Correspondence to Author: Parveen Malhotra, Rahul Siwach, Bibin CF, Chitrakshi Bhardwaj, Avani Sharma, Abhishek Yadav, Himanshu, Shivanshu, Rajasvi, Taranjot Singh. 

Department of Medical Gastroenterology, PGIMS, Rohtak, Haryana, India.

DOI: 10.52338/jjogastro.2026.5524

Abstract:

Introduction: Incidental gallbladder polyps (also known as polypoid lesions of the gallbladder) are a common sonographic finding, occurring in approximately 3%–6% of the general population. Although most are benign cholesterol polyps (also known as cholesterol pseudo polyps) or inflammatory polyps, a small percentage of them are true neoplastic polyps, which have an unknown though small malignant potential.
Case Report: We report a fifty-year-old male, not a known case of any chronic illness, non-smoker, non-alcoholic, presented with non- ulcer dyspepsia symptoms and constipation for last two months. There was no history of haematemesis, malena, fever, weight loss, jaundice. All his routine labs were normal and ultrasonogram abdomen showed two small gall bladder polyps of 3mm which were differentiated from gall bladder stones on basis of absence of post-acoustic shadow and stable position, even on changing position. He was advised laparoscopic cholecystectomy by some surgeon in private hospital. At this point of time, he came for opinion to our department. On detailed evaluation of his clinical history, examination and investigations, it was decided that there was no need of laparoscopic cholecystectomy and he was put on proton pump inhibitors (PPI), Prokinetics, laxatives and dietary advise of decrease intake of spicy, sugary and oily foods and increase intake of water, fruits, salads and roughage in the diet. He became asymptomatic within one month and thus dosages were decreased and ultimately were stopped after three months. On follow up after six months, he is symptom free that too without any medications but dietary advices are being continued. His repeat ultrasonogram showed same size of both the gall bladder polyps. He has been suggested six monthly ultrasonogram and review.
Conclusion: Gall bladder polyps are commonly diagnosed on ultrasonogram and decision of cholecystectomy should be taken on scientific rationale and recommendations. Every surgical procedure has its own inherent risks and should be done where it is clearly indicated.

Citation:

Parveen Malhotra, Gall Bladder Polyps- Cholecystectomy Not For All. Japanese Journal of Gastroenterology 2026.