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您的检索式：关键字=Gallbladder polyps
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| 1 | Current practices and future prospects for the management of gallbladder polyps: A topical review显示文摘A gallbladder polyp is an elevation of the gallbladder mucosa that protrudes into the gallbladder lumen. Gallbladder polyps have an estimated prevalence in adults of between 0.3%-12.3%. However, only 5% of polyps are considered to be 'true' gallbladder polyps, meaning that they are malignant or have malignant potential. The main radiological modality used for diagnosing and surveilling gallbladder polyps is transabdominal ultrasonography. However, evidence shows that other modalities such as endoscopic ultrasound may improve diagnostic accuracy. These are discussed in turn during the course of this review. Current guidelines recommend cholecystectomy for gallbladder polyps sized 10 mm and greater, although this threshold is lowered when other risk factors are identified. The evidence behind this practice is relatively low quality. This review identifies current gaps in the available evidence and highlights the necessity for further research to enable better decision making regarding which patients should undergo cholecystectomy, and/or radiological follow-up. | R Stephen McCain Anna Diamond Claire Jones Helen G Coleman | 2018 | World Journal of Gastroenterology2018，24，26： | 25 |
| 2 | Gallbladder polyps: Factors affecting surgical decision显示文摘AIM: To determine the factors affecting the decision to perform surgery, and the efficiency of ultrasonography (USG) in detecting gallbladder polyps (GP). METHODS: Data for 138 patients who underwent cholecystectomy between 1996 and 2012 in our clinic with a diagnosis of GP were retrospectively analyzed. Demographic data, clinical presentation, principal symptoms, ultrasonographic and histopathological findings were evaluated. Patients were evaluated in individual groups according to the age of the patients (older or younger than 50 years old) and polyp size (bigger or smaller than 10 mm) and characteristics of the polyps (pseudopolyp or real polyps). χ 2 tests were used for the statistical evaluation of the data. RESULTS: The median age was 50 (26-85) years and 91 of patients were female. Of 138 patients who underwent cholecystectomy with GP diagnosis, only 99 had a histopathologically defined polyp; 77 of them had pseudopolyps and 22 had true polyps. Twenty-one patients had adenocarcinoma. Of these 21 patients, 11 were male, their median age was 61 (40-85) years and all malignant polyps had diameters > 10 mm (P< 0.0001). Of 138 patients in whom surgery were performed, 112 had ultrasonographic polyps with diameters < 10 mm. Of the other 26 patients who also had polyps with diameters > 10 mm, 22 had true polyps. The sensitivity of USG was 84.6% for polyps with diameters > 10 mm (P < 0.0001); however it was only 66% in polyps with diameters < 10 mm. CONCLUSION: The risk of malignancy was high in the patients over 50 years old who had single polyps with diameters > 10 mm. | Pinar Sarkut Sadik Kilicturgay Ali Ozer Ersin Ozturk Tuncay Yilmazlar | 2013 | World Journal of Gastroenterology2013，19，28： | 12 |
| 3 | Clinical factors associated with the number of gallbladder polyps显示文摘Gallbladder polyps(GBPs),which are defined as a pathological change protruding from the gallbladder mucosa,are one of the main causes of hospital admission for cholecystectomy.The incidence of GBPs is 4.2 to 9.5%in China.To date,the etiology of GBPs has not yet been clearly defined.According to previous studies,metabolic status is strongly associated with GBPs.⑵A single polyp is more likely to exhibit a malignant transformation,and large(diameter greater than 10 mm)single polyps should be resected together with the entire gallbladder.However,multiple polyps seem unlikely to transform.Thus,number of GBPs is an important factor that affects the treatment of GBPs.However,clinical factors associated w让h the number of GBPs are not completely understood;therefore,the aim of the current study is to investigate these factors. | Wen-Juan Lu Chang-Sheng Liu Hong-Yan Li Lan-Lan Zang Fan-Zhi Meng Jing-Hua Liu | 2020 | Chinese Medical Journal2020，133，22： | 2 |
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