Approximately 6% of the adult population diagnosed with polyps in the gall bladder. These tumors are benign formations in the ICD 10 (international classification of diseases).
The gallbladder polyps and their types
The gallbladder polyp – growth of the mucous membrane, having a benign nature.
In the case of gallbladder of these tumors are of several varieties:
- Cholesterol. These tumors are composed of fat. Often these polyps include calcium, so very similar to the stones. They are formed as a result of disorders of fat metabolism. Some doctors tend to believe their cholesterol stones.
- The inflammatory. Formed due to inflammation – so it reacts mucosa. Serve the cause of chronic inflammatory diseases.
- Adenomatous. This proliferation of glandular tissue.
- Papilloma – a tumor that looks like a papilla.
It should be noted that even though the polyps in the gallbladder and are considered benign tumors, the risk of degeneration into malignant tumor is quite significant. According to some, he may be from 10 to 30 %.
The causes of this phenomenon, as the polyps on the gall bladder, different, and I must say that they are not fully understood.
The most common:
- inflammatory diseases;
- improper diet;
- genetic predisposition.
Basically, this condition is asymptomatic. It is usually manifestations associated with other diseases of the gallbladder and of the liver, biliary dyskinesia, cholecystitis, the symptoms are more pronounced. So look at them often accidentally.
Diagnosis and treatment of polyps
The most accurate way to detect polyps in the gallbladder – ultrasound done. This method will show the number, location, size. When the diagnosis of a polyp is visualized in the form of a rounded education and originating from the gallbladder wall. Unlike stones its location does not change when you change the position of the patient’s body.
In addition to this study, you can identify these structures by using computed tomography, MRI, endoscopic ultrasonography. These diagnostic methods can identify the moment of transformation into a malignant tumor, which will show itself as tumors in the liver. For the full picture, doctors often prescribe patients comprehensive examination – MRI+ CT scan+ultrasound.
Treatment of polyps in gallbladder do not have surgery. When cholesterol varieties of possible medical treatment of the phenomenon of polyposis of the gallbladder. To do this, the doctor prescribes drugs that thin the bile, a strict diet and decoctions choleretic herbs.
If we are talking about the education value of not more than 1 cm, which has a leg, in this case enough control with the help of ultrasound at least once in 6 months. Known cases when such polyps just disappear with time.
If the size of polyp more than 1 cm, which also has a wide base, control is carried out at least once in 3 months this is Due to the fact that such formations have a tendency to malignant degeneration.
Indications for removal of polyps is:
- increasing in size;
- the presence of polyp pedicle;
- size more than 1 cm.
- clinical manifestations – pain, digestive disorders.
In modern medicine there are several methods of removal of gallbladder polyps. Here they are:
- Laparoscopic cholecystectomy. This type of surgery refers to minimally invasive. Is performed under endoscopic control, but this operation can only be performed in certain cases.
- Open laparoscopic cholecystectomy. This type of surgery is carried out from mini-access, i.e. the minimum cut.
- An open cholecystectomy. This surgery requires some training and a long recovery period.
Diet for gallbladder polyps
Food, in these tumors is aimed at the normalization of the outflow of bile and to prevent the development of diseases of the liver and other organs of the gastrointestinal tract.
The diet is quite strict. Caloric restriction is 2000 Kcal. Completely banned foods containing cholesterol, particularly when cholesterol polyps. Prohibited marinades, spices, smoked, salted food, mushrooms. You can not eat legumes, spinach. Not recommended foods, canned food, baking. Salt intake should be limited as well.
What you can eat with such disease polyposis of the gallbladder? Low-fat boiled fowl, beef, oatmeal, dried or day old bread, eggs, low-fat dairy products. You can not eat sour fruits and boiled vegetables.
To eat small portions, often up to 6 times a day. The temperature of the food should be warm, that is, one which will contribute to its rapid digestion. This will facilitate the release of bile, and thereby contribute to ensure that the polyps do not grow and form a new one. Drinking regime – up to 2 liters per day. You can drink fruit drinks, fruit drinks, jelly.
As a complement to the treatment you can use decoctions of herbs that have choleretic action – the corn silk, tansy, Hypericum, chamomile. A very useful decoction of rose hips.
Do not panic if you have found polyps in the gall bladder, symptoms of which are insignificant. However, it is necessary to control these tumors and to comply with all recommendations of the attending physician.