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Gallbladder 05/31/2013

Dear readers, today we will talk about polyps in the gallbladder. All articles in this section are led by a doctor with extensive experience Yevgeny Snegir, author of the website Medicine for the Soul http://sebulfin.com I give him the floor.

During an ultrasound examination, one of the unexpected findings may be polyps in the gallbladder. As a rule, the situation for an ordinary person looks rather strange: nothing particularly bothers and suddenly there are some polyps ... “Actually, polyps are scary? Can they pass on their own? Do I need to do an operation? - absolutely normal questions that appear in an absolutely normal person who was taken aback by such news. Let's try to understand everything in order.

So let's start with a definition. Gallbladder polyps are benign growths of the mucosal epithelium in the lumen of the gallbladder. All clear. The mucous membrane has grown too much and a benign formation has formed. Benign - means this formation does not have signs of a malignant tumor. Now fine.

Polyps in the gallbladder. Causes of occurrence.

And what could be the reasons for the formation of polyps? There are several reasons.

1. Burdened heredity. If your next of kin have been diagnosed with polyps, then your risk of developing polyps is quite high.
2. Errors in the diet, leading to impaired cholesterol and lipid metabolism.
3. Chronic inflammation of the gallbladder mucosa (chronic cholecystitis), accompanied by stagnation of bile.
4. Hepatitis.
5. Biliary dyskinesia.

Polyps in the gallbladder. Kinds.

Now consider what are the polyps in the gallbladder.

According to the histological picture, the following types of polyps are distinguished:

• cholesterol polyp: an overgrowth of the gallbladder mucosa with cholesterol deposition, the most common.
• inflammatory polyp: proliferation of granulation tissue;
• adenoma: a benign tumor of glandular tissue;
• papilloma: a benign tumor in the form of papillary growths on the mucosa.

Polyps in the gallbladder. Symptoms.

As we have already emphasized, the most common asymptomatic carriage of polyps. In this case, sometimes there is a slight discomfort in the upper abdomen or right hypochondrium after taking a rich fatty meal.

A pronounced clinical picture can develop if a polyp has formed in the neck of the gallbladder, which is its narrowest part. In this case, there will be periodic intense pain in the right hypochondrium.

If the size of the polyp is large enough, it can even lead to blockage of the cystic duct. As a result, the gallbladder overflows, and, consequently, the pain syndrome will increase. Accession of infection in this case can lead to the appearance of gallbladder empyema. In addition, bile will stop flowing into the intestines, which will lead to changes in the color of feces and urine.

Diagnosis of polyps of the gallbladder.

Gallbladder polyps are detected with. As we have already said, with an asymptomatic course, this is usually an accidental finding. When conducting a study, the doctor sees a rounded formation that is intimately connected with the wall of the gallbladder and does not give an acoustic shadow.

Currently, another method of examination is considered promising - endoscopic ultrasonography. With this method, according to the principle of FGDS, a flexible endoscope is inserted into the duodenum, having an ultrasonic sensor at the end. The duodenum is close to the gallbladder, so the ultrasound picture is much clearer and more representative.

Polyps in the gallbladder. What to do? Treatment.

The problem with polyps in the gallbladder is an increased risk of their malignancy - degeneration into a malignant tumor. This is especially true for adenomas and papilloma. The risk of malignancy of polyps is quite high, it can reach 30%. Just think about these numbers. Every third of those who “suddenly and suddenly” was diagnosed with a polyp has a chance to get a malignant tumor. This is how the story turns out.

That is why, if polyps are accidentally found in the gallbladder, when nothing seems to bother, surgeons immediately offer to remove the gallbladder in a gentle way - laparoscopic cholecystectomy.

Effective treatment of polyps in the gallbladder is only surgical. No folk remedies can help the body get rid of the pathological growth of the mucosa. Slow down - maybe. Only, in order to prove this to all thoughtful doctors, it is necessary to conduct a large multicenter study confirming that, for example, taking birch buds, it was possible to stop the growth of the polyp. As long as the patient drinks a decoction of delicious birch buds, the polyp will continue to grow. Nobody explained to him that his master was taking a miraculous medicine, which must necessarily stop his growth, so it’s better not to resist and give up in peace. On the contrary, it will continue to grow stubbornly and will gradually go beyond all reasonable "limits of decency".

And reasonable "the limits of decency are as follows." If it is determined that the size of the polyp is less than 5 mm, then we most likely have a cholesterol deposition on the gallbladder mucosa, which can soon be “formatted” into a cholesterol stone (you can read about the types of gallstones in the article.

The size of polyps from 5 to 9 mm more likely tells us that we have an adenoma of the gallbladder, which, as we already understood, can become malignant. In this case, constant monitoring of the growth of polyps is necessary. If the polyp has a stalk, then a control ultrasound should be done once every 6 months for 2 years. Then the control is carried out once a year throughout life. If it is revealed that the polyp has begun to grow, then the method of choice is the removal of the gallbladder.

If the polyp is located on a wide base (does not have a leg), then ultrasound control is carried out once every three months for 2 years (such polyps are most susceptible to malignancy). Further - once a year for life. If there is a growth of the polyp - cholecystectomy.

Polyps larger than 1 centimeter in size are a cause for serious concern. This, one might say, is an absolute indication for the removal of the gallbladder. It's impossible to wait here for a long time. The risk of malignancy of such a polyp is directly proportional to its growth.

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Polyps in the gallbladder. Operation.

Surgical treatment is carried out in a gentle way - laparoscopic cholecystectomy is performed (you can read about the features of the operation in the article. In the preoperative period, it is necessary to undergo a comprehensive examination: perform the necessary blood and urine tests, take an ECG, if necessary, X-ray of the lungs, obtain a physician's opinion on the presence of concomitant diseases and body's readiness for surgery.

Polyps in the gallbladder are a common ailment. Approximately 10 percent of Russians find polyps in a particular organ. In the gallbladder, formations are detected during a preventive examination. The likelihood of suffering from the disease is much greater than the statistics say. Some people live with such neoplasms all their lives, completely unaware of their existence. For some, insidious polyps develop into oncology.

The insidiousness of polyps is that they do not declare themselves for many years. Or they cause symptoms that are similar to gastritis, indigestion, stomach ulcers, liver disease, cholelithiasis.

For example, here are the symptoms of polyposis:

• nausea, and sometimes vomiting, after which it becomes easier;
• pain in the hypochondrium;
• hepatic colic;
• jaundice;
• bloating;
• elevated temperature;
• poor sleep, memory problems;
• dark urine;
• feeling of heaviness after eating.

What are polyps anyway? Peculiar neoplasms on the mucous membrane inside the gallbladder. These neoplasms can be large, small, single or multiple. They can only be detected by ultrasound.

Causes

An interesting fact: polyps are more common in women, and over the age of 35. And only in 20 percent of cases in men. Perhaps it depends on the fact that men are less likely than women to go to clinics for medical examinations. And neoplasms are detected more often during medical examinations. Be that as it may, the fact remains that women suffer from this disease 4 times more often.

And the causes of pathology are considered:

• inflamed gallbladder;
• stagnant bile;
• impaired metabolic functions;
• obesity;
• biliary dyskinesia.

There is an opinion that the hereditary factor and genetic predisposition are most affected. If someone in the family had cancerous tumors, then the risk of neoplasms in the gallbladder increases significantly. And yet, experts say that several reasons play a role in polyposis at once: for example, heredity and at the same time stagnation of bile acquired due to strict diets or other reasons.

Types and diagnosis of polyps in the gallbladder

Polyps are divided into:

• cholesterol (these are pseudopolyps). They are cholesterol deposits on the mucous membrane of the organ. Most often detected in men;
• real, consisting of epithelial tissue. They also differ in papillomas and adenomatous papillomas - one of the most dangerous in terms of the risk of developing into an oncological disease.

Recognizing the disease only by the symptoms will not work. We need such studies as ultrasound and endoscopy. As well as methods of laboratory tests.

Ultrasound examination shows the gall sac as a dark oval mass. If there is a polyp in it, then it looks like a light formation starting from the wall and growing into the cavity. Endoscopic ultrasonography allows you to see the polyp in detail, since high-frequency ultrasound is used, the image image is clearer.

Another examination may be computed tomography. It gives a clear picture, determines the nature and location of polyps, the causes of their occurrence.

What is the danger of a gallbladder polyp?

Many people live their entire lives with a polyp in their gallbladder and die for other reasons. However, this is not a reason to calm down and not take action if nothing disturbs. A preventive examination at least once every two years is necessary. And if there are severe symptoms, it is necessary to check. After all, what is the danger of a gallbladder polyp? In 35 percent of cases, polyps turn into cancer. But even if you are lucky to avoid cancer, other consequences are also dangerous.

Among them:

• inflammation of the gallbladder;
• gangrenous cholecystitis;
• liver abscess;
• peritonitis (pus enters the peritoneum, often ends in death);
• cholangitis (leads to sepsis).

The growths interfere with the normal outflow of bile. And this leads to cirrhosis of the liver, to osteoporosis.

How to treat polyps in the gallbladder without surgery?

Treatment of polyps without surgery is possible when it comes to pseudopolyps. That is, those that were formed as a result of the deposition of cholesterol. There are medications that can dissolve polyps. But it still depends on the size of the neoplasms. Large ones, those that exceed one centimeter, are removed with the help of an operation.

Medical treatment of polyps in the gallbladder

As soon as it is precisely established that the polyps are of a cholesterol nature, the doctor prescribes medication. Such therapy allows you to reduce cholesterol and dissolve the formed growths in the gallbladder. For this, ursosan and henofalk are used. There are other similar drugs, for example, ursofalk. It also effectively destroys cholesterol deposits.

The dosage and duration of treatment depend on the degree of neglect of the disease, the age of the patient, his body weight and other factors. For example, for patients weighing from 60 to 70 kilograms, three ursosan capsules per day are enough. Those who weigh more may be given another extra capsule.

Noshpu is taken as a pain reliever. It eliminates spasms of the gallbladder, and the pain disappears. One tablet is enough for severe pain.

Such therapy lasts from three months to two years, it all depends on the size of the neoplasms. As a rule, during this period, with the help of dissolving medications, you can completely get rid of the disease without surgery. But, alas, sometimes the results are not what we would like. In this case, you still have to resort to surgical intervention.

Folk remedies

Ancient recipes are good as an additional remedy. They allow you to stop the growth of neoplasms. A decoction of celandine is good in this regard. A tablespoon of grass is poured into a thermos and 1000 g of boiling water is poured. After an hour of infusion, they drink one hundred grams in the morning, at lunchtime and in the evening before a meal. Such a course is carried out for a month, then a ten-day break is taken, and the course is repeated again. And so 90 days. Doctors call the treatment of polyps in the gallbladder folk remedies quite effective. But in any case, you should consult with your doctor.

Diet for polyps in the gallbladder

When confirming the diagnosis, nutrition should be completely reconsidered. It should be rich in fiber. Coarse fibers of vegetables, fruits, grains and legumes restore metabolism well, promote the rapid absorption of fats.

The intake and type of fats should be monitored, as well as the balance of carbohydrates. Uncontrolled eating of fats leads to a situation where the gallbladder is not able to qualitatively process food. Fats are useful and harmful. Healthy are unsaturated fats, and harmful are saturated and modified (margarine, refined butter). These bad products are ideally banned altogether.

Eat a little and don't overeat before bed. Two-thirds of the meal should be non-starchy vegetables.

This diet must be followed for life. Polyps can even form again after removal.

The diet on the first day after the removal of neoplasms is even more strict. In the first 6 hours you can not eat or drink. Then, during the day, only drink mineral water without gas in small portions. In the next two weeks - only mashed vegetables cooked with steam - as a puree or soup.

When is it impossible to treat polyps in the gallbladder without surgery?

Surgery is more common. In some situations, there is even no other alternative.

It is when:

• a polyp larger than a centimeter;
• when the polyp was the result of another disease - cholecystitis, gastritis;
• when growth of neoplasm is observed;
• when a lot of polyps formed;
• if plus to the polyp there is also cholelithiasis;
• when someone in the family had cancer.

That is, the operation is indicated when there is a high risk of the polyp degenerating into an oncological disease, or into another dangerous condition.

A dangerous condition can also be considered the fact if the polyp creates significant discomfort, a violation of health. It means:

• the transition of an ordinary polyp to an onco;
• hepatic colic;
• inflammation of the gallbladder;
• purulent cholecystitis;
• obstructed outflow of bile;
• excess bilirubin.

Cancer of the gallbladder is a very dangerous condition in which only 15 percent of patients live up to a year. Thus, in case of suspicious neoplasms, the operation is carried out without delay.

Surgical interventions are most often laparoscopic, that is, with the least surgical interventions and rapid recovery after surgery. But sometimes you have to remove the gallbladder through a full incision. The operation is called an open cholecystectomy. They resort to this method of removing neoplasms when they reach large sizes - about two centimeters.

Prevention of polyps

Although polyposis is considered mainly a hereditary disease, a lot depends on the lifestyle of the patient.

Negative factors:

• sedentary work, too few walks;
• passion for too fatty, fried, spicy food;
• alcohol abuse;
• untreated diseases of the gastrointestinal tract;
• dry food, in a hurry, a long break between meals;
• overweight.

It is important to change eating habits, in the nature of rest. Be more in the fresh air, move, take daily walks, fix health problems in time, be sure to undergo an annual preventive examination.

A gallbladder polyp is a neoplasm that is benign. Localized in the inner wall of the gallbladder (GB). They have a round or oval appearance, some of them have a leg, with which they are attached to the wall of the organ.

According to statistics, 6% of the population has a polyp of this localization. Women over 35 are most often affected. Among patients, their number, according to statistics, reaches 80%. The nature of polyps differs in men and women. In men, cholesterol types of polyps are more common, in women - hyperplastic ones.

According to ICD-10, the gallbladder polyp is marked under the code K82.

A bit of history

In 1857, this pathology was described in the writings of the German pathologist Rudolf Virchow. Later, with a detailed study of these neoplasms, scientists found that the cause of their formation is a violation of lipid metabolism. Doctors accidentally discovered polyps during operations on other organs. X-rays were used as diagnostic equipment.

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Types of polyps and their causes

Consider what types of gallbladder polyps exist today, why they are formed, is it dangerous and what to do when they are detected.

Specialists divide polyps into true polyps and pseudopolyps. True polyps grow from epithelial tissue. Polyps of this type include adenomatous polyps and. These types of polyps can become malignant. Polyps are localized in a wide part of the organ or on its neck.

Pseudopolyps are formed from accumulations of cholesterol, as well as due to inflammatory processes. The true reason why polyps appear has not been established. Consider the factors affecting the formation of polyps:

1. genetic predisposition. If someone in the family suffered from this disease, their appearance in any of the family members is not excluded. But only one hereditary factor cannot provoke the disease. Inflammation that has not been fully cured, such as that resulting in bile stasis, and genetic predisposition can play a role in the formation of polyps. From this we can conclude that the formation of polyps can be influenced by several factors. It is believed that the occurrence of adenomatous polyps and papillomas is associated with a genetic predisposition;
2. Inflammatory processes in the gallbladder. Most often, acute and chronic cholecystitis, gallstones, pancreatitis, biliary dyskinesia are the impetus for the development of polyps. With inflammation, the outflow of bile is disturbed, as a result of which the walls of the organ are injured, inflamed and deformed. In these places, pseudopolyps are formed;
3. Metabolic disease. Bile contains cholesterol. Its excess settles on the walls of the gallbladder and growths are formed, which later form polyps. But not always the cause of polyps is excess cholesterol in bile. Most often, as mentioned above, several reasons can contribute to this process. Bile, stagnating for a long time in the gallbladder, can provoke the deposition of cholesterol. And we considered the reasons for the stagnation. Polyps formed by cholesterol are called cholesterosis and, in most cases, do not exceed 5 mm.
4. Biliary dyskinesia when the cause of the formation of polyps are physiological changes in the gallbladder. With an excessive or insufficient number of contractions of this organ, bile does not enter the duodenum in the norm that is necessary, as a result of which digestive disorders occur and metabolism is disturbed.

Separately, we note adenomatous polyps, since polyps of this type can become malignant. Adenomatous polyps consist of epithelial cells, fibrous fibers, with cystic implants. Polyps of this type have vessels and nerves. Polyps of an inflammatory nature and cholesterol types of polyps do not have them. The blood supply is clearly visualized with Doppler. Most often, polyps of this etiology are removed, since such polyps cannot resolve even when taking potent drugs. One type of adenomatous polyp is considered hyperplastic cholecystopathy. More common in women than in men, due to hormonal disorders, namely with high levels of estrogen.

Symptoms of the disease

The disease may not make itself felt for a long time. Manifestations of signs of the disease depend on the location of the polyps and their size. A person experiences pain in the form of biliary colic, accompanied by nausea and vomiting, in cases where the polyp is located in the bile duct and its growth blocks the outflow of bile. With these causes of pain, discomfort is felt on the right side in the hypochondrium. The pain is dull and paroxysmal.

If the cause of the formation of polyps is cholecystitis and any other types of cholelithiasis, then the signs of the presence of polyps are similar to the symptoms of these diseases, namely bitterness in the mouth, nausea in the morning, dry mouth.

With an impressive size of polyps, the outflow of bile worsens. Bile stagnates in the bile ducts. Due to the fact that bilirubin occurs in excess in the bloodstream, due to which the color of the skin and sclera take on an icteric tint.

Diagnosis of the disease

Despite the seeming harmlessness of the disease, a visit to the doctor is a necessary procedure in order to protect yourself from complications. Usually this doctor is a gastroenterologist, if necessary, an oncologist. Before being referred for diagnosis using modern technologies, the doctor will examine the patient, make a survey on key points, then palpate the gallbladder and liver to assess the state of the organs and the presence of pain in a particular area.

There are several types of diagnostics - ultrasound and endoscopic methods, computed tomography and cholangiography.

Ultrasound examination (ultrasound) is the standard of medicine and is very effectively used in the diagnosis of gallbladder polyps. What type of polyp belongs to, its structure is determined by the so-called echo signs. A white spot on ultrasound is characteristic of a cholesterol or inflammatory type of polyps. With an adenomatous polyp, the spot has a darker appearance.

Endoscopic ultrasonography in the diagnosis of polyposis of the gallbladder, in combination with ultrasound and an endoscope, is able to reveal the structure and location of polyps by inserting into the lumen of the duodenum.

Computed tomography and magnetic resonance cholangiography, as additional diagnostic methods, can detect the smallest neoplasms, and even determine the type of tumor, its malignancy or benignity, as well as what disorders they led to. The only drawback of these research methods is the high cost.

In addition to the above diagnostic methods, laboratory tests are also used as:

• Blood biochemistry, to determine the content of bilirubin, cholesterol levels, as well as the level of alkaline phosphatase;
• Urinalysis for the presence of bilirubin;
• Analysis of feces for the presence of stercobilin.

Treatment

Since polyps are capable of malignancy (k), doctors will most likely suggest that the patient remove the gallbladder along with polyps.

Many people are afraid of the operation, and they begin to resort to all kinds of alternative medicine methods, without listening to the opinions of specialists. According to statistics, in 33% of cases, polyps turn into a malignant tumor. These are considerable numbers and should alert people who have this disease.

It is necessary to remove the gallbladder along with polyps or not, and how to treat, the doctor decides. With polypous cholesterosis, conservative treatment without surgery is possible if the size of the polyp is not more than 1 cm and their number does not exceed five pieces.

Surgical intervention is an absolute indicator in the following situations:

• The size of the polyp exceeds 1 cm;
• With multiple polyposis;
• Damage to the walls of the gallbladder to one degree or another;
• Diffuse spread of polyps throughout the wall of the gallbladder;
• The desire of the polyp to grow at least 2 mm per year;
• Suspicion of malignant transformation of the neoplasm.

Surgery to remove polyps in the gallbladder is called a cholecystectomy. There are two methods: open cholecystectomy, and the most modern method is laparoscopy. The laparoscopic method of extracting the gallbladder is characterized by minimal trauma. In the case of an overweight patient or an abundance of gallstones, doctors may resort to the usual method of surgery through an incision.

Endoscopic polypectomy is a promising surgical technique. Its essence is that the integrity of the organ is preserved by introducing special instruments into the organ. But its use is not yet widespread.

When choosing a conservative method of treatment, the patient must follow certain rules. First, you need to get checked regularly. Usually, the first two years after the discovery of the disease, you need to undergo an ultrasound check every 6 months, then once a year. If the polyps are of an adenomatous type, a visit to the doctor is required 4 times a year with the same interval of time.

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The formation of polyps is mainly associated with lifestyle and nutritional quality. For patients of this category, a certain diet for polyps is provided, limiting fatty and flour foods. Food should be fractional. Preference should be given to products containing fiber and rich in vitamins and minerals. In specially designed diets for this category of patients, it is considered in detail what to eat, in what quantities and volumes. Dr. Malysheva repeatedly in her articles and programs does not get tired of repeating the importance of the quality of nutrition in the pathologies of the gastrointestinal tract.

With polyps of the gallbladder, aggravated by inflammatory diseases, cholecystitis, the appointment of certain drugs (antispasmodics, anti-inflammatory drugs, etc.) is allowed. Medicines do not destroy polyps, but they eliminate inflammation and pain. Some medications can dissolve small gallstones. With a cholesteroid polyp, drugs are prescribed, such as Ursosan, Ursofalk, Henofalk, which can reduce their size and even dissolve. Hofitol, which has a choleretic property, may be recommended.

If polyps are found during pregnancy, the doctor determines the tactics of treatment. If the size of the polyps is small and does not pose any danger to the body, the doctor recommends only periodically being observed by a gastroentrologist in order to prevent any complications. But if the patient is in pain, an ultrasound scan reveals that the bile duct is blocked, doctors are forced to remove the organ by cholecystectomy. Since ignoring this condition threatens to intoxicate the body and cause great harm to the health of the unborn child and mother.

Ideally, a woman planning a pregnancy should exclude all diseases, including gallbladder polyposis, since pregnancy exacerbates the course of many diseases.

Treatment with folk remedies and homeopathy is not forbidden, but it should be noted that it is impossible to completely get rid of polyps or cure them in this way.

People are often interested in whether they take the army with this disease. It all depends on the course of the disease. Only a doctor decides this issue. This disease belongs to article 10, point "b" of the Schedule of Diseases.

This condition should never be ignored, at best they will lead to pathologies in nearby organs, namely the pancreas and liver. At worst - to the malignant degeneration of polyps.

Polyps are growths of the surface epithelium of the gallbladder, can be single and large 1-2 cm, or form a network of small neoplasms 1-2 mm high. Polyps are benign in nature, but if they are present, the risk of oncological cell degeneration and development increases.

The following figures reflect important information about polyposis and organ cancer:

Oncological diseases of the gallbladder are rare and range from 0.27 to 0.41% of all cancers.

Gallbladder cancer is twice as common among women as among male patients.

The risk of oncology increases with age, increases from the age of 45, and reaches its peak at 56-70 years.

Biliary tract operations can provoke the development of gallbladder cancer - it develops in 1-5% of all cases.

Among other oncological diseases of the digestive tract, gallbladder cancer is in fifth place after such diseases as cancer of the pancreas, stomach, intestines (rectum and colon)

Symptoms of polyps in the gallbladder

Any manifestations of the disease will depend on where it is located. The most unfavorable situation is its growth on the neck of the bladder, or inside its duct. This creates a barrier to the path of bile into the intestines, which causes the patient to develop a disease such as obstructive jaundice. When polyposis growths are localized in other parts of the gallbladder, the patient does not experience any specific symptoms.

Nevertheless, its presence in the organ can be suspected by some indirect signs:

Pain. They appear in response to excessive stretching of the walls of the organ not by the polyp itself, but by bile, which stagnates through its fault. Such stagnant processes lead to the fact that multiple receptors located in the serous membrane of the organ are constantly irritated. In addition, pain can occur due to too frequent contraction of the walls of the gallbladder. The nature of the pain is dull and aching. They tend to give to the right hypochondrium, are present on a periodic basis. Provocateurs of pain can be alcohol-containing drinks, fatty foods and strong ones. That is why patients do not associate discomfort with polyps, attributing their occurrence to other factors, such as malnutrition.

Staining of the skin and mucous membranes in yellow. A similar symptom is the result of obstructive jaundice, which occurs when a bile duct polyp is clamped. Unable to exit naturally, bile begins to seep through the walls of the bladder and enter the bloodstream. The patient begins to experience skin, the integument becomes dry and tight, the urine darkens, it may begin with bile masses and the temperature rises.

Renal colic. If the polyp has a very long stalk and is located in the area of ​​​​the neck of the affected organ, then it can develop when it is twisted or clamped. Most often this occurs with a pronounced contraction of the organ. When torsion occurs, a person experiences sudden pain, which has a sharp cramping character, the heartbeat rises, blood pressure rises. At the same time, the patient cannot choose for himself a more or less comfortable position in order to somewhat calm the discomfort. It is the last sign that is a clear indicator of hepatic colic.

Dyspeptic symptoms. The presence of a polyp is most often indicated by symptoms. Its severity varies. Typical manifestations are: bitter taste, morning sickness, vomiting after overeating. All these manifestations are explained by periodic or constant congestion occurring in the organ. In addition, due to the polyp, there is a violation of the production of bile. Its deficiency negatively affects the digestion process, so the patient can begin to quickly lose weight.

However, all of the above symptoms rarely force the patient to go to medical institutions, and even more so to undergo an ultrasound examination, during which existing tumors can be detected.

Causes of polyps in the gallbladder

There are four reasons why polyposis growths in the gallbladder may presumably begin to develop:

Factor of heredity and anomalies of genetic development. Thus, heredity influences the growth and development of polyposis growths. Most often, adenomatous formations and papillomas are inherited. It has been established that even if other tumors are detected in close relatives, the risks of developing gallbladder polyps increase. In addition, a genetic predisposition to bile duct dyskinesia is a direct cause leading to the development of polyposis. However, it cannot be said that only genetic predisposition is the cause of tumor formation. It grows and develops under the influence of other factors. A burdened family history in this case is an additional provocateur for the manifestation of the disease.

Diseases of the gallbladder of inflammatory origin. Chronic are the most common reason for the development and growth of the polyp. In the organ against the background of cholecystitis, stagnation of bile occurs, its wall thickens and undergoes deformation. The granulation tissue of the bladder begins to respond to the inflammatory process. This reaction manifests itself in the form of proliferation of its cells. As a result, pseudo-polyps of inflammatory origin are formed in a person.

Failures of metabolic processes. The most common cause of the growth of cholesterol pseudopolyps are lipid metabolism disorders. As a result, a significant amount begins to circulate in the bloodstream. Its excess gradually begins to be deposited on the walls of blood vessels, as well as in the organ - the storehouse of bile. This leads to the formation of pseudopolyps consisting of cholesterol. In addition, such formations can appear even against the background of a normal concentration of lipids in the blood, which is due to the cholesterol that is part of bile. When conducting an ultrasound examination, it is precisely such pseudopolyps that are most often found. The longer a person is their carrier, the more they become. Their growth is facilitated by the absence of any symptoms that disturb a person.

Diseases of the hepatobiliary system. Any diseases of the biliary tract contribute to an imbalance between the optimal amount of bile necessary for digestion and its volumes allocated for this process. Both its deficiency and excess disrupt the process of digestion of food. This leads to various pathologies of the gastrointestinal tract, including provoking the development of polyps.

Concomitant diseases in gallbladder polyps

Polyps of the gallbladder can provoke pathologies in the organs closest to it - the liver and pancreas. So, polyps are a potential focus for the development of infection, which give rise to the inflammatory process. This provokes cholecystitis, spasms of the biliary tract, and other diseases. In addition, inflammatory processes in the gallbladder themselves can contribute to the pathological growth of its mucosa.

What diseases are observed in gallbladder polyps?

Dyskinesia or spasms of the gallbladder duct. Dyskinesia, which is hypertonic in nature, in which the tone of the gallbladder increases, is more common in women and is usually closely associated with the menstrual cycle. Hypotonic dyskinesia (insufficient intensity of contractions of the gallbladder) is common among middle-aged or older people. Dyskinesia leads to difficulty in the outflow of bile, which in a chronic course can provoke cholecystitis or the deposition of stones in the gallbladder, and in addition, creates conditions for the formation of polyps. Also, the disease can be caused by dysfunction of the sphincter of Oddi, which separates the bile ducts from the duodenum.

Cholelithiasis- the formation of cholesterol stones in the liver, bile ducts or gallbladder, due to lipid metabolism disorders. The formation of cholesterol stones in the gallbladder begins with a violation of the chemical composition of bile - it lacks bile acids and phospholipids, but there is a glut of cholesterol and fatty acids. The causes of this disease can be obesity, an unbalanced diet, bile stasis, infections of the gallbladder and biliary tract. At the same time, cholesterol polyps of the gallbladder and other neoplasms of its mucosa can be observed.

Acute and chronic pancreatitis- an inflammatory disease of the pancreas, which in 65-60% of cases is observed with dyskinesia, spasms or dysfunction of the sphincter of Oddi, hepatic colic and cholelithiasis. Other causes of pancreatitis are the spread of the inflammatory process caused by infection from the gallbladder and its duct to the pancreas, the abuse of alcohol and food that causes increased pancreatic secretion.

What are polyps in the gallbladder?

Cholesterol polyps- tumor-like formations, which consist of cholesterol deposits with calcified inclusions, develop first under the gallbladder mucosa, after which it grows, forming a polyp. They are usually observed in people with impaired fat metabolism with an increased level of low-density lipoprotein and a decrease in the concentration of HDL (high-density lipoprotein). They are quite common, they are discovered by chance during the examination, since their formation and growth are asymptomatic.

Inflammatory polyps- the cause of their formation is the inflammatory process, which can develop as a result of a bacterial infection. On the inner membrane of the gallbladder, an overgrowth of granulomatous tissues in the form of a tumor is formed.

Adenomatous polyps- true tumors, benign, but with an increased risk of malignant degeneration. The cause of adenomatous polyps and papillomas is the growth of glandular tissue, in 10% of cases they degenerate into oncological formations, which causes concern among doctors and requires constant monitoring of their growth and immediate treatment.

Papillomas are also benign tumors, usually small in size and characterized by papillary growths.

Diagnosis of polyps in the gallbladder

The detection of pathological growths in the gallbladder has become possible due to the development of radiology since the thirties of the twentieth century. Since then, modern medicine has taken several steps forward in this regard, and more accurate and harmless diagnostic methods are available to patients.

In most medical institutions, ultrasound and endoscopic ultrasonography are used to diagnose polyps:

Ultrasound can detect single or multiple polyps of the gallbladder mucosa. They appear on the screen of the apparatus as rounded formations associated with the walls of the bubble without an acoustic shadow. When changing the position of the patient's body, the polyps do not move.

Ultrasonography consists in the study of the duodenum and gallbladder using a flexible endoscope. The device is swallowed by the patient, at its end there is an ultrasonic sensor, with the help of which the walls of the gallbladder are examined for the presence of growths. An important role in the detection of various details is played by the operating frequency of the sensor - the higher it is, the more detailed the resulting image. This method allows you to get a better image, respectively, and the diagnostic data is more accurate.

In addition, a CT scan called magnetic resonance cholangiography is available in some hospitals. This is the most progressive method at the moment, thanks to which the doctor can not only see, localize and evaluate the size of the neoplasm, but also identify the presence of concomitant formations that occur during the malignancy of the polyp. To assess the amount of contrast agent accumulated by tumor tissues, multislice computed tomography may be additionally prescribed.

Due to the breadth of application of modern diagnostic methods, statistics of cases of gallbladder polyps was compiled, which showed that approximately 4% of the population are their permanent carriers, of which the predominant part (60%) are women aged 30 years and above.

Answers to popular questions

Can a polyp in the gallbladder dissolve? In 95% of cases, the detected polyps are loose cholesterol formations, which makes their conservative treatment with choleretic drugs, which include ursosan and ursofalk, possible. Medicines that thin bile promote the resorption of polyps in the submucosal layer of the gallbladder.

Is it possible to remove only the polyps themselves while maintaining a functioning gallbladder? It is impossible to remove a polyp without damaging the walls of the gallbladder, so even if the doctor saves the organ, its function will be impaired, and polyps will reappear after a while, possibly in greater numbers than before the operation. This practice has been abandoned for a long time. Already in the 70s of the last century, they stopped performing operations that preserve the gallbladder after the removal of neoplasms from it. In addition, at one time there was a popular method of crushing stones (lithotripsy). However, this treatment technique turned out to be meaningless, since after a while 99% of patients had a relapse of the disease. In the future, they were helped only by surgical intervention with the removal of the organ. Therefore, the optimal method of treatment is surgery, namely, laparoscopic cholecystectomy.

However, removal of the gallbladder is not the only way out; most neoplasms are amenable to conservative treatment. The patient is required to regularly undergo diagnostics twice a year to prevent the malignancy of polyps and the onset of the cancer process. The danger is growths greater than 10 mm, which do not stop growing; if a small polyp has increased in a year and has become twice its original size, this may indicate the onset of malignancy. Neoplasms with a wide base that do not have a pronounced pedicle are more prone to malignant degeneration. With polyps larger than a centimeter, an operation is prescribed to remove the gall. In other cases, you can get by with choleretic drugs and correction of diet and lifestyle.

Can a polyp in the gallbladder hurt? Pain in gallbladder polyps is usually associated with the formation of cholesterol stones or are symptoms of cholecystitis. Usually polyps in the gallbladder do not cause pain.

Is it possible to visit a bath or sauna with polyps in the gallbladder? With polyps in the gallbladder, it is impossible to warm up the area of ​​\u200b\u200bthe organ, therefore it is not recommended to go to the bath or sauna, spend a lot of time in the sun.

What to do if polyps are found in the gallbladder?

In 95% of cases, neoplasms diagnosed as polyps are actually cholesterol calculi - loose stones that can dissolve under the influence of bile.

The treatment is carried out with chenodeoxycholic and ursodeoxycholic acid, which stimulate the mechanism of bile formation and improve the quality of bile, which contributes to the dissolution of cholesterol stones. A three-month course of treatment is prescribed, the dosage is calculated at 10 mg per 1 kg of the patient's weight, taken in the evenings two hours after the last meal. Treatment with bile acids is combined with a diet according to table No. 5

After the end of the course of treatment, a control ultrasound is performed and conclusions are drawn about the need for surgery. If the growth of formations slows down, their number or size decreases, then conservative methods of treatment are effective in this case.

Treatment of polyps in the gallbladder without surgery

First of all, you need to contact a gastroenterologist and conduct all the necessary diagnostic examinations in order to determine the type of polyps, their size and the risk of malignancy.

Cholesterol polyps are the most common type of neoplasm in the gallbladder, with timely treatment they do not pose a great danger.

Cholesterol polyps occur as a network of small inclusions of 1-2 mm, diffusely distributed along the inner wall of the organ, or they can be up to 4 mm in size and look like outgrowths with even contours and a wide base on ultrasonography. Polyps larger than 4 mm already have a thin stalk.

Ursofalk, which promotes the destruction of deposits, consisting of cholesterol.

Simvastatin helps lower blood levels of lipoproteins and cholesterol.

Gepabene and No-shpa are used as adjuvants to help relax the smooth muscles of the gallbladder. Spasm is relieved from the organ, bile has the ability to normally pass through the ducts and take part in the process of digesting food.

Holiver increases the ability of the gallbladder to secrete bile and eliminates congestion.

Ursosan allows you to eliminate cholesterol stones, if the gallbladder has not lost its ability to function.

Multiple cholesterol polyposis may actually be not growths, but loose cholesterol stones, which subsequently cause pain in the patient. Common complaints in this case are sensations, nausea and pain in the right hypochondrium, symptoms of cholecystitis caused by cholesterol stones.

Treatment of cholesterol polyps can be carried out conservatively if the growth height is not more than 10 mm.

A surgical operation to remove polyps or the entire gallbladder is prescribed only as a last resort, if there are many neoplasms and they are constantly growing. In most cases, doctors try to save the organ, since its absence can provoke digestive disorders and make it difficult to digest fatty foods.

Surgery for polyps in the gallbladder

The oncologically tense situation of our time requires careful control over any neoplasms in the body, otherwise there is a risk of oncological degeneration of tissues. If a course of conservative treatment did not work, or large polyps were found during the first diagnosis, an operation is indicated.

Indications for surgical treatment of polyps:

High growth rate of polyps - from two mm per year;

The size of the neoplasm is from 10 mm;

A large number of growths with a wide base without a stem.

If the size of the polyps is less than 1 mm, surgery is not needed, but a preventive examination is necessary monthly for six months, and then every three months. If the neoplasms do not increase in size, then further diagnostics are carried out every six months.

Types of operations on the gallbladder:

Videolaparoscopic cholecystectomy (LCE)- is considered the most gentle for the patient, uses modern endoscopy technologies.

Laparoscopic cholecystectomy- removal of the gallbladder without an incision, as in traditional cholecystectomy using instruments for endoscopic operations. It is considered the "gold standard" of modern surgery, but in five percent of cases the operation cannot be completed and a traditional cholecystectomy is performed.

Conventional cholecystectomy (TCE)– by open surgery, access is through the upper midline or Kocher incision in the right hypochondrium. The disadvantage of this method, in comparison with laparoscopic cholecystectomy, is its invasiveness - the incision cuts through the skin, fatty tissue, white line of the abdomen and peritoneum.

Endoscopic polypectomy- used to remove polyps of the gallbladder while preserving the organ. This type of operation is performed using a diathermic loop, which is thrown over the leg of the polyp and cut off. Formations without a leg are removed by fragmentation. An electric charge is passed through the loop in order to coagulate the vessels, which helps to avoid bleeding. This method is used to remove polyps in the intestines, but it is rarely used in the treatment of gallbladder polyposis, so the consequences can be unpredictable.

Preparation for cholecystectomy

Before the operation, the patient must undergo a comprehensive diagnostic examination in order to avoid possible complications and choose the optimal method of cholecystectomy.

What diagnostic procedures should be carried out before the operation:

Ultrasound examination of the liver, gallbladder and pancreas, which allows you to identify concomitant diseases and inflammatory processes, evaluate the number of polyps, their size and type, determine the presence of stones in the liver and gallbladder;

CT scan allows you to assess the state of the tissues surrounding the gallbladder, determine the state of its mucosa, the presence of adhesions and scars, examine the state of its wall for thickening and nodular formations;

MRI is one of the most reliable methods for studying polyps and stones in the gallbladder, which allows timely detection of adhesions, inflammation, pathology of the biliary tract;

Diagnosis of the state of the cardiovascular and respiratory systems using radiography and ECG allows you to correctly prescribe a treatment regimen; - a serious contraindication for some methods of cholecystectomy.

Preparatory procedures necessary for the patient immediately before the operation:

Eliminate blood-thinning foods from the diet, stop taking drugs that affect blood clotting, such as aspirin - this is necessary to minimize the risk of bleeding during surgery.

On the day of the operation, do not eat and drink liquids, even water is excluded.

The night before the operation, it is necessary to cleanse the intestines using an enema or laxative;

Immediately before the operation, thoroughly cleanse the body using antibacterial soap.

Can you live without a gallbladder?

All human organs can be conditionally divided into vital (like the brain, heart, liver, etc.) and organs without which life is possible, but the functionality of some systems will be impaired. These organs include the spleen, gallbladder, appendix, and stomach. Despite the fact that a person can easily live without these organs, subject to a strict diet and limiting stress on the body, it is not recommended to remove them without a compelling need.

Removal of the gallbladder is carried out only if its pathology threatens the entire body as a whole. Thus, a large number of polyps with an accelerated growth rate and an increased risk of malignancy can lead to gallbladder cancer with metastases to other internal organs. In this case, removal of the gallbladder or cholecystectomy is a matter of life and death. This is an absolute indication for surgery.

There are also relative indications for surgery: when gallbladder pathologies do not threaten life, but noticeably worsen its quality. So, for example, if polyps in the gallbladder cause pain or are a source of infection. If a person is constantly forced to be afraid of pain or the potential risk of malignant degeneration of polyps and cancer, then it is better to have an operation. After a successful operation and a rehabilitation period, the patient has a chance to return to a full life.

Rules of conduct after removal of the gallbladder

After the operation, the patient will have to slightly change the way of eating. The fact is that, thanks to the gallbladder, bile accumulates in the liver, and its concentration increases. In the absence of this organ, the digestive juice is sent directly to the intestines, and its concentration remains quite low. Removal of the gallbladder also affects the activity of enzymes - it is significantly reduced. It takes about two years for the body to fully adapt to a new way of digestion without the help of a remote organ.

For the first six months after the operation, it is necessary to strictly monitor the diet:

The first rule is that you can only eat boiled or steamed food.

The second rule is to take food in small pieces, chewing it slowly and thoroughly. This will give the liver time to activate all the necessary enzymes and start working.

The third rule is to reduce the amount of food consumed at a time, but increase the number of servings. Otherwise, the digestive system will not have time to cope with its functions, and nausea and heaviness in the intestines will appear. Another negative consequence of violating this rule is stagnation of bile, which can occur in the ducts even after removal of the bladder.

After six months of strict abstinence, fresh vegetables and fruits, as well as dietary meat and fish, can be included in the diet. Although excessively acidic, spicy and essential oil-rich foods (onions, sour berries, etc.) must be abandoned for another 12-18 months.

Two years after the removal of the gallbladder, the digestive system becomes strong enough for the patient to return to his usual diet, excluding refractory fats (heavy meat and lard), although the second and third rules are best adhered to for life.

Physical activity after gallbladder surgery

After two to three months of the postoperative period, the patient is strongly recommended to take regular walks, taking at least half an hour a day. This is the very first and affordable way to avoid bile stasis.

Six months later, the patient can sign up for a pool or go swimming in the warm season on their own - regular soft massage with water almost completely eliminates the danger of stagnation.

At the same time, morning exercises are allowed, but this does not apply to the abdominal muscles. Significant tension of the muscular corset is recognized by doctors as safe only a year after the operation.

The problem with the microflora after cholecystectomy

A decrease in the concentration of bile also affects the microflora of the small intestine - microbes get the opportunity to multiply more intensively and provoke attacks, and. To stop the reproduction of opportunistic and pathogenic microflora, change the nature of the diet (exclude sweets from the diet), maintain beneficial microflora by regularly taking prebiotics and food with bifidus and lactobacilli. To solve this problem, you can also contact a gastroenterologist for advice on the selection of drugs that destroy intestinal microbes without harm to the body.

Diet for polyps in the gallbladder and after removal

In diseases associated with insufficiency of the liver and gallbladder, the doctor must prescribe dietary table No. 5 or report on its basic requirements without specifying the diet, for example, simply says: “no fried, spicy, smoked, pickled”, etc. In any case, a patient with polyps in the gallbladder needs to know how to maintain their health by protecting themselves from foods that are hard on the liver.

Diet tables were invented by the founder of medical dietology, the Soviet scientist Manuil Pevzner. Despite the venerable age of research conducted to develop diets in the 30-50s of the 20th century, in the USSR, and then in the CIS countries, dietary tables are prescribed to this day, since their effectiveness has been time-tested and leaves no doubt.

Diet #5 consists of foods that provide a complete daily serving of protein, carbohydrates, and calories while limiting fat intake. When eating certain types of food, the patient's condition may worsen, which is why they should be excluded from the diet. The consumption of food that unnecessarily stimulates the pancreas and the secretion of the stomach itself is also limited.

The ultimate goal of the diet is not only to reduce the chemical load on the liver, but also to speed up the excretion of cholesterol, due to the improvement of intestinal motility and the choleretic properties of food components.
The diet should be followed so that the optimal daily calorie intake is maintained (for an adult - from 2200 to 2600 kilocalories, depending on the severity of physical labor performed regularly). In addition to the calorie content of food, the amount of food is extremely important, since even light and liquid foods taken in large portions can overload the gallbladder.

If polyps are found in the gallbladder, which often occurs by chance during a comprehensive examination, it is not necessary to consult a doctor in the first stages of the disease. The patient can adhere to this diet on his own, so as not to bring the disease to the need for surgical intervention and increase the effectiveness of conservative treatment.

What can you eat?

Flour - black and white bread, only yesterday's baking or dried to crackers. It is permissible from time to time to pamper yourself with dry cookies or biscuits. No more than twice a week it is allowed to use well-baked buns or pies without butter in the dough;

Meat is just lean. If it is beef, then boiled, you can also eat tongue and ham. If the bird is dietary (chicken, turkey), only fillets (breasts) are desirable, but other meaty parts are also allowed to be boiled. Fish must be steamed or boiled, caviar and milk can be added only in small quantities as a flavor enhancer. When possible, boiled meat and fish can be additionally baked to improve the taste.

soft-boil eggs, consume no more than one per day. It is best to cook an omelet from it. If the omelet is large, it is necessary to divide it into parts and eat so that you get only one egg per day (for example, divide a dish of four eggs into four parts and do not eat more than one per day);

Vegetables with greens can be eaten both raw and boiled. It is useful to use vegetables as side dishes and full meals, especially if it is;

Cerealsboiled in water or with milk, as well as pasta;

Fruits and berries - only sweet and preferably in the composition of jelly or compote, sour fruits are excluded from the diet. Baking and steaming fruits is not prohibited;

Dairy products can be eaten no more than 200 g per day. It can be low-fat raw foods (cottage cheese, kefir, milk, yogurt, mild cheese). It is also allowed to cook casseroles, dumplings, soufflés, cheesecakes, processed cheese from them.

Vegetable oil- no more than two tablespoons per day, use only as a dressing for vegetable salads and other prepared meals.

Among sweets, you should choose natural honey, jam, marshmallows, marmalade, but not more than 70 g per day;

Sauces based on milk, berries and fruits;

Drinks: rosehip infusion, herbal preparations with a choleretic effect;

Among spices, give preference to greens (,), and.

Food is divided into small portions, the number of meals daily is at least five. You can not eat cold or very hot food, this can provoke irritation of the intestinal mucosa. Drink at least 1.5 liters of fluid daily, drink before each meal, this contributes to the release of bile, preventing its accumulation and stagnation. Minimize the amount of salt consumed. Food, if possible, should be crushed before eating.

What can't be eaten?

Under the ban are refractory fats and products containing them - lard, lamb, pork; a small amount of butter in the diet is acceptable;

Smoked meats, spicy, pickled, canned food;

Among greens and vegetables - exclude from the diet, onions, garlic, radishes and sorrel;

All legumes;

Among dairy products, sour cream is prohibited;

Sweet pastries;

Chocolate, cocoa and ice cream;

Any carbonated drinks;

Vinegar, spices and spices;

Restriction of salt intake - no more than 10 g per day;

Any alcohol.

Education: Diploma in the specialty "Medicine" received at the Russian State Medical University. N. I. Pirogova (2005). Postgraduate studies in the specialty "Gastroenterology" - educational and scientific medical center.

Polyps in the gallbladder are benign neoplasms in the form of proliferation of the epithelial tissue of the mucous membrane. It occurs in 4-6% of the adult population, most often in women after 30 years.

What is the danger of a gallbladder polyp - the difference between cholesterol and adenomatous polyp

There are four types of gallbladder polyps:

The danger of the formation of gallbladder polyps is due to the fact that they very often degenerate into malignant neoplasms, even in asymptomatic cases. According to various sources, the percentage of rebirth is from 10 to 30%. In some cases, polyps can cause purulent cholecystitis.

Why do polyps appear in the gallbladder?

The main causes of polyposis neoplasms in the gallbladder:

• Hepatitis.
• Chronic cholecystitis, which is accompanied by stagnation of bile.
• Biliary dyskinesia.
• Heredity. If gallbladder polyps are diagnosed in close relatives, then the risk of polyp formation is quite high.
• Improper nutrition, which leads to a violation of fat metabolism.

How does the disease manifest itself?

Most often, asymptomatic cases of polyps are recorded. Sometimes patients note slight discomfort or severe pain in the right hypochondrium after eating fried, smoked or fatty foods.

Severe symptoms are noted if the polyp is located in the neck of the gallbladder. In this case, intense polyp pain right, in the hypochondrium.

Large polyps can lead to blockage of the cystic duct. Overflow of the gallbladder is accompanied by severe pain. Accession of the infectious process leads to acute purulent cholecystitis.

Diagnosis of a gallbladder polyp on ultrasound and MRI

Gallbladder polyps are diagnosed by ultrasound. Since most often the formation of polyps is asymptomatic, they are detected by chance, with ultrasound of the liver and gallbladder.

Currently, another method for diagnosing gallbladder polyps is used - endoscopic ultrasonography. A flexible endoscope with a special sensor is inserted into the duodenum. Since it is located next to the gallbladder, the image is clearer.

Operation steps

Treatment for gallbladder polyps is only surgical, there is no drug treatment.

The choice of surgical intervention is carried out according to the scheme:

• Polyps larger than 10 mm, as well as growing polyps, are subject to removal, since in this case there is a high risk of degeneration of a benign neoplasm into a malignant one.
• If gallbladder polyps are accompanied by clinical manifestations, the gallbladder is subject to removal, regardless of the size of the neoplasms.

Surgery to remove polyps (polypectomy) or the gallbladder is most often currently performed using endoscopic equipment.

It is performed under general anesthesia.

Stages of laparoscopic cholecystectomy:

Is it possible to cure a gallbladder polyp with folk remedies - diet and proper nutrition for a disease

It is impossible to get rid of polyps with traditional medicine, if removal of polyps or the gallbladder is indicated - severe symptoms, polyps more than 10 mm - then a surgical operation is necessary.

However, if monitoring is carried out whether polyps grow or not, then, in agreement with the attending physician, you can use folk remedies to improve the condition.

We offer several phytorecepts for the treatment of gallbladder polyps:

The prepared infusion should be stored in the refrigerator, it is recommended to prepare a fresh infusion once a day.

With polyps of the gallbladder, diet is very important. It is necessary to abandon smoked, fried, canned foods, animal fats (a little butter is allowed). It is recommended to reduce the amount of salt, do not eat fresh onions and garlic.

The diet should consist of boiled fish and poultry meat, vegetables, sweet fruits, low-fat dairy products, dried white bread. Diet - frequent, small portions.

Patient feedback:

I want to tell you my story about the laparoscopic cholecystectomy performed on me - the removal of the gallbladder with the help of punctures. A few weeks after the birth, she began to feel pain in the right hypochondrium, which all intensified. Ultrasound showed large polyps of the gallbladder, the doctor said to remove, because there is a high risk of oncology. I was very afraid of the operation and in vain. The operation was performed under general anesthesia, about 2 hours. She recovered well from anesthesia and started walking the same evening. On the fifth day I was discharged, the stitches were removed a week later. Now I feel good, 4 months have passed. But I keep a diet a little - I don’t eat fried and smoked. I advise you not to endure pain and not to wait for a benign tumor to become malignant, but to have an operation.

My husband had pain in the right hypochondrium for a long time, they thought that the liver, it turned out - polyps in the gallbladder, blocked the duct. It began to fester, a little more - and it would be necessary to do a cavity. And so the gallbladder was removed with the help of a laparoscope. Alive, healthy, at first he kept a diet, now he leads a normal life.