Papillomas in the gallbladder: symptoms and methods of treating growths

Papillomas formed on the mucous tissues of the gallbladder are among the most common pathological phenomena.

According to statistics, benign tumors of various etiologies are diagnosed in every second representative of the planet's population. Women of reproductive age are especially susceptible to the appearance of papillomas, which is due to a relatively low level of resistance and systematic imbalances in hormonal levels.

The only method for detecting external manifestations of human papillomavirus in the gallbladder is ultrasound. Determining the presence of HPV through clinical signs is excluded, since the formation of papillomas is not accompanied by any symptomatic manifestations.

Causes

Human papillomavirus is one of the most common infections. The incubation period of pathogenic flora can be years or even tens of years.

The activity of a viral infection associated with the appearance of papillomas in the gallbladder is often the result of the following provoking factors:

metabolic disorders, including cholesterol. The presence of cholesterol deposits in the gallbladder can also be attributed to this etiological group.
The development of inflammatory processes affecting the bile ducts, as well as the mucous tissues of the organ.
Genetic predisposition.
Anomalies of intrauterine formation.
Infection with parasitic diseases.
Nutritional errors, consumption of predominantly fatty, animal, heavy foods, semi-finished products, fast food.
Hormonal imbalances, which are especially common in adolescents during puberty, as well as women during pregnancy and menopause.
The presence of malignant neoplasms.
The appearance of stones that can block the bile ducts.

Also, the appearance of papillomas can be caused by weakened immunity, bad habits, excess body weight, and disruption of the endocrine system.

Video

Polyps in the gallbladder

Varieties

It is customary to distinguish several main types of gallbladder papilloma. Differentiation of pathological neoplasms has a certain significance when selecting a treatment regimen. It should be noted that the visual manifestations of gallbladder papillomas are identical; some differences are revealed only during histological examination:

inflammatory polyps. They are the result of constant irritation of the mucous tissue with the subsequent development of inflammatory processes. More often this is observed against the background of various helminthiases.
Cholesterol. Polyps of this group are formed against the background of disruption of the processes of bile outflow and cholesterol metabolism.
Adenomatous polyps. Neoplasms of this group develop from glandular tissues and are especially dangerous. It is against the background of the appearance of such growths with their subsequent degeneration into a malignant form that there is a risk of developing cancer.

Gallbladder papillomas themselves are skin growths that do not have a negative effect on the functioning of the organ, with the exception of rare clinical cases, and are also not associated with the appearance of any symptoms.

Symptoms

If there is a suspicion of the appearance of papilloma in the gallbladder, what to do in such a situation? First of all, it is necessary to identify the nature of the appearance of disturbing signs, since the occurrence of gallbladder papilloma is not accompanied by characteristic symptoms. However, a long latent course of the disease can lead to a deterioration in the functioning of the organ as a whole.

Thus, the symptoms that are typical for gallbladder papillomas include pain in the area of the right side, which can significantly increase when drinking alcohol or heavy food. It is also possible for an unpleasant bitterness to appear in the mouth, systematic attacks of nausea and vomiting, and a deterioration in overall health.

Is there any danger?

Despite the fact that papillomas on the gallbladder are benign, their presence can lead to very unpleasant health consequences.

The main complication is obstruction of the excretory ducts, which leads to stagnation of the enzymatic substance and the development of the inflammatory process.

The results of pathologies of this kind can result in such serious consequences as the development of a cancerous tumor or acute liver failure.

Diagnostic methods

If you suspect the presence of growths in the gallbladder, you must first contact a specialist to diagnose and differentiate papilloma from neoplasms of other etiologies.

The main research method that allows you to determine the presence of neoplasms of the gallbladder is ultrasound, which can be performed through the use of a contrast agent or in the absence of one.

Treatment methods

For people faced with such an unpleasant problem, a very pressing question is how to get rid of papillomas in the gallbladder. The treatment regimen is developed strictly individually. The choice of therapeutic tactics is determined by the size of the tumor.

To remove growths that do not exceed a centimeter in diameter, it is sufficient to use conservative methods, including taking medications and following a balanced diet. If larger growths appear, the patient will be advised to remove papillomas from the gallbladder using radical methods, that is, surgery.

Medicines

It should be noted that the use of any medications to remove papillomas on the gallbladder is not relevant. Medicines prescribed by a doctor help improve the functioning of the organ, normalize the outflow of bile, which together prevents the further growth of tumors, and also contributes to a gradual decrease in their size.

Most often, drug therapy includes the following medications:

antispasmodics: Nimesulide, No-Shpa. They are prescribed exclusively against the background of the onset of pain.
Drugs that help improve the functioning of the bile ducts and remove secretions: Holiver, Allochol, Ursofalk.

The use of these medications is allowed only if prescribed by the attending physician.

Operation

If there is a tendency towards active growth of gallbladder papillomas, surgical intervention is necessary.

The operation can be performed by laparotomy, which involves gaining access to the affected organ by cutting the abdominal wall, or by laparoscopy, which is performed using special instruments inserted into the abdominal cavity through small punctures. Depending on cumulative factors, the gallbladder may be retained or removed.

Additionally, reconstructive surgery can be performed, the purpose of which is to restore the bile ducts, remove overgrown pathological tissues, and normalize the outflow of bile. If stones are found in the gallbladder, their removal is additionally required.

After removal of the gallbladder or elimination of pathological neoplasms, a histological examination of the tissue affected by papillomas is required, which is necessary to exclude the development of malignant processes.

Diet

Complex treatment of gallbladder papillomas includes mandatory adherence to a strict diet. Following the rules of balanced nutrition helps restore the functioning of the gallbladder, liver, excretion of bile, and cleansing of organs. Following a diet is especially important after surgery to remove papillomas or an affected organ.

The basic principles of gentle nutrition are the following:

The temperature of the food consumed should be optimal. Avoid eating excessively hot or cold food.
It is recommended to adhere to a fractional diet plan, that is, eat food at least five times a day, but in extremely small portions.
It is important to avoid consuming heavy foods, fatty, spicy, spicy foods, raw vegetables, fruits, sweets, confectionery, strong tea and coffee, processed foods, and sausages.
The following products should be included in the patient’s daily menu: lean white meat, low-fat fish, cereals, baked or boiled fruits, vegetables, vegetable oil; it is best to consume olive oil, as well as lactic acid products. Drinks allowed for consumption are: weak tea, compotes, fruit drinks.

Some time after surgery, the patient may be allowed to return to their normal diet. However, you should complete the diet only after receiving the recommendations of your doctor.

Folk remedies

Treatment of papillomas in the gallbladder can also be carried out through the use of alternative therapy methods. Of course, it is permissible to use folk remedies only after receiving a doctor’s prescription. In addition, due to low effectiveness, the use of home remedies can only be considered as one element of a comprehensive treatment.

To prevent the growth of polyps, reduce their size and number, it is recommended to use infusions and decoctions of medicinal herbs that have choleretic properties. Such plants include celandine, milk thistle, corn silk, marsh calamus, and shepherd's purse.

Natural olive oil perfectly stimulates the excretion of bile, as well as stimulation of the activity of the affected organ.

To obtain a therapeutic effect, it is enough to consume one spoon of the product on an empty stomach. It is best to do this in the morning before your first meal.

Parasitic diseases of the gallbladder and liver can also provoke the appearance of papillomas. To remove helminths from the body, it is recommended to regularly drain these organs, that is, cleanse them. It is recommended to use only products of natural origin, for example, olive oil.

Possible complications

The appearance of papillomas in the gallbladder can lead to a wide range of problems if the neoplasms grow rapidly or are large in size. The most likely problems are:

violation of the outflow of bile, caused by the proliferation of pathogenic tissues, blockage of the bile ducts.
Development of acute forms of liver failure.
Formation of stones in the ducts.
Disruption of digestive processes.
Development of liver cirrhosis.

After surgery to remove the gallbladder, there is also a risk of some complications.

For example, if the patient does not comply with the doctor’s recommendations regarding compliance with the rehabilitation period, there is a risk of disruption of the functioning of the gallbladder and liver. Papillomavirus is characterized by a high level of contagiousness, as well as the risk of relapse.

After completion of the treatment course, papillomas may reappear.

Prevention

Unfortunately, it is almost impossible to completely eliminate the possibility of papillomas on the gallbladder.

However, following certain rules will significantly reduce the risk of developing such an unpleasant pathology.

First, you should review your diet, eliminating fatty, hot, heavy, spicy foods from the menu. It is also recommended to give up alcohol and other bad habits.

In addition, it is important to carry out timely treatment and prevent excessive growth of papillomas or an increase in their number.

The best way to prevent it is to undergo regular medical examinations, which include ultrasound examinations.

Source: https://papilom-net.ru/vpch/papillomy-v-zhelchnom-puzyre

Papilloma in the gallbladder: signs, symptoms, treatment

The detection of pathological growths in the gallbladder has become possible thanks to the development of radiology since the thirties of the twentieth century. Since then, modern medicine has made several steps forward in this regard, and patients have access to more accurate and harmless diagnostic methods.

Most medical institutions use ultrasound and endoscopic ultrasonography to diagnose polyps:

Ultrasound can detect single or multiple polyps of the gallbladder mucosa. They appear on the device screen as round-shaped formations associated with the walls of the bubble without an acoustic shadow. When the patient's body position changes, the polyps do not move.
Ultrasonography involves examining the duodenum and gallbladder using a flexible endoscope. The device is swallowed by the patient; at its end there is an ultrasound sensor, with the help of which the walls of the gallbladder are examined for the presence of growths. The operating frequency of the sensor plays a big role in detecting various details - the higher it is, the more detailed the resulting image. This method allows you to obtain a higher quality image, and accordingly, diagnostic data is more accurate.

In addition, some hospitals offer a CT scan called magnetic resonance cholangiography.

This is the most progressive method at the moment, thanks to which the doctor can not only see, localize and assess the size of the tumor, but also identify the presence of concomitant formations that arise during the malignancy of the polyp.

To assess the amount of contrast agent accumulated by tumor tissues, a multi-slice computed tomography may be additionally prescribed.

Thanks to the wide application of modern diagnostic methods, statistics on cases of gallbladder polyps were compiled, which showed that approximately 4% of the population are their permanent carriers, of which the predominant part (60%) are women aged 30 years and above.

Adenoma

Adenoma is one of the most common causes of bile duct blockage. It grows from the surface epithelium and forms glandular formations.

External signs:

has a round shape;
first forms in the form of a knot;
located in the lower part of the bile ducts;
the mucous membrane does not change color or structure.

Biliary tract adenoma occurs more often in men. As a rule, the adenoma is localized in the bottom of the gallbladder. It has the appearance of a cystic formation. Tumor particles can enter the ducts and cause unusual biliary colic.

Symptoms

Often, an adenoma manifests itself as blockage of the bile ducts and the occurrence of pain in the right hypochondrium;
jaundice may occur.

It is extremely difficult to diagnose such a benign tumor before surgery. If accidentally detected, choledochoscopy is performed with histological examination to determine the presence of cancer cells.

Since an adenoma has a high risk of degenerating into cancer, its removal is a mandatory measure.

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There are two forms of tumors:

exophytic tumor that grows into the lumen of the duct. Quite quickly causes blockage and jaundice;
an endophytic tumor grows in the thickness of the walls, which over time become rigid and dense.

Diagnostics

Adenoma is detected either during surgery or during ultrasound examination. It is often confused with stones. A small round or semicircular defect is visible on the screen.

Adenomas larger than 1 cm in 90% of cases degenerate into cancer.

Treatment

The formation is treated by excision within healthy tissue and further connection of parts of the bile ducts

Bile duct cancer is more common than gallbladder cancer, so it is very important to take good care of your body

Symptoms

Women are most often affected;
pain begins to bother you in the right side of the abdominal cavity;
Vomiting and frequent nausea may occur;
jaundice is possible.

Medical therapy

Single polyps not exceeding 5 mm in volume are not dangerous. If the size of the formation is from 5 mm to 1 cm, then it is necessary to regularly see a specialist. To prevent the growth of growths, they resort to conservative treatment.

In parallel with taking special medications, the patient must adhere to a strict diet. Therapeutic nutrition is aimed at the absence of fatty foods, sweets, and smoked foods in the diet. The amount of salt allowed is also significantly reduced. The patient should also completely avoid fatty meats, mushrooms, legumes, spinach, baked goods, and strong coffee.

A healing diet involves eating in fractional portions 5-6 times a day.
To reduce the thickness of bile, it is important to drink 1.5-2 liters of water. You need to add bran and foods with a lot of fiber to your diet.
This diet will protect the patient from the appearance of new polyps.

Surgical removal is used in case of continuous growth of the pathological formation, the presence of clinical manifestations or multiple papillomas. During the operation, maximum efforts are made to preserve the gallbladder, since after excision of the organ, a lifelong strict diet will be required.

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Excision of defects occurs in the following cases:

With a significant increase in pathology.
With a fast, sharp increase.
In the presence of cholelithiasis.
With advanced inflammation of the organ.
With hepatic colic, deterioration of bile outflow or malignant degeneration.

Surgeons often perform cholecystectomy, during which the papilloma is removed along with damaged gallbladder tissue. Surgery is done traditionally or using an endoscope using anesthesia. The last type of elimination can significantly shorten the rehabilitation period.

Features of the treatment of formations on the gallbladder

Treatment of papilloma in the gallbladder, or rather, benign polyps, is carried out in a medical institution and depends on the size of the formation. If the size of the vegetation is less than 1 cm and its proven benign nature, dynamic monitoring of the patient is recommended. Ultrasound is indicated once every 3 months.

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For sizes greater than 10 mm, surgical intervention is indicated; there is a risk of duct obstruction and degeneration into a malignant tumor. There is no conservative therapy with proven effectiveness.

Surgical interventions are performed under general anesthesia. Currently, low-traumatic techniques for removing the gallbladder are used. Open cholecystectomy is indicated in the presence of stones, polyposis, cholecystitis and acute duct obstruction.

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Minimally invasive removal techniques:

Laparoscopy – equipment is inserted through incisions into the abdominal cavity. The gallbladder is removed through punctures with a diameter of 5 mm.
Minilaparoscopy – specialized instruments with reduced dimensions are used. Due to this, the length of the cuts is no more than 3 mm. Using this method reduces the risk of bleeding, pain, and the likelihood of sutures coming apart.
Single-puncture method - an incision is made in the navel area and equipment on flexible guides is inserted into the peritoneal cavity. The procedure lasts from 60–90 minutes. The incision is invisible and is made in the navel. The intensity of pain after the procedure is insignificant.

Important addition: Tetryl

After excision, suspicious tissue is sent for examination. Based on the histology results, the doctor develops further tactics for managing the patient. If a malignant tumor is detected, then chemotherapy and radiotherapy and palliative care are indicated.

Possible complications of gallbladder surgery:

phantom pain;
dyslipoproteinemia – a violation of the proportions of lipids of different densities in tissues;
sphincter of Oddi dysfunction;
bleeding and infection of the wound surface;
injuries during operational activities.

The rehabilitation period after laparoscopic removal of the gallbladder is 1 month. No specialized measures are required; it is enough to avoid stress and heavy physical activity.

Treatment of polyposis, similar to papillomas, at home involves following a diet
It is important to prevent the development of the inflammatory process, pancreatitis or pancreatic necrosis. Avoid fried and heavy foods, legumes, sweets, semi-finished and canned foods, marinades.
The diet should contain vegetables and greens in large quantities, and the drinking regime should be observed.

Traditional medicine recipes involve the use of decoctions of medicinal herbs - chamomile, celandine, tansy, wormwood. The use of recipes from traditional herbalists should be discussed with your doctor.

Polyps in the gallbladder must be removed. This growth should not be considered a harmless papilloma. The consequences of refusing surgical treatment are organ obstruction, the development of inflammatory processes, and the degeneration of a polyp into a malignant neoplasm.

The article has been reviewed by the site editors

Treatment options

For papillomas in the gallbladder, treatment should be prescribed immediately. First of all, the patient is recommended to follow a low-fat diet to normalize lipid metabolism.

Which products are completely excluded:

Smoked meats.
Canned food.
Pickles.
Fried food.
Fatty meat and fish.
Hot sauces and seasonings.
Semi-finished products.
Sour vegetables and fruits.
Confectionery.
Alcoholic and carbonated drinks.

Patients with this disease are recommended to maintain diet No. 5 - it is most suitable for normalizing metabolism, but allows you to eat a varied diet, receiving the necessary vitamins and microelements.

Treatment of this disease must be aimed at suppressing HPV, otherwise it will spread throughout the body. The patient is referred for a consultation with a dermatologist so that he can determine whether there are papilloma growths on the surface of the body and, if necessary, refer them for their removal.

For papillomas in the gallbladder, antiviral and immunomodulatory therapy is mandatory. What medications can be prescribed:

Isoprinosine.
Polyoxidonium.
Cycloferon.
Panavir.
Acyclovir.
Groprinosin.
Allokin-alpha.

During treatment, it is necessary to undergo examinations several times a year to monitor the condition of the growths. If there are no positive results, then the issue of surgical removal of papillomas is decided.

Indications for surgery:

Rapid growth of neoplasms (more than 2 mm per year).
Extensive growth.
Stone formation.
The presence of a chronic inflammatory process.
Blockage of the bile duct.
Liver colic.
Transformation of a growth into a cancerous tumor.

Gallbladder surgery is performed in two ways, depending on the size of the formations:

If it is necessary to remove several small papillomas, then endoscopic polypectomy is performed while preserving the gallbladder. Its advantages are a quick recovery period, a minimum of complications and the absence of a scar.
For formations larger than 2 cm, it is necessary to remove the entire organ, for this they resort to abdominal surgery. Patients after such an intervention require a longer period of rehabilitation and lifelong adherence to a special diet.

The development of papilloma in the gallbladder is a rather dangerous pathology, late detection of which can lead to serious health problems and requires surgical intervention. However, with timely detection of such papilloma, conservative treatment most often has favorable prognoses.

Why do polyps form?

The cause of abnormal growth of the mucous membrane is not fully understood. The mechanism for the appearance of polyps is associated with inflammatory processes when the inner lining of the gallbladder is destroyed.

Some bile is produced by the liver and enters the gall bladder. When the outflow is disrupted, the secretion accumulates and stagnates, becomes concentrated and gradually corrodes the walls of the organ.

The reason for this lies in the discrepancy between the actual amount of bile received and its required volume.

Polyps form on the destroyed mucosa. Their occurrence is often associated with chronic cholecystitis. There are several factors leading to bile stagnation and polyp growth:

hereditary predisposition;
decreased tone and motility of the biliary tract;
decreased metabolism;
congenital anomalies;
inflammation and pathological conditions of the hepatobiliary system;
poor nutrition;
disorder of fat breakdown and cholesterol deposition.

The tendency to gallbladder polyposis can be inherited, regardless of the type of tumor in relatives. Since most of the patients are women, it is assumed that the culprit in the appearance of polyps may be the hormone estrogen.

On which internal organs can papillomas appear?

Papillomas associated with HPV infection most often develop on the skin. Favorite places are the armpits, palms, feet, face, vulva, perianal fold.

But some types of papillomavirus are capable of causing vegetation in the internal cavities of the body. Target organs include:

urethra;
rectum;
Cervix;
larynx;

Source: https://gribkam.net/newest/papillomy-v-zelcnom-puzyre-lecenie.html

What is papilloma in the gallbladder and what is the treatment?

There are many diseases associated with the seemingly small organ called the gallbladder. This can be chronic or acute inflammation, cholelithiasis, or parasite damage.

One of the most common pathologies is papilloma in the gallbladder, which is often called a “polyp.” This name combines a number of conditions, different in origin, but similar in their outcome - the formation of tissue growths in the lumen of the gallbladder in the form of a polyp.

In the initial stages it does not give any characteristic symptoms, but over time it can lead to very serious consequences.

Content

What is papilloma in the gallbladder and its causes?

Gallbladder papilloma is one of the possible polyps that can form in its cavity. A polyp is a benign tumor that grows from the wall of an organ into its lumen, in this case, into the cavity of the gallbladder.

Polyps themselves arise for various reasons:

Inflammation, which leads to excessive growth of mucosal elements (with chronic cholecystitis).
Papilloma – occurs due to human infection with the human papillomavirus (HPV).
It is possible for a neoplasm to appear for no apparent reason; in such cases it may be: adenomas, fibroids, lipomas, adenofibromas.
Pseudopolyp is a formation that is not a benign tumor, but is fixed to the wall of the gallbladder (helminths, cholesterol deposits).

Any polyp of internal organs, including gallbladder papilloma, has a high risk of degeneration into malignant tumors. Both the emergence itself and degeneration occur spontaneously, sometimes after exposure to traumatic factors. Very often, the first symptom of papilloma degeneration into cancer is prolonged, unnoticeable bleeding.

Papilloma in the gallbladder differs from other neoplasms in that the reason for its appearance is clearly known - the introduction of HPV.

There are many strains of the virus, most of which are quite harmless and are caused exclusively by cutaneous warts.

Viruses that lead to the appearance of papillomas in internal organs are highly oncogenic and, in almost all cases, ultimately lead to the appearance of cancer at the site of the polyp.

Symptoms and diagnosis of formations

The only available method for determining the presence or absence of papilloma in the gallbladder is ultrasound. In this case, the fact of the presence of a neoplasm is determined exclusively.

At the moment, there is not a single research method that could confidently determine the nature of the found growth, its benignity or malignancy.

All studies to determine the cause of the formation are carried out in a histological laboratory after removal of the gallbladder.

Until this moment, the attending physician is not able to make an accurate diagnosis and determine further treatment tactics.

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There are a number of symptoms and conditions that often accompany papilloma:

The development of a permanent focus of inflammation in the gallbladder is chronic cholecystitis.
Impaired outflow of bile due to partial blocking of the lumen of the bladder by papilloma, resulting in the formation of stones.
Intolerance to fatty, fried foods, alcohol.
Stitching or cutting pain in the right side near the costal arch.
Weak or pronounced yellowing of the whites of the eyes, skin of the palms, face.
The presence of a microscopic amount of blood in the stool (determined only by laboratory testing).

How to treat gallbladder papillomas using traditional methods

Until a histological examination of the neoplasm is carried out, it is impossible to determine what kind of disease has affected the gallbladder.

If this is an oncological process, then after removal of the gallbladder it is mandatory to undergo a course of chemotherapy and/or radiation therapy.

In the case of a benign neoplasm, further actions are limited solely to recovery after surgery, and any other treatment procedures have no meaning or basis.

Special attention should be paid to the so-called. pseudopolyps. In the case of their parasitic origin, the helminth looks identical to human tissue on ultrasound.

After identifying parasites in the bladder cavity, treatment with anthelmintic drugs is carried out.

When determining cholesterol deposits, specific therapy is not required, but it is worth conducting a blood lipid test to exclude atherosclerosis.

If any objects appear in the gall bladder, be it stones, worms or papillomas, you should not take choleretic drugs. Increased outflow of bile can lead to displacement of these objects and blockage of the biliary (bile) ducts.

This condition is called hepatic colic. Due to the impossibility of bile entering the duodenum, it begins to leak into the blood, after which it spreads throughout the body. Hepatic colic is fraught with death in the absence of timely medical care.

Folk remedies

Papilloma in the gallbladder cannot be treated with traditional methods, since it does not have specific symptoms. All symptoms possible in its presence are present in many gallbladder pathologies. Moreover, you cannot resort to treatment with folk remedies in view of the fact that a reliable determination of the nature of the neoplasm is impossible.

The only thing that is possible with this disease is the use of all kinds of choleretic and stone-destroying drugs after removal of the gallstone itself.

Corn silk. A good choleretic agent, used for many decades. Take three teaspoons of stigmas, pour 200 ml of boiling water over them, then put them on the fire for 30 minutes, but do not bring to a boil. Dilute the resulting decoction with a glass of boiled water and take 50 ml before each meal.
Olive oil. This substance of natural origin perfectly dilutes bile and prevents the formation of new stones. You need to take 1 teaspoon of oil half an hour before meals.
Immortelle. Pour 2 tablespoons of dried immortelle with 1 liter of boiling water in a thermos, then let it brew for 4 to 5 hours. Take ½ glass of infusion before meals.
Hemp seed. Grind a glass of seeds using any available method, then pour in 3 glasses of fresh milk. Keep on low heat until a third of the original volume of the mixture remains. After this, strain the broth and take 100 ml before meals. The course of treatment is 1 week.

Preventing the appearance of growths in the gallbladder

To avoid all kinds of gallbladder diseases, including papillomas, follow a certain diet:

Avoid eating excessive amounts of fried and fatty foods, but do not eliminate them from your diet completely.
Try to avoid eating spicy foods.
Completely eliminate or minimize alcohol intake.

There is no specific prevention of papilloma, however, by following proper nutrition and a healthy lifestyle, you can minimize the chances of its occurrence.

The article has been verified by the editors

Source: https://CoriumMed.ru/papillomy/tipy/v-zhelchnom-puzyre.html

Papillomas in the gallbladder: main symptoms, causes, treatment and prognosis

The gallbladder is responsible for digestion processes, so disruption of the functionality of this organ negatively affects the entire gastrointestinal tract. Bladder pathologies are dangerous due to the lack of specific manifestations. Papillomas sometimes lead to dangerous complications, so if formations are detected using ultrasound, you must urgently consult a specialist.

What are polyps

Benign papillomas have the appearance of tumor-like growths localized on the mucous membrane of the organ. The disease is not considered widespread, affecting every twentieth person. Moreover, this problem affects women more than men.

The process of polyp formation occurs without characteristic signs, so it is necessary to know the reasons for the development of defects. The symptoms of already existing papillomas are similar to the clinical picture of cholecystitis and other gallbladder pathologies. A specialist must competently understand the situation, because there is a high risk of malignant degeneration of growths.

Types of papillomas in the gallbladder

Thanks to diagnostic studies and studies of biological materials taken using biopsy, a division of growths into varieties has emerged. Benign polyps are:

Cholesterol with calcified inclusions. Such pseudotumors are formed due to an excess amount of cholesterol in the form of stones located on the inner surface of the organ. Only this type can be eliminated by conservative therapy.
Papillomas. Papillary growths develop after infection with HPV.
Adenomatous. Such benign polyps arise from glandular tissue rather than epithelial tissue.

There are also inflammatory formations. The internal tissues of these growths are constantly inflamed, which is why the granulation grows unnaturally. This process significantly increases the likelihood of malignancy of papillomas.

Causes of polyps

It is important to undergo periodic ultrasound examinations if you have:

Hepatitis.
Chronic cholecystitis with congestion.
Dyskinesia of the bile ducts.
Genetic abnormalities.

Other indications for an ultrasound examination include excess weight, a genetic predisposition to the occurrence of papillomas in the gallbladder, the use of hormonal drugs or an unhealthy diet that disrupts metabolism.

Cholesterol tumors appear due to deterioration of fat metabolism. As a result of the accumulation of cholesterol to excessive amounts, the substance is fixed inside the vessels, leading to pseudopolyps.

An important provoking factor should be considered the presence of an inflammatory process in the organ. This leads to a change in the size of the gallbladder and congestion. In some cases, papillomas increase during pregnancy, so therapeutic therapy is necessary at the planning stage of conception.

Clinical manifestations

The appearance of hidden signs is influenced by the location of the growth. If the cervix or canal of the organ is affected, then an increase in the tumor will lead to a deterioration in the outflow of bile. Papillary growths provoke the occurrence of biliary papillomatosis.

If the development of polyps is associated with the presence of gallbladder pathology, then papilloma does not cause any discomfort to the patient for a long time. However, with advanced cholecystitis or dyskinesia, the patient begins to suffer from aching pain with acute attacks, pain in the right hypochondrium.

Almost always, such symptoms occur after eating , since a polyp in a canal or on the tissue structure of an organ interferes with the outflow of bile. With the constant consumption of nutritious foods with excessive amounts of fat, vomiting, flatulence, sour atavism, bitterness in the mouth, constipation and yellowness of the skin appear.

Diagnostic tests

Most often, patients come for diagnostics with pain in the right hypochondrium due to nervous strain, nausea, bitterness in the mouth in the morning, and colic in the liver area. An accurate diagnosis, the reasons for the formation of polyps, the appointment of the correct treatment and a special diet occurs after:

Ultrasound examination, which helps to identify formations in contact with the inner surface of the organ. Unlike stones, changing body position does not displace papillomas.
Endosonography. Thanks to ultrasound and an endoscope, the location of the growth and its structure are determined.
Magnetic resonance cholangiography. This x-ray diagnostic method allows you to identify damage and deformation of the mucous membrane of the organ and bile ducts.
Computed tomography. A highly accurate research method determines the presence of tumors, assesses the condition of the polyp and the likelihood of malignant degeneration.

Ultrasound is considered the main diagnostic method. In most cases, formations in the gallbladder are detected during an ultrasound examination of the liver.

Medical therapy

A healing diet involves eating in fractional portions 5-6 times a day. To reduce the thickness of bile, it is important to drink 1.5-2 liters of water. You need to add bran and foods with a lot of fiber to your diet. This diet will protect the patient from the appearance of new polyps.

Excision of defects occurs in the following cases:

With a significant increase in pathology.
With a fast, sharp increase.
In the presence of cholelithiasis .
With advanced inflammation of the organ.
With hepatic colic, deterioration of bile outflow or malignant degeneration.

Possible complications

In most cases, patients do not take papillomas in the gallbladder seriously, which is why they do not understand the full danger of this disease. Even in the absence of clinical manifestations and indications for surgical removal, the pathological neoplasm has a detrimental effect on the entire body.

Polyps often provoke inflammatory processes in the mucous membranes of organ tissues due to insufficient outflow of bile. As a result, the walls are irreversibly changed. A constant increase in the level of bilirubin in the vessels due to stagnation of bile affects the brain with dangerous toxins.

The most dangerous complication should be considered malignant degeneration of papilloma. The initial polyp is a benign defect, but the probability of malignancy is about 40%, so the patient must be periodically examined to assess the condition of the neoplasm.

Forecast

Small growths that are not prone to increasing in volume are practically not dangerous for degeneration into a malignant tumor. In this case, treatment therapy includes antiviral drugs that block the activity of the human papillomavirus. In this case, malignancy occurs in every fifth patient with a gallbladder polyp.

obstruction will occur , which causes jaundice and liver cells to be destroyed. Inflammation of the liver and stagnation of bile lead to deterioration of blood circulation in the portal vein. As a result, the connective tissue grows, which can lead to liver failure or cirrhosis.

Papilloma appears when HPV and can affect the mucous membrane of any organ. If the gallbladder suffers from polyps, the functioning of the entire gastrointestinal tract deteriorates and digestion processes are disrupted. Many patients do not pay attention to this disease, as a result of which the pathology starts, significantly increasing the risk of developing cancer.

Single small growths are practically not dangerous, but you need to be periodically examined by a specialist. If specific signs appear or the size of the formation increases, excision of the defect by surgical or endoscopic method is indicated.

During treatment, special attention should be paid to nutrition. A strict healing diet excludes the consumption of sweet, fatty, salty, smoked foods, legumes and mushrooms. Instead, you should eat foods rich in fiber. It is important to remember that the formation of papilloma in the gallbladder is an alarming signal from the body, which should be responded to promptly and correctly.

Source: https://onkologia.ru/dobrokachestvennyie-opuholi/pischevaritelnaya-sistema/papillomy-zhelchnogo-puzyrya/