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  • Q&A with Australian Health Practitioners

    What is the treatment and management of gallbladder polyps?

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  • Mr Arul Edward Suthananthan is a specialist surgeon in liver transplant, hepato-pancreatico-biliary (HPB) and general surgery. He has expertise in open as well as advanced … View Profile

    Management is guided by recommendations from the European Society of Gastrointestinal and Abdominal Radiology (ESGAR), which provides contemporary evidence-based guidelines.

    Polyps < 6 mm:

    Very low malignancy risk

    Ultrasound surveillance required at 6 months, then 2 yearly for patients without risk factors.

    Polyps 6–9 mm:

    Ultrasound surveillance recommended

    Follow‑up at 6 months, then annually for up to 5 years.

    Surgery considered if growth occurs or risk factors are present.

    Polyps ≥ 10 mm:

    Cholecystectomy recommended due to increased malignancy risk.

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