HIGUCHI Ryota
   Department   School of Medicine(Yachiyo Medical Center), School of Medicine
   Position   Assistant Professor
Article types Original article
Language English
Peer review Non peer reviewed
Title Tokyo Guidelines 2018: management bundles for acute cholangitis and cholecystitis.
Journal Formal name:Journal of hepato-biliary-pancreatic sciences
Abbreviation:J Hepatobiliary Pancreat Sci
ISSN code:(1868-6982)1868-6974(Linking)
Domestic / ForeginDomestic
Volume, Issue, Page 25(1),pp.96-100
Author and coauthor 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 Ho-Seong,Hwang Tsann-Long,Dervenis Christos,ASAI Koji,MORI Yasuhisa,Huang Wayne Shih-Wei,Belli Giulio,MUKAI Shuntaro,Jagannath Palepu,Cherqui Daniel,KOZAKA Kazuto,Baron Todd H,de Santibañes Eduardo,HIGUCHI Ryota,WADA Keita,Gouma Dirk J,Deziel Daniel J,Liau Kui-Hin,WAKABAYASHI Go,Padbury Robert,Jonas Eduard,Supe Avinash Nivritti,Singh Harjit,GABARA Toshifumi,Chan Angus C W,Lau Wan Yee,Fan Sheung Tat,Chen Miin-Fu,Ker Chen-Guo,Yoon Yoo-Seok,Choi In-Seok,Kim Myung-Hwan,Yoon Dong-Sup,KITANO Seigo,INOMATA Masafumi,HIRATA Koichi,INUI Kazuo,SUMIYAMA Yoshinobu,YAMAMOTO Masakazu
Publication date 2018/01
Summary 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.
DOI 10.1002/jhbp.519
PMID 29090868