder polyps are generally asymptomatic.
Gallbladder polyps are generally mild or even asymptomatic, and most of them are found by imaging examination. Only a few patients have symptoms of upper abdominal discomfort similar to cholecystitis. Polyps located in the neck of gallbladder can cause biliary colic, and when stones are combined, biliary colic attacks and acute and chronic inflammatory attacks can occur.
Gallbladder polyps are also good or bad.
Gallbladder polyp or polypoid transformation of gallbladder is a general term. Generally speaking, the ultrasonic report describes "polypoid change of gallbladder", and the so-called "polypoid" is polypoid, not necessarily polypoid. This is the so-called image inspection. The quality of gallbladder polyps is the gold standard, but the imaging features can roughly judge whether they are benign or malignant.
Do you need to deal with it?
Usually, gallbladder polyps are asymptomatic. I may have been in my stomach for a long time before the ultrasound examination. As long as it is not malignant or complicated with gallstones and cholecystitis, there is generally no need for active treatment, as long as it is observed. It is also important to improve living habits and diet during observation. When gallbladder polyps are accompanied by stones, not only cholecystitis will be complicated, but also the probability of canceration of gallbladder polyps will be significantly improved. It is recommended to remove it.
From the clinical experience, the "bad" polyp has the following characteristics: wide base, sessile, single, above 1cm, increasing or gradually increasing in a short time, appearing after 50 years old, complicated with gallstones or cholecystitis. In these cases, gallbladder polyps are prone to "problems" and the risk of becoming gallbladder cancer is high. If these characteristics are described above, it is recommended to remove the gallbladder surgically to avoid problems in the future.
Characteristics of benign polyps: If they are small (less than 1cm), multiple, basal stenosis and pedicled polyps, it is relatively difficult to "have an accident". As long as they are followed up every year and have a B-ultrasound every six months, they will be treated again if the situation changes.
There are two considerations in the surgical treatment of gallbladder polyps. On the one hand, it is to prevent canceration or missed diagnosis of cancer, on the other hand, it is aimed at symptoms. If the symptoms of discomfort are not relieved by drug treatment and chronic cholecystitis affects normal work and life, cholecystectomy can be considered. Drugs are ineffective for true gallbladder polyps. For multiple cholesterol polyps, some antibiotics may alleviate the symptoms of chronic cholecystitis to some extent, and may have some effect on cholesterol crystals smaller than 5mm or prevent new development.
Summary: rapid growth in a short period of time; 1 cm or more; Single shot; Broad base; Gallbladder polyp; Local or overall thickening of gallbladder wall; Chronic cholecystitis with gallstones; B-ultrasound, CT and MRI do not rule out the possibility of canceration, and surgery is usually recommended.