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Tokyo Guidelines 2018: management strategies for gallbladder drainage in patients with acute cholecystitis (with videos)
Author(s) -
Mori Yasuhisa,
Itoi Takao,
Baron Todd H.,
Takada Tadahiro,
Strasberg Steven M.,
Pitt Henry A.,
Ukai Tomohiko,
Shikata Satoru,
Noguchi Yoshinori,
Teoh Anthony Yuen Bun,
Kim MyungHwan,
Asbun Horacio J.,
Endo Itaru,
Yokoe Masamichi,
Miura Fumihiko,
Okamoto Kohji,
Suzuki Kenji,
Umezawa Akiko,
Iwashita Yukio,
Hibi Taizo,
Wakabayashi Go,
Han HoSeong,
Yoon YooSeok,
Choi InSeok,
Hwang TsannLong,
Chen MiinFu,
Garden O. James,
Singh Harjit,
Liau KuiHin,
Huang Wayne ShihWei,
Gouma Dirk J.,
Belli Giulio,
Dervenis Christos,
Santibañes Eduardo,
Giménez Mariano Eduardo,
Windsor John A.,
Lau Wan Yee,
Cherqui Daniel,
Jagannath Palepu,
Supe Avinash Nivritti,
Liu KengHao,
Su ChengHsi,
Deziel Daniel J.,
Chen XiaoPing,
Fan Sheung Tat,
Ker ChenGuo,
Jonas Eduard,
Padbury Robert,
Mukai Shuntaro,
Honda Goro,
Sugioka Atsushi,
Asai Koji,
Higuchi Ryota,
Wada Keita,
Yoshida Masahiro,
Mayumi Toshihiko,
Hirata Koichi,
Sumiyama Yoshinobu,
Inui Kazuo,
Yamamoto Masakazu
Publication year - 2018
Publication title -
journal of hepato‐biliary‐pancreatic sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 1868-6974
DOI - 10.1002/jhbp.504
Subject(s) - medicine , gallbladder , acute cholecystitis , drainage , percutaneous , cholecystitis , general surgery , endoscopic ultrasound , cholecystectomy , surgery , radiology , ecology , biology
Since the publication of the Tokyo Guidelines in 2007 and their revision in 2013, appropriate management for acute cholecystitis has been more clearly established. Since the last revision, several manuscripts, especially for alternative endoscopic techniques, have been reported; therefore, additional evaluation and refinement of the 2013 Guidelines is required. We describe a standard drainage method for surgically high-risk patients with acute cholecystitis and the latest developed endoscopic gallbladder drainage techniques described in the updated Tokyo Guidelines 2018 (TG18). Our study confirmed that percutaneous transhepatic gallbladder drainage should be considered the first alternative to surgical intervention in surgically high-risk patients with acute cholecystitis. Also, endoscopic transpapillary gallbladder drainage or endoscopic ultrasound-guided gallbladder drainage can be considered in high-volume institutes by skilled endoscopists. In the endoscopic transpapillary approach, either endoscopic naso-gallbladder drainage or gallbladder stenting can be considered for gallbladder drainage. We also introduce special techniques and the latest outcomes of endoscopic ultrasound-guided gallbladder drainage studies. Free full articles and mobile app of TG18 are available at: http://www.jshbps.jp/modules/en/index.php?content_id=47. Related clinical questions and references are also included.