Management and follow-up of gallbladder polyps Joint guidelines between the European Society of Gastrointestinal and Abdominal Radiology (ESGAR), European Association for Endoscopic Surgery and other Interventional Techniques (EAES), International Society of Digestive Surgery – European Federation (EFISDS) and European Society of Gastrointestinal Endoscopy (ESGE)

Objectives The management of incidentally detected gallbladder polyps on radiological examinations is contentious. The incidental radiological finding of a gallbladder polyp can therefore be problematic for the radiologist and the clinician who referred the patient for the radiological examination....

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Published in:European radiology Vol. 27; no. 9; pp. 3856 - 3866
Main Authors: Wiles, Rebecca, Thoeni, Ruedi F., Barbu, Sorin Traian, Vashist, Yogesh K., Rafaelsen, Søren Rafael, Dewhurst, Catherine, Arvanitakis, Marianna, Lahaye, Max, Soltes, Marek, Perinel, Julie, Roberts, Stuart Ashley
Format: Journal Article
Language:English
Published: Berlin/Heidelberg Springer Berlin Heidelberg 01.09.2017
Springer Nature B.V
Subjects:
Aged
Cholangitis, Sclerosing - diagnosis
Cholangitis, Sclerosing - surgery
Cholecystectomy
Cholecystectomy - methods
Consensus
Diagnostic Radiology
Endoscopy
Endoscopy, Gastrointestinal - methods
Female
Follow-Up Studies
Gallbladder
Gallbladder Neoplasms - diagnosis
Gallbladder Neoplasms - ethnology
Gallbladder Neoplasms - surgery
Gastrointestinal
Gastrointestinal Neoplasms - surgery
Humans
Imaging
Incidental Findings
Internal Medicine
Interventional Radiology
Male
Management
Medicine
Medicine & Public Health
Middle Aged
Neuroradiology
Patients
Polyps
Polyps - diagnosis
Polyps - ethnology
Polyps - surgery
Radiography, Abdominal
Radiology
Risk Factors
Surgery
Ultrasonography
Ultrasound
Cholecystectomy
Gallbladder
Polyps
Neoplasms
Ultrasonography
ISSN:0938-7994, 1432-1084
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Summary:Objectives The management of incidentally detected gallbladder polyps on radiological examinations is contentious. The incidental radiological finding of a gallbladder polyp can therefore be problematic for the radiologist and the clinician who referred the patient for the radiological examination. To address this a joint guideline was created by the European Society of Gastrointestinal and Abdominal Radiology (ESGAR), European Association for Endoscopic Surgery and other Interventional Techniques (EAES), International Society of Digestive Surgery – European Federation (EFISDS) and European Society of Gastrointestinal Endoscopy (ESGE). Methods A targeted literature search was performed and consensus guidelines were created using a series of Delphi questionnaires and a seven-point Likert scale. Results A total of three Delphi rounds were performed. Consensus regarding which patients should have cholecystectomy, which patients should have ultrasound follow-up and the nature and duration of that follow-up was established. The full recommendations as well as a summary algorithm are provided. Conclusions These expert consensus recommendations can be used as guidance when a gallbladder polyp is encountered in clinical practice. Key Points • Management of gallbladder polyps is contentious • Cholecystectomy is recommended for gallbladder polyps >10 mm • Management of polyps <10 mm depends on patient and polyp characteristics • Further research is required to determine optimal management of gallbladder polyps
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ISSN:0938-7994
1432-1084
DOI:10.1007/s00330-017-4742-y