Symptoms and treatment of gallbladder polyps

The problem of gallbladder polyps seriously affects people's physical health. Many patients may not have obvious clinical symptoms in the early stage, but as the polyps grow larger, there is a possibility of malignant transformation, so attention should be paid to reasonable treatment and conditioning.

1. Symptoms and Signs

1. The vast majority of CPs patients have no clinical symptoms and their gallbladder function is good. Such patients should be followed up with BUS regularly (3 to 6 months). Surgery is only considered if obvious symptoms occur or PLG enlarges rapidly. If the gallbladder function is good at that time, percutaneous cholecystoscopic polypectomy can be performed. Such polyps are often less than 10 mm (82%) and are mostly multiple (75%). It looks like a mulberry, with a thread-thin stem, brittle and easy to fall off, making it easy to pick. If the gallbladder is not functioning properly, laparoscopic cholecystectomy (LC) can be performed.

2. Benign non-cholesterol PLG accounts for 35%, including adenoma and adenomyoma, inflammatory polyps, adenomatous hyperplasia and rare mesenchymal tumors. Although there are no reports of malignant transformation of inflammatory polyps, they are accompanied by gallbladder inflammation and most of them have clinical symptoms. The other types have the potential to become malignant. Therefore, once detected, surgical resection should be performed promptly to clarify the nature of the pathology.

2. Diet therapy for gallbladder polyps

1. Wujiang Yisi Decoction: It is composed of 9 grams each of Bupleurum, Amomum villosum, and Trillium, 10 grams each of Citrus aurantium, Prunus mume, Bombyx batryticatus, and Sinapis alba, 30 grams of Coix seed, 15 grams each of White Peony Root and Forsythia suspensa, and 6 grams of Licorice. Decoction in water, 1 dose per day, 3 times. Or make into water pills, 9 grams each time, 3 times a day. Generally, one course of treatment is 2-3 months, and severe cases may require 2-3 courses. For those with severe liver depression, add Citrus aurantium and Cyperus rotundus; for those with severe abdominal distension, add Magnolia officinalis; for those with constipation, add raw rhubarb; for those with main symptoms of blood stasis, add Salvia miltiorrhiza and peach kernel.

In this prescription, Bupleurum can soothe the liver and relieve depression, and dredge the liver meridians; White Peony Root and Licorice can soften the liver, relieve urgency and stop pain, while Citrus Aurantium can promote qi circulation and resolve stagnation; Coix Seed has the effect of resolving phlegm and softening hard masses, and can treat multiple polyps. Bombyx batryticatus can resolve phlegm and dissipate nodules, while white mustard seeds, forsythia suspensa and fennel are good at resolving phlegm and dissipating nodules.

2. Take 10 grams of hawthorn, 10 grams of chrysanthemum and 15 grams of cassia seed, decoct them and drink as tea or green tea.