Gallbladder Polyps - Surgery?

I

[Kevin Pho, MD]

To answer your questions:
1) Obtaining a HIDA scan with CCK stimulation can help evaluate the gallbladder ejection fraction.  You can also consider evaluation of the upper GI tract to look for GERD, ulcers, or inflammation.

2) It can be the beginnings of fatty liver disease.

3) Possible, but unlikely that this can lead to the pain.

4) There is sludge, but no mention of gallbladder stones.  I would obtain a second opinion regarding this.

5) Polyps may increase during time.

6) This can vary from patient to patient.  Diarrhea is typically more common after a fatty meal.  However, the vast majority of patients do not have this complication after gallbladder removal.

7) Actigall treats gallstones, and does not seem to be applicable here.  I would discuss this question with a surgeon.

8) The evidence does not support this.

9) I am not aware of a connection between low HDL and the gallbladder.

10) Yes, metabolic system is possible with your weight and low HDL. I would also test your triglycerides.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
kevinmd_

[Felix'sMum]

Hi Pete. I think the only reason your doctor is suggesting removal of the gallbladder at this stage is that once symptoms involving the gallbladder are present, they go on to get worse. And it is likely that the pain you're experiencing, low grade though it is, is coming from the gallbladder.
As with any kind of operation, it is best done when things are quiet and there is no inflammation or infection present. Your doctor is just being cautious in suggesting you have the gallbladder out now because he knows it will almost certainly flare up at some time in the future. A vast majority of people have the procedure done and experience no problems at all afterwards so I would go ahead and have it done....