Title |
Management and follow-up of gallbladder polyps
|
---|---|
Published in |
European Radiology, February 2017
|
DOI | 10.1007/s00330-017-4742-y |
Pubmed ID | |
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 |
Abstract |
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). A targeted literature search was performed and consensus guidelines were created using a series of Delphi questionnaires and a seven-point Likert scale. 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. These expert consensus recommendations can be used as guidance when a gallbladder polyp is encountered in clinical practice. • 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. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 9 | 10% |
Spain | 8 | 9% |
United Kingdom | 8 | 9% |
Mexico | 5 | 6% |
Ecuador | 4 | 5% |
Canada | 3 | 3% |
India | 2 | 2% |
Malaysia | 2 | 2% |
El Salvador | 2 | 2% |
Other | 14 | 16% |
Unknown | 29 | 34% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 56 | 65% |
Practitioners (doctors, other healthcare professionals) | 18 | 21% |
Scientists | 10 | 12% |
Science communicators (journalists, bloggers, editors) | 2 | 2% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 184 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Other | 28 | 15% |
Student > Postgraduate | 21 | 11% |
Researcher | 20 | 11% |
Student > Bachelor | 15 | 8% |
Student > Master | 11 | 6% |
Other | 41 | 22% |
Unknown | 48 | 26% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 104 | 57% |
Nursing and Health Professions | 5 | 3% |
Unspecified | 3 | 2% |
Biochemistry, Genetics and Molecular Biology | 3 | 2% |
Arts and Humanities | 2 | 1% |
Other | 11 | 6% |
Unknown | 56 | 30% |