Is Gallbladder Inflammation with Polyps a Serious Condition?

Gallbladder inflammation combined with gallbladder polyps is generally not considered a severe condition, especially when the polyps are singular and non-symptomatic. In many cases, these polyps are classified as adenomatous polyps, which are typically benign. However, if a patient experiences an acute gallbladder infection along with discomfort or bloating in the upper right abdomen and back, it is advisable to begin with anti-inflammatory treatment.

Initial treatment may involve intravenous antibiotics such as second-generation cephalosporins combined with metronidazole for a period of 2-3 days to reduce inflammation and manage symptoms effectively. Once the acute phase is under control, doctors can better assess the gallbladder polyps and monitor their development.

If the polyp measures less than 0.6–0.9 cm in diameter and shows little to no growth over time, doctors often recommend a "watchful waiting" approach. This includes regular follow-up appointments and abdominal ultrasounds every six months to ensure the polyp hasn't increased in size or changed in nature.

However, if the polyp reaches or exceeds 1 cm in size, surgical removal is usually advised. The preferred method is laparoscopic cholecystectomy, a minimally invasive procedure to remove the gallbladder. After surgery, the removed gallbladder is sent to a pathology lab for detailed examination to determine whether the polyp is adenomatous or cholesterol-based.

Following the operation, patients are encouraged to consume moderate amounts of fat-rich foods such as eggs and milk within the first week. This dietary recommendation helps stimulate bile flow through the common bile duct and may reduce the risk of developing bile duct stones.

In conclusion, while gallbladder inflammation with polyps is not immediately dangerous, it does require careful monitoring and timely intervention if the polyps grow larger or cause symptoms. Always consult with a qualified healthcare provider for personalized advice and treatment options.