Gallbladder Polyps Treatment in Malaysia

• Clinical assessment:
  • Medical and Symptom History: Evaluation includes abdominal pain, nausea, vomiting, jaundice, previous gallstones or gallbladder disease, weight changes, prior imaging findings, family history, relevant medical conditions, and risk factors for gallbladder malignancy.
  • Physical Examination: The clinician evaluates for right upper abdominal tenderness, abdominal masses, jaundice, fever, or other findings suggesting gallbladder inflammation, biliary obstruction, or another abdominal condition.
  • Polyp Characteristics: The clinician assesses size, number, location, morphology, attachment to the gallbladder wall, stalk characteristics, and adjacent wall thickening because these features influence risk stratification and follow-up.
  • Assessment of Growth: Comparison with previous ultrasound examinations can determine whether a lesion has remained stable, increased in size, decreased, or disappeared.
  • Assessment of Associated Conditions: Evaluation may identify gallstones, gallbladder inflammation, biliary obstruction, primary sclerosing cholangitis, or other conditions that may affect management.
• Imaging Tests:
  • Abdominal Ultrasound: The primary imaging investigation for detecting and monitoring gallbladder polyps. It can assess size, morphology, wall attachment, gallstones, and associated gallbladder abnormalities.
  • High-Resolution and Doppler Ultrasound: May provide additional information about lesion morphology and vascularity in selected cases.
  • Contrast-Enhanced Ultrasound: May help characterise vascular patterns and distinguish certain benign from potentially neoplastic lesions in experienced centres.
  • Endoscopic Ultrasound (EUS): May be considered when conventional ultrasound findings are indeterminate or when more detailed evaluation is required.
  • MRI/MRCP: May be used selectively when there is concern about associated biliary disease, complex anatomy, or possible malignant disease.
  • CT Scan: May be considered when a larger or suspicious lesion requires assessment of the gallbladder, liver, lymph nodes, or surrounding structures.

MediRehab (a chain of Rehab centres, part of MediGence) provides comprehensive tele-rehabilitation services designed to support patients with Gallbladder Polyps in Malaysia. These Services include:

• Early Mobilisation After Surgery: Patients undergoing laparoscopic cholecystectomy are generally encouraged to begin gentle movement and walking as tolerated after surgery.
• Gradual Activity Progression: Patients can usually increase daily activities gradually, based on surgical advice and individual recovery.
• Postoperative Wound and Pain Care: Patients should follow instructions regarding incision care, pain management, lifting restrictions, and signs of infection.

Doctors may prescribe medicines to manage associated symptoms or other conditions, but they do not replace appropriate surveillance or surgical assessment when indicated. Treatment should be based on the underlying cause of the symptoms and the polyp's characteristics.