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Lee H, Kim K, Park I, et al. Preoperative predictive factors for gallbladder cholesterol polyp diagnosed after laparoscopic cholecystectomy for polypoid lesions of gallbladder. Ann Hepatobiliary Pancreat Surg. 2016;20(4):180-186doi: 10.14701/ahbps.2016.20.4.180.
Lee, H., Kim, K., Park, I., Cho, H., Gwak, G., Yang, K., Bae, B. N., Kim, H. J., & Kim, Y. D. (2016). Preoperative predictive factors for gallbladder cholesterol polyp diagnosed after laparoscopic cholecystectomy for polypoid lesions of gallbladder. Annals of hepato-biliary-pancreatic surgery, 20(4), 180-186. https://doi.org/10.14701/ahbps.2016.20.4.180
Lee, Hyojin, et al. "Preoperative predictive factors for gallbladder cholesterol polyp diagnosed after laparoscopic cholecystectomy for polypoid lesions of gallbladder." Annals of hepato-biliary-pancreatic surgery vol. 20,4 (2016): 180-186. doi: https://doi.org/10.14701/ahbps.2016.20.4.180
Lee H, Kim K, Park I, Cho H, Gwak G, Yang K, Bae BN, Kim HJ, Kim YD. Preoperative predictive factors for gallbladder cholesterol polyp diagnosed after laparoscopic cholecystectomy for polypoid lesions of gallbladder. Ann Hepatobiliary Pancreat Surg. 2016 Nov;20(4):180-186. doi: 10.14701/ahbps.2016.20.4.180. Epub 2016 Nov 30. PMID: 28261697; PMCID: PMC5325147.
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Ann Hepatobiliary Pancreat Surg. 2016 Nov;20(4):180-186. doi: 10.14701/ahbps.2016.20.4.180. Epub 2016 Nov 30.

Preoperative predictive factors for gallbladder cholesterol polyp diagnosed after laparoscopic cholecystectomy for polypoid lesions of gallbladder.

Annals of hepato-biliary-pancreatic surgery

Hyojin Lee, Kihwan Kim, Inseok Park, Hyunjin Cho, Geumhee Gwak, Keunho Yang, Byung-Noe Bae, Hong-Ju Kim, Young Duk Kim

Affiliations

  1. Department of Surgery, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea.

PMID: 28261697 PMCID: PMC5325147 DOI: 10.14701/ahbps.2016.20.4.180

Abstract

BACKGROUNDS/AIMS: We investigated patients' clinical and radiological data to determine preoperative factors that predict cholesterol gallbladder (GB) polyps of large size, which can be helpful for decision on further diagnostic tools.

METHODS: In this study, we retrospectively analyzed 126 patients who underwent laparoscopic cholecystectomy for GB polyps >10 mm diagnosed preoperatively by abdominal ultrasonography between February 2002 and February 2016 in Department of Surgery, Sanggye Paik Hospital. Patients were divided into non-cholesterol polyps group and cholesterol polyps group, based on the postoperative pathologic diagnosis. Clinical and radiological data, such as gender, age, body weight, height, body mass index (BMI), laboratory findings, size, number and shape of the polypoid lesions, and presence of the concurrent GB stone were compared between the two groups.

RESULTS: Of the 126 cases, 73 had cholesterol polyps (57.9%) and 53 cases were non-cholesterol polyps (42.1%). The younger age (<48.5 years), size of polyp <13.25 mm and multiple polyps were independent predictive variables for cholesterol polyps, with odd ratios (OR) of 2.352 (

CONCLUSIONS: Age, size and polyp number were used to predict cholesterol GB polyp among polypoid lesions of the gallbladder >10 mm. For cases in which these factors are not applicable, it is strongly recommended to evaluate further diagnostic tools, such as computed tomography, endoscopic ultrasonography and tumor markers.

Keywords: Cholesterol; Gallbladder; Laparoscopic cholecystectomy; Polyps

References

  1. AJR Am J Roentgenol. 2007 Jul;189(1):62-6 - PubMed
  2. Br J Surg. 2000 Apr;87(4):414-7 - PubMed
  3. Br J Surg. 1992 Mar;79(3):227-9 - PubMed
  4. Am J Surg. 2004 Aug;188(2):186-90 - PubMed
  5. Am J Gastroenterol. 1999 Feb;94(2):446-50 - PubMed
  6. J Gastroenterol Hepatol. 2009 Feb;24(2):219-22 - PubMed
  7. Am J Surg. 2001 Jan;181(1):65-70 - PubMed
  8. J Indian Med Assoc. 2003 Sep;101(9):554-5 - PubMed
  9. Dig Dis Sci. 2006 Feb;51(2):416-21 - PubMed
  10. J Gastrointest Surg. 2009 Jan;13(1):19-25 - PubMed
  11. Am J Gastroenterol. 1989 Nov;84(11):1386-90 - PubMed
  12. World J Surg. 2009 Dec;33(12):2657-63 - PubMed
  13. Am J Gastroenterol. 1992 May;87(5):630-3 - PubMed
  14. Ann Surg. 2001 Nov;234(5):657-60 - PubMed
  15. Srp Arh Celok Lek. 2003 Jul-Aug;131(7-8):319-24 - PubMed
  16. Surg Laparosc Endosc Percutan Tech. 2001 Jun;11(3):176-81 - PubMed
  17. Arch Surg. 1998 Jul;133(7):735-9 - PubMed
  18. J Lipid Res. 1994 Mar;35(3):484-90 - PubMed
  19. Scand J Gastroenterol. 1990 Mar;25(3):281-6 - PubMed
  20. Endoscopy. 2002 Dec;34(12 ):959-65 - PubMed
  21. Dan Med J. 2012 Oct;59(10 ):A4503 - PubMed
  22. Ann Surg. 2009 Dec;250(6):943-9 - PubMed
  23. Arch Surg. 1988 Jan;123(1):26-9 - PubMed
  24. Minerva Gastroenterol Dietol. 2003 Sep;49(3):217-24 - PubMed
  25. J Korean Med Sci. 2009 Jun;24(3):481-7 - PubMed
  26. Surgery. 2000 Jun;127(6):622-7 - PubMed
  27. World J Gastroenterol. 2009 May 21;15(19):2361-6 - PubMed
  28. Gut Liver. 2008 Sep;2(2):88-94 - PubMed
  29. Surg Laparosc Endosc Percutan Tech. 2001 Apr;11(2):88-91 - PubMed
  30. Gastrointest Endosc. 2000 Sep;52(3):372-9 - PubMed
  31. Korean J Gastroenterol. 2009 Jun;53(6):336-40 - PubMed
  32. Rev Assoc Med Bras (1992). 2010 May-Jun;56(3):318-21 - PubMed
  33. Am J Gastroenterol. 1997 Nov;92 (11):2066-8 - PubMed
  34. J Am Coll Surg. 2009 Apr;208(4):570-5 - PubMed

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