Symptomatic patients — Cholecystectomy is recommended for patients who have biliary colic or pancreatitis since an appreciable proportion of such patients with cholesterolosis or adenomyomatosis improve after cholecystectomy. On the other hand, patients with non-specific dyspeptic symptoms but without symptoms consistent with biliary colic should be managed conservatively (unless other indications for polyp removal are present) since the pathogenesis of these symptoms is unclear and cholecystectomy may not relieve the symptoms.
Asymptomatic patients — Recommendations for patients who do not fall into any of the above categories depending upon the size of the polyps Lesions larger than 20 mm — Lesions larger than 20 mm in diameter are usually malignant and should be resected. Because these lesions may represent advanced cancer, patients should undergo preoperative staging with a…
