General Surgeon, Upper GI Surgeon (Abdominal)
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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