| Literature DB >> 29090868 |
Toshihiko Mayumi1, Kohji Okamoto2, Tadahiro Takada3, Steven M Strasberg4, Joseph S Solomkin5, David Schlossberg6,7,8, Henry A Pitt9, Masahiro Yoshida10,11, Harumi Gomi12, Fumihiko Miura3, O James Garden13, Seiki Kiriyama14, Masamichi Yokoe15, Itaru Endo16, Horacio J Asbun17, Yukio Iwashita18, Taizo Hibi19, Akiko Umezawa20, Kenji Suzuki21, Takao Itoi22, Jiro Hata23, Ho-Seong Han24, Tsann-Long Hwang25, Christos Dervenis26, Koji Asai27, Yasuhisa Mori28, Wayne Shih-Wei Huang29, Giulio Belli30, Shuntaro Mukai22, Palepu Jagannath31, Daniel Cherqui32, Kazuto Kozaka33, Todd H Baron34, Eduardo de Santibañes35, Ryota Higuchi36, Keita Wada3, Dirk J Gouma37, Daniel J Deziel38, Kui-Hin Liau39, Go Wakabayashi40, Robert Padbury41, Eduard Jonas42, Avinash Nivritti Supe43, Harjit Singh44, Toshifumi Gabata45, Angus C W Chan46, Wan Yee Lau47, Sheung Tat Fan48, Miin-Fu Chen25, Chen-Guo Ker49, Yoo-Seok Yoon24, In-Seok Choi50, Myung-Hwan Kim51, Dong-Sup Yoon52, Seigo Kitano53, Masafumi Inomata18, Koichi Hirata54, Kazuo Inui55, Yoshinobu Sumiyama56, Masakazu Yamamoto36.
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.Entities:
Keywords: Acute cholangitis; Acute cholecystitis; Cholangitis bundles; Cholecystitis bundles; Guidelines
Mesh：
Substances：
Year: 2017 PMID： 29090868 DOI： 10.1002/jhbp.519
Source DB: PubMed Journal: J Hepatobiliary Pancreat Sci ISSN： 1868-6974 Impact factor: 7.027