2017 ESGAR_EAES_EFISDS_ESGE联合指南：胆囊息肉的管理和随访.pdfVIP

Eur Radiol DOI 10.1007/s00330-017-4742-y GASTROINTESTINAL Management and follow-up of gallbladder polyps Joint guidelines between the European Society of Gastrointestinal and Abdominal Radiology (ESGAR), European Association for Endoscopic Surgery and other Interventional Techniques (EAES), International Society of Digestive Surgery – European Federation (EFISDS) and European Society of Gastrointestinal Endoscopy (ESGE) Rebecca Wiles 1 Ruedi F. Thoeni 2 Sorin Traian Barbu3 Yogesh K. Vashist 4,5 Søren Rafael Rafaelsen6 Catherine Dewhurst7 Marianna Arvanitakis 8 Max Lahaye 9 Marek Soltes 10 Julie Perinel 11 Stuart Ashley Roberts 12 Received: 15 October 2016 /Revised: 29 December 2016 /Accepted: 4 January 2017 # The Author(s) 2017. This article is published with open access at S Abstract Results A total of three Delphi rounds were performed. Objectives The management of incidentally detected Consensus regarding which patients should have cholecystec- gallbladder polyps on radiological examinations is con- tomy, which patients should have ultrasound follow-up and the tentious. The incidental radiological finding of a gall- nature and duration of that follow-up was established. The full bladder polyp can therefore be problematic for the radi- recommendations as well as a summary algorithm are provided. ologist and the clinician who referred the patient for the Conclusions These expert consensus recommendations can radiological examination. To address this a joint guide- be used as guidance when a gallbladder polyp is encountered line was created by the European Society of in clinical practice. Gastrointestinal and Abdominal Radiology (ESGAR),