Tokyo Guidelines 2018: management bundles for acute cholangitis and cholecystitis

Journal of Hepato-biliary-pancreatic Sciences
Toshihiko MayumiMasakazu Yamamoto

Abstract

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.

References

Jan 12, 2013·Journal of Hepato-biliary-pancreatic Sciences·Kohji OkamotoUNKNOWN Tokyo Guideline Revision Committee
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Aug 24, 2017·Journal of Hepato-biliary-pancreatic Sciences·Shuntaro MukaiMasakazu Yamamoto
Sep 10, 2017·Journal of Hepato-biliary-pancreatic Sciences·Yasuhisa MoriMasakazu Yamamoto
Sep 25, 2017·Journal of Hepato-biliary-pancreatic Sciences·Fumihiko MiuraMasakazu Yamamoto
Oct 17, 2017·Journal of Hepato-biliary-pancreatic Sciences·Seiki KiriyamaMasakazu Yamamoto
Oct 17, 2017·Journal of Hepato-biliary-pancreatic Sciences·Masamichi YokoeMasakazu Yamamoto
Oct 19, 2017·Journal of Hepato-biliary-pancreatic Sciences·Kohji OkamotoMasakazu Yamamoto
Nov 2, 2017·Journal of Hepato-biliary-pancreatic Sciences·Harumi GomiMasakazu Yamamoto

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Citations

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