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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Well Distended Gall Bladder, No Evidence Of Calculus, Presence Of Echogenic Lesion Along Fundal Wall. Is It Curable With Operation Or Medicines?

my gall bladder well distended. no evidence of calculus or surrounding edema noted. there is suggestion of well defined echogenic lesion measuring 13 multyplyed by 9.3mm along the fundal wall with no definite change in position with change of posture s\o polyp. this is my ultrasound report. i wanted to know the procedure for this like operation is required or medicines?? regards swarenjeet
Mon, 27 Aug 2012
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General & Family Physician 's  Response
Hello
It is true that the only effective treatment for gallbladder polyps is removal of the gallbladder.  However, it depends upon the situation.

First, surgery should be considered if there are gallstones along with the polyp - since this increases the risk of cancer. 

If gallstones are not found, polyps larger than 10mm should have surgery performed.  Smaller than 10mm should have close ultrasound followup.  Repeat ultrasound in 3-6 months, then yearly afterwards can be considered. 

Since in your case the size of polyp is bigger than 10 mm,you may opt for gall bladder removal.
Consult your doctor for the final opinion.
Thanks
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Internal Medicine Specialist Dr. Mayank Bhargava's  Response
Hi,
Thanks for posting your query.
As you are suffering from Gall bladder polyp, You have to understand that these polyp are of varying consistency.
These polyps are non cancerous in nature and you should keep watch on the size of gall bladder polyp by sequential ultrasound imaging in the coming years.
If size of polyp >18 mm then you should go for surgery.
As such there is no need of any medicines and you should take fat free diet,
Get well soon,
Dr. Mayank Bhargava
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Well Distended Gall Bladder, No Evidence Of Calculus, Presence Of Echogenic Lesion Along Fundal Wall. Is It Curable With Operation Or Medicines?

Hello It is true that the only effective treatment for gallbladder polyps is removal of the gallbladder.  However, it depends upon the situation. First, surgery should be considered if there are gallstones along with the polyp - since this increases the risk of cancer.  If gallstones are not found, polyps larger than 10mm should have surgery performed.  Smaller than 10mm should have close ultrasound followup.  Repeat ultrasound in 3-6 months, then yearly afterwards can be considered.  Since in your case the size of polyp is bigger than 10 mm,you may opt for gall bladder removal. Consult your doctor for the final opinion. Thanks