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European Radiology
Published in: European Radiology 9/2017

Open Access 01-09-2017 | Gastrointestinal

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)

Authors: Rebecca Wiles, Ruedi F. Thoeni, Sorin Traian Barbu, Yogesh K. Vashist, Søren Rafael Rafaelsen, Catherine Dewhurst, Marianna Arvanitakis, Max Lahaye, Marek Soltes, Julie Perinel, Stuart Ashley Roberts

Published in: European Radiology | Issue 9/2017

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Abstract

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
Appendix
Available only for authorised users
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Metadata
Title
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)
Authors
Rebecca Wiles
Ruedi F. Thoeni
Sorin Traian Barbu
Yogesh K. Vashist
Søren Rafael Rafaelsen
Catherine Dewhurst
Marianna Arvanitakis
Max Lahaye
Marek Soltes
Julie Perinel
Stuart Ashley Roberts
Publication date
01-09-2017
Publisher
Springer Berlin Heidelberg
Published in
European Radiology / Issue 9/2017
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-017-4742-y

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