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Tokyo Guidelines 2018: management bundles for acute cholangitis and cholecystitis
Author(s) -
Mayumi Toshihiko,
Okamoto Kohji,
Takada Tadahiro,
Strasberg Steven M.,
Solomkin Joseph S.,
Schlossberg David,
Pitt Henry A.,
Yoshida Masahiro,
Gomi Harumi,
Miura Fumihiko,
Garden O. James,
Kiriyama Seiki,
Yokoe Masamichi,
Endo Itaru,
Asbun Horacio J.,
Iwashita Yukio,
Hibi Taizo,
Umezawa Akiko,
Suzuki Kenji,
Itoi Takao,
Hata Jiro,
Han HoSeong,
Hwang TsannLong,
Dervenis Christos,
Asai Koji,
Mori Yasuhisa,
Huang Wayne ShihWei,
Belli Giulio,
Mukai Shuntaro,
Jagannath Palepu,
Cherqui Daniel,
Kozaka Kazuto,
Baron Todd H.,
Santibañes Eduardo,
Higuchi Ryota,
Wada Keita,
Gouma Dirk J.,
Deziel Daniel J.,
Liau KuiHin,
Wakabayashi Go,
Padbury Robert,
Jonas Eduard,
Supe Avinash Nivritti,
Singh Harjit,
Gabata Toshifumi,
Chan Angus C. W.,
Lau Wan Yee,
Fan Sheung Tat,
Chen MiinFu,
Ker ChenGuo,
Yoon YooSeok,
Choi InSeok,
Kim MyungHwan,
Yoon DongSup,
Kitano Seigo,
Inomata Masafumi,
Hirata Koichi,
Inui Kazuo,
Sumiyama Yoshinobu,
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.519
Subject(s) - acute cholecystitis , medicine , cholecystitis , clinical practice , general surgery , gallbladder , cholecystectomy , family medicine
Management bundles that define items or procedures strongly recommended in clinical practice have been used in many guidelines in recent years. Application of these bundles facilitates the adaptation of guidelines and helps improve the prognosis of target diseases. In Tokyo Guidelines 2013 (TG13), we proposed management bundles for acute cholangitis and cholecystitis. Here, in Tokyo Guidelines 2018 (TG18), we redefine the management bundles for acute cholangitis and cholecystitis. Critical parts of the bundles in TG18 include the diagnostic process, severity assessment, transfer of patients if necessary, and therapeutic approach at each time point. Observance of these items and procedures should improve the prognosis of acute cholangitis and cholecystitis. Studies are now needed to evaluate the dissemination of these TG18 bundles and their effectiveness. 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.