Management and follow-up of gallbladder polyps

Abstract

ObjectivesThe 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).MethodsA targeted literature search was performed and consensus guidelines were created using a series of Delphi questionnaires and a seven-point Likert scale.ResultsA 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.ConclusionsThese 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