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Incidental Findings
Gastrointestinal
Management of Incidental Gallbladder and Biliary Findings: Summary of Consensus Statements
Management of Incidental Gallbladder and Biliary Findings: Summary of Consensus Statements
Siva P. Raman, MD
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KEY FACTS

  • Background

    • ACR 2013 Recommendations

      • Joint Guidelines for Gallbladder Polyps Issued by ESGAR, EAES, EFISDS, and ESGE

        TERMINOLOGY

        • Definitions

          • "Incidental" biliary and gallbladder abnormalities are those discovered unrelated to original purpose of examination
          • Incidental biliary and gallbladder findings are extremely common given wide prevalence of gallbladder disease in both male and female patients (F > M)

        • ACR Recommendations 2013

          • Provides expert opinion (based on both experience and data in literature) regarding recommended management of number of common incidental gallbladder and biliary imaging findings
          • Primary purpose is guidance to radiologists for differentiating benign and malignant conditions of biliary tract

        IMAGING ANATOMY

        • Classic Imaging Appearance of Common Biliary and Gallbladder Lesions

          CLINICAL IMPLICATIONS

          • ACR 2013 Recommendations for Common Biliary and Gallbladder Abnormalities on Imaging

            • Joint Guidelines for Gallbladder Polyps Issued by ESGAR, EAES, EFISDS, and ESGE

              Selected References

              1. Valibouze C et al: The management of gallbladder polyps. J Visc Surg. 157(5):410-7, 2020
              2. Wiles R et al: 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). Eur Radiol. 27(9):3856-66, 2017
              3. Sebastian S et al: Managing incidental findings on abdominal and pelvic CT and MRI, Part 4: white paper of the ACR Incidental Findings Committee II on gallbladder and biliary findings. J Am Coll Radiol. 10(12):953-6, 2013
              Related Anatomy
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              Related Differential Diagnoses
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              References
              Tables

              Tables

              KEY FACTS

              • Background

                • ACR 2013 Recommendations

                  • Joint Guidelines for Gallbladder Polyps Issued by ESGAR, EAES, EFISDS, and ESGE

                    TERMINOLOGY

                    • Definitions

                      • "Incidental" biliary and gallbladder abnormalities are those discovered unrelated to original purpose of examination
                      • Incidental biliary and gallbladder findings are extremely common given wide prevalence of gallbladder disease in both male and female patients (F > M)

                    • ACR Recommendations 2013

                      • Provides expert opinion (based on both experience and data in literature) regarding recommended management of number of common incidental gallbladder and biliary imaging findings
                      • Primary purpose is guidance to radiologists for differentiating benign and malignant conditions of biliary tract

                    IMAGING ANATOMY

                    • Classic Imaging Appearance of Common Biliary and Gallbladder Lesions

                      CLINICAL IMPLICATIONS

                      • ACR 2013 Recommendations for Common Biliary and Gallbladder Abnormalities on Imaging

                        • Joint Guidelines for Gallbladder Polyps Issued by ESGAR, EAES, EFISDS, and ESGE

                          Selected References

                          1. Valibouze C et al: The management of gallbladder polyps. J Visc Surg. 157(5):410-7, 2020
                          2. Wiles R et al: 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). Eur Radiol. 27(9):3856-66, 2017
                          3. Sebastian S et al: Managing incidental findings on abdominal and pelvic CT and MRI, Part 4: white paper of the ACR Incidental Findings Committee II on gallbladder and biliary findings. J Am Coll Radiol. 10(12):953-6, 2013