Related Experiment Video
Updated: Jun 7, 2025
A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy
Published on: September 13, 2022
A comparison of society guidelines in the management of gallbladder polyps
Lorena Garcia1, Frances Dygean1, Emily Bortree1
1Harbor-UCLA, Department of Surgery, Torrance, CA, USA.
Background:
In 2021, European radiology and gastrointestinal societies updated their guidelines regarding the management of gallbladder polyps (GBP). In 2022, the Society of Radiologists in Ultrasound (SRU) also released their guidelines. We compared the two sets to determine the differences in management and outcomes for GBPs.
Methods:
We performed a retrospective analysis from 2018 to 2023 of 118 patients referred for GBPs. Radiologists retrospectively reviewed patient ultrasounds (US) and assigned an SRU category. We applied both sets of guidelines to identify next recommended step and performed a cost analysis.
Results:
When applying European versus SRU guidelines, 52.5 % (n = 62) versus 16.9 % (n = 20) would have undergone immediate surgery (p < 0.0001). US would have been considered a reasonable next step in 28.8 % (n = 34) vs 42.4 % (n = 50) (p = 0.03). Adherence to SRU guidelines would have resulted in $1837 less spent per person (p < 0.001).
Conclusion:
Our findings found that adherence to SRU guidelines leads to less surgeries and follow up compared to European guidelines without causing harm. Further studies should be done to validate these findings and support standardized reporting of GBP.
Related Concept Videos
01:29Chronic Pancreatitis II: Collaborative Care
Assessment:
01:21Inflammatory Bowel Disease V: Surgical Management
Here are some common surgical interventions for IBD:
01:25Peptic Ulcer Disease V: Surgical Management and Nursing Care
Surgical Interventions for Peptic Ulcer Disease
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
01:29Appendicitis-II: Diagnostic Studies and Management
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
01:30Acute Pancreatitis II: Clinical Manifestations and Management