Management and follow-up of gallbladder polyps : Joint guidelines between the European Society of Gastrointestinal and Abdominal Radiology (ESGAR), European Association for Endoscopic Surgery and other Interventional Techniques (EAES), International Society of Digestive Surgery - European Federation (EFISDS) and European Society of Gastrointestinal Endoscopy (ESGE).
Management and follow-up of gallbladder polyps : Joint guidelines between the European Society of Gastrointestinal and Abdominal Radiology (ESGAR), European Association for Endoscopic Surgery and other Interventional Techniques (EAES), International Society of Digestive Surgery - European Federation (EFISDS) and European Society of Gastrointestinal Endoscopy (ESGE).
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DOI：
10.1007/s00330-017-4742-y
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发表时间：
2017-09
影响因子：
5.9
通讯作者：
Roberts SA
中科院分区：
文献类型：
--
作者：
Wiles R;Thoeni RF;Barbu ST;Vashist YK;Rafaelsen SR;Dewhurst C;Arvanitakis M;Lahaye M;Soltes M;Perinel J;Roberts SA
放射学检查偶然发现胆囊息肉的处理是有争议的。因此，胆囊息肉的偶然放射学发现可能会给放射科医生和转诊患者进行放射学检查的临床医生带来问题。为了解决这一问题，欧洲胃肠和腹部放射学会（ESGAR）、欧洲内窥镜手术和其他介入技术协会（EAES）、国际消化外科学会-欧洲联合会（EFISDS）和欧洲胃肠内窥镜学会（ESGE）制定了联合指南。进行了有针对性的文献检索，并使用一系列德尔菲问卷和7分制李克特量表创建共识指南。总共进行了三轮德尔菲测试。就哪些患者应接受胆囊切除术、哪些患者应接受超声随访以及随访的性质和持续时间达成共识。提供了完整的建议以及摘要算法。这些专家共识的建议可以作为指导时，胆囊息肉是在临床实践中遇到。·胆囊息肉的治疗存在争议·对于>10 mm的胆囊息肉，建议进行胆囊切除术·<10 mm的息肉的治疗取决于患者和息肉的特征·需要进一步研究以确定胆囊息肉的最佳治疗
The management of incidentally detected gallbladder polyps on radiological examinations is contentious. The incidental radiological finding of a gallbladder polyp can therefore be problematic for the radiologist and the clinician who referred the patient for the radiological examination. To address this a joint guideline was created by the European Society of Gastrointestinal and Abdominal Radiology (ESGAR), European Association for Endoscopic Surgery and other Interventional Techniques (EAES), International Society of Digestive Surgery – European Federation (EFISDS) and European Society of Gastrointestinal Endoscopy (ESGE). A targeted literature search was performed and consensus guidelines were created using a series of Delphi questionnaires and a seven-point Likert scale. A total of three Delphi rounds were performed. Consensus regarding which patients should have cholecystectomy, which patients should have ultrasound follow-up and the nature and duration of that follow-up was established. The full recommendations as well as a summary algorithm are provided. These expert consensus recommendations can be used as guidance when a gallbladder polyp is encountered in clinical practice. • Management of gallbladder polyps is contentious • Cholecystectomy is recommended for gallbladder polyps >10 mm • Management of polyps <10 mm depends on patient and polyp characteristics • Further research is required to determine optimal management of gallbladder polyps
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影响因子：
3.3
作者：
Albores-Saavedra, Jorge;Chable-Montero, Fredy;Henson, Donald E.
通讯作者：
Henson, Donald E.
影响因子：
3.8
作者：
Aldouri, A. Q.;Malik, H. Z.;Toogood, G. J.
通讯作者：
Toogood, G. J.
影响因子：
4.5
作者：
Kwon, Wooil;Jang, Jin-Young;Kim, Sun-Whe
通讯作者：
Kim, Sun-Whe
DOI：
10.1111/j.1440-1746.2010.06288.x
发表时间：
2010-06-01
影响因子：
4.1
作者：
Choi, Sung Youn;Kim, Tae Sun;Kim, Byung Ik
通讯作者：
Kim, Byung Ik
影响因子：
9
作者：
Jang, Jin-Young;Kim, Sun-Whe;Kim, Yong-Tae
通讯作者：
Kim, Yong-Tae