Gallbladder Polyps

Prevalence GB Polyps: 3-10%

Differential:
- Cholesterol polyps (50-70%)
- inflammatory
- hyperplastic
- adenoma
- malignant (8%)

Predictive factors for malignancy:
- size >1cm
- broad based sessile polyps
- age >50

Treatment:
- suspicion for GB cancer low: lap chole
- suspicious for GB cancer: open chole with intraop frozen section
- small polypoid lesion: U/S q6 mo for 2 yrs to ensure stable lesion