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Gallbladder Polyps

Rare Lesions in Childhood

Demirbaş, Fatma*; Çaltepe, Gönül*; Comba, Atakan*; Bilgin, Meltem C.; Eren, Esra*; Abbasguliyev, Hasan; Kalayci, Ayhan G.*

Journal of Pediatric Gastroenterology and Nutrition: June 2019 - Volume 68 - Issue 6 - p e89–e93
doi: 10.1097/MPG.0000000000002269
Original Articles: Hepatology
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Objective: Unlike adults, gallbladder polyps (GPs) are rare in childhood. The aim of this study was to evaluate patients with a GP diagnosis.

Methods: Patients who were diagnosed with GP via ultrasonography from October 2012 to October 2017 were retrospectively evaluated in terms of sociodemographic characteristics and laboratory findings.

Results: The study included 19 patients diagnosed with GP and followed up in our department. The patients comprised 14 (73.6%) girls with a mean age of 13.9 ± 4.1 years and a mean follow-up period of 10.2 ± 5.4 months (range, 3–26 months). The most common presenting symptom of the patients (n = 15, 78.9%) for ultrasonography was abdominal pain without biliary symptoms. Location of the polyps was in the corpus in 55% of patients, and either in the fundus (20%) or the neck of the gallbladder (25%). The average diameter of the polyps was 4.5 ± 1.6 mm (range, 2–9 mm). Multiple polyps were observed in 3 patients. No significant change in the number or size of polyps was noted at the end of the follow-up periods. Cholecystectomy was applied to 1 patient who had >5 polyps with a rapid increase in size, and the pathology report was hamartomatous polyp. There was no remarkable change in the clinical or laboratory findings of other patients during the follow-up period.

Conclusion: In this study, GPs could be seen in young children as young as 16 months of age and ultrasonography is sufficient for follow-up in stable and asymptomatic patients.

*Department of Pediatric Gastroenterology, Hepatology and Nutrition

Department of Radiology, Faculty of Medicine

Medical Faculty, Ondokuz Mayis University, Samsun, Turkey.

Address correspondence and reprint requests to Fatma Demirbaş, MD, Department of Pediatric Gastroenterology and Hepatology and Nutrition, Faculty of Medicine, Ondokuz Mayis University, Kurupelit/Samsun 55200, Turkey (e-mail: fatma.demirbas@omu.edu.tr).

Received 20 November, 2018

Accepted 6 January, 2019

ORCID number: Fatma Demirbaş (0000-0003-1788-2559); Gönül Çaltepe (0000-0001-8525-6352); Atakan Comba (0000-0002-8576-9550); Meltem Ceyhan Bilgin (0000-0002-0133-0234); Esra Eren (0000-0001-7506-4672); Hasan Abbasguliyev (0000-0002-1055-0925); Ayhan Gazi Kalayci (0000-0003-2104-6801).

This study was approved by the institutional review board.

This article does not contain any studies with human participants or animals performed by any of the authors. The study was approved by the Ethics Committee of Ondokuz Mayis University (OMU KAEK decision number 2017/400).

Informed consent was obtained from all individual participants included in the study.

The authors report no conflicts of interest.

© 2019 by European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and North American Society for Pediatric Gastroenterology,