Gall bladder polypuses

[Kloto]

Hello everyone,

Would you please help me to better understand the following issue. I've been diagnosed with gall bladder polypuses around 2 years ago. They have been accidentally found during ultrasound examination, there were two mural polypuses 3 and 4.5 mm in diameter. Then I conducted several more examinations, also at the doctors who told me there were able to define on the ultrasound whether the polypuses are cholesterol ones or not. Is it really possible to determine it by the ultrasound? Anyway they said it seems I have other type of polypuses, meaning not cholesterol ones. Today I've done one more examination, the results are the same or even a bit less in size, and possibly there are some more polypuses which are very small. The gall bladder walls are not thinkened, however indurated, and the gall bladder is distorted (which wasn't said on two years earlier examination, though these were done by different doctors and the medicine in Russia, where I live, is quite poor). My question is do I need a gall bladder removal now or can I continue checking the gall bladder regularly, in your opinion? How much risk does monitoring carry? I agreed with my doctor that we would watch them in half a year when I said I actually do not want too much to make an operation. However some doctors say it is better to remove the bladder whenever the polypuses are indicated.
Thanks in advance.

[DR_RTewari]

HIDA scan is to know the function of the gall bladder. In your case it is not strongly indicated however in case it shows poor functioning gall baldder (though I doubt it, as you are asymptomatic), you can plan fo surgery but if its functiion is normal (HIDA scan will tell us that) then you should opt for regular USG followup
Best wishes  

[DR_RTewari]

Yes..Polyps of less than 1 cm are usually benign and can be left with regular followup while more than 12 mm removed as the risk of cancer increases after this size.
Best wishes

[DR_RTewari]

If your gall bladder polyps are  12 mm in size carry a risk of cancer so you have to decide between regular follow up or surgery.
Why the intial ultrasound was done? Did you have some symptom/ pain or just screening USG was doen? What's your age and do you have any family history of cacer? What about HIDA scan? Is it possible to get it done there?
In case you have symtomps (pain etc.) or Hida shows poor functioning G bladder or your family history is positive then you should opt for surgery
Best wishes.  

[Kloto]

Can you write the whole name of this procedure, please?
By the way, I do have some issues with the intestines, but not sure if they can be connected to gall bladder disfunction. They are as follows: meteorism (especially immediately after meal), unstable stool, sometimes I have stomach ache (especially immediately after meal, it used to be very bad, but got much better after some stomach therapy). I have applied to doctors before with these symptoms, but the exact reasons are still not found. This may be due to being nervous most of the time though.

[Kloto]

Thank you everyone, I will try to find places where this procedure is conducted.

[Elliot R Goodman, MD]

Agree with Dr T

[Kloto]

Thank you for your reply.
Could you still, specify, please, what HIDA is and if you consider it necessary in my case?

[Kloto]

Thank you for reply. Do you mean that if the polyps are 3 and 4.5 mm in diameter, no surgery might be necessary?
The initial ultrasound was done due to the problem of meteorism, as far as I remember. I'm 25 years old, in my family my grandmother died from sigmoid colon cancer and the mother of my grandfather - from a breast cancer. COuld you specify please what HIDA is? Thanks in advance!