Clinical and radiologic preoperative predicting factors for GB cholesterol polyp.
10.4174/jkss.2012.82.4.232
- Author:
Hye Lin SONG
1
;
Jun Ho SHIN
;
Hungdai KIM
;
Yong Lai PARK
;
Chang Hak YOO
;
Byung Ho SON
;
Ji Sup YOON
;
Hyung Ok KIM
Author Information
1. Department of Surgery, Kangbuk Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. junho0521.shin@samsung.com
- Publication Type:Original Article
- Keywords:
GB polyp;
Cholesterol polyp;
Cholecystectomy;
Radiologic study;
Gallbladder
- MeSH:
Body Height;
Body Weight;
Cholecystectomy;
Cholesterol;
Gallbladder;
Humans;
Leukocytes;
Polyps;
Urinary Bladder
- From:Journal of the Korean Surgical Society
2012;82(4):232-237
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: To use the clinical and radiological data to differentiate non-cholesterol versus cholesterol gall bladder (GB) polyps, which can be useful in deciding the treatment of the patient. METHODS: One hundred and eighty-seven patients underwent cholecystectomy for GB polyps of around 10 mm for 10 years, and were divided into two groups, cholesterol polyps (146 patients) and non-cholesterol polyps (41 patients) based on the postoperative pathological findings. Gender, age, body weight, height, body mass index (BMI), symptoms, laboratory findings, size, number of polyps, presence of GB stone and maximum diameter measured by preoperative ultrasonography (USG), computed tomography (CT), and pathological diameter were subjected to comparative analysis. RESULTS: Patients diagnosed with cholesterol polyps were younger in age and had higher BMI, and the total cholesterol levels and white blood cell levels were higher, but were not statistically significant. It was notable to see that 28.6% of the cholesterol polyps were not found in the preoperative CT yet the percentage of the undetectable rate was significantly lower (8%) in the non-cholesterol polyp group. There was a discrepancy in maximum diameters between the two radiological methods in both groups but the discrepancy was significantly larger in the cholesterol polyp group. CONCLUSION: The clinical signs that can be helpful to diagnose whether it is a cholesterol polyp or not are younger patients who have high BMI, polyps which are detectable only on the USG and large maximum diameters between the USG and CT. And if the discrepancy of the maximum diameter is lesser than 1mm the polyp may be considered as a non-cholesterol polyp.
