The management of gallbladder polyps

Valibouze, Caroline; El Amrani, Mehdi; Truant, S.; Leroy, C.; Millet, G.; Pruvot, F. R.; Zerbib, P.

Type de document :

Article dans une revue scientifique: Article original

DOI :

10.1016/j.jviscsurg.2020.04.008

PMID :

32473822

URL permanente :

http://hdl.handle.net/20.500.12210/40751

Titre :

The management of gallbladder polyps

Auteur(s) :

Valibouze, Caroline [Auteur]
Service de Néphrologie et Transplantation rénale [CHRU-lille]
El Amrani, Mehdi [Auteur]
Miniaturisation pour la Synthèse, l'Analyse et la Protéomique (MSAP) - USR 3290
Miniaturisation pour la Synthèse, l'Analyse et la Protéomique (MSAP) - USR 3290
Service de Néphrologie et Transplantation rénale [CHRU-lille]
Truant, S. [Auteur]
Service de Néphrologie et Transplantation rénale [CHRU-lille]
Leroy, C. [Auteur]
Service Endocrinologie, diabétologie, maladies métaboliques et nutrition [LILLE - Endocrino]
Millet, G. [Auteur]
Service de Néphrologie et Transplantation rénale [CHRU-lille]
Pruvot, F. R. [Auteur]
Service de Néphrologie et Transplantation rénale [CHRU-lille]
Zerbib, P. [Auteur]
Service de Néphrologie et Transplantation rénale [CHRU-lille]

Titre de la revue :

Journal of Visceral Surgery

Nom court de la revue :

J Visc Surg

Date de publication :

2020-05-27

ISSN :

1878-7886

Mot(s)-clé(s) :

Laparoscopy
Cholecystectomy
Gallbladder
Polyp
Cancer

Discipline(s) HAL :

Sciences du Vivant [q-bio]

Résumé en anglais : [en]

Neoplastic gallbladder polyps (NGP) are rare; the prevalence in the overall population is less than 10%. NGP are associated with a risk of malignant degeneration and must be distinguished from other benign gallbladder ...
Lire la suite >Neoplastic gallbladder polyps (NGP) are rare; the prevalence in the overall population is less than 10%. NGP are associated with a risk of malignant degeneration and must be distinguished from other benign gallbladder polypoid lesions that occur more frequently. NGP are adenomas and the main risk associated with their management is to fail to detect their progression to gallbladder cancer, which is associated with a particular poor prognosis. The conclusions of the recent European recommendations have a low level of evidence, based essentially on retrospective small-volume studies. Abdominal sonography is the first line study for diagnosis and follow-up for NGP. To prevent the onset of gallbladder cancer, or treat malignant degeneration in its early phases, all NGP larger than 10mm, or symptomatic, or larger than 6mm with associated risk factors for cancer (age over 50, sessile polyp, Indian ethnicity, or patient with primary sclerosing cholangitis) are indications for cholecystectomy. Apart from these situations, simple sonographic surveillance is recommended for at least five years; if the NGP increases in size by more than 2mm in size, cholecystectomy is indicated. Laparoscopic cholecystectomy is possible but if the surgeon feels that the risk of intra-operative gallbladder perforation is high, conversion to laparotomy should be preferred to avoid potential intra-abdominal tumoral dissemination. When malignant NGP is suspected (size greater than 15mm, signs of locoregional extension on imaging), a comprehensive imaging workup should be performed to search for liver extension: in this setting, radical surgery should be considered.Lire moins >

Langue :

Anglais

Audience :

Internationale

Vulgarisation :

Non

Établissement(s) :

CNRS
Université de Lille

Collections :

Date de dépôt :

2021-07-06T12:48:21Z
2024-01-29T13:44:30Z

Numéro de version	Lien	Date de modification
2	20.500.12210/40751*	2024-01-29T13:41:21Z
1	20.500.12210/40751.1	2021-07-06T12:48:21Z

The management of gallbladder polyps

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The management of gallbladder polyps

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