The sonographer dilemma: Ultrasound follow-up in patients with small gallbladder polyps

The sonographer dilemma


  • Malene Roland Vils Pedersen Department of Radiology, Vejle Hospital, Beriderbakken 4, DK-7100 Vejle, Denmark



Sonographer, Ultrasound, Follow-Up, Gallbladder Polyps


What should sonographers recommend to patients diagnosed with small gallbladder polyps? Is follow-up always the solution? And for how many years should we encourage patients to participate in a follow-up ultrasound program? This tutorial discusses current research and guidelines. 


Afzal A., Kristiansen VB., Rosenberg J. Gall bladder polyps. Ugeskr Læger 2001;163:5003–6.

Jørgensen T., Jensen KH. Polyps in the gallbladder. A prevalence study. Scand J Gastroenterol 1990;25:281–6.

Heitz L., Kratzer W., Gräter T., Schmidberger J. Gallbladder polyps - A follow-up study after 11 years. BMC Gastroenterol 2019;19:42. Doi: 10.1186/s12876-019-0959-3.

Bray F., Ferlay J., Soerjomataram I., Siegel RL., Torre LA., Jemal A. Global Cancer statistics 2018:GLOBOCAN estimates of incidence and mortality world-wide for 36 cancers in 185 countries. CA Cancer J Clin 2018;68:394–424.

Hundal R., Shaffer E. Gallbladder cancer: epidemiology and outcome. Clin Epidemiol 2014;7:99–109. doi: 10.2147/CLEP.S37357

Wiles R., Thoeni RF., Barbu ST., Vashist YK., Rafaelsen SR., Dewhurst C., et al. Managenemt and follow-up of gallbladder polyps. Eur Radiol 2017;27:3856–66. doi: 10.1007/s00330-017-4742-y

Walsh AJ., Bingham DB., Kamaya A. Longitudinal ultrasound assessment of changes in size and number of incidentally-detected gallbladder polyps. AJR Am J Roentgenol 2021:10.2214/AJR.21.26614. Doi: 10.2214/AJR.21.26614.

Valibouze C., EL Amrani M., Truant S., Leroy C., Millet G., Pruvot FR., et al. Management of gallbladder polyps. J Visc Surg 2020;157:413–20. Doi: 10.1007/s10353-020-00659-8.

McCain SR., Diamond A., Jones C., Coleman HG. Current practices and future prospects for the management of gallbladder polyps: A topical review. World J Gastroenterol 2018;9327(26). doi: 10.3748/wjg.v24.i26.2844.

Irie H., Kamochi N., Noijri J., Egashira Y., Sasaguri K., Kudo S. High b-value diffusion-weighted MRI in differentiation between benign and malignant polypoid gallbladder lesions. Acta Radiol 2011;52(3):236–40.

Ogawa T., Horaguchi J., Fujita N., Noda Y., Kobayashi G., Ito K., et al. High b-value diffusion-weighted magnetic resonance imaging for gallbladder lesions: differentiation between benignity and malignancy. J Gastroenterol 2012;47(12):1352–60.

Pedersen MR., Dam C., Rafaelsen SR. Ultrasound follow-up for gallbladder polyps less than 6 mm may not be necessary. Dan Med J 2012;oct 59(10):A4503.

Rafaelsen SR., Otto PO., Pedersen MRV. Long-term ultrasound follow-up in patients with small gallbladder polyps. Dan Med J 2020;67(10).




How to Cite

Pedersen, M. R. V. (2021). The sonographer dilemma: Ultrasound follow-up in patients with small gallbladder polyps: The sonographer dilemma. Radiography Open, 7(1), 79–82.




Cited by