Tokyo Guidelines 2018: management bundles for acute cholangitis and cholecystitis

Toshihiko Mayumi, Kohji Okamoto, Tadahiro Takada, Steven M. Strasberg, Joseph S. Solomkin, David Schlossberg, Henry A. Pitt, Masahiro Yoshida, Harumi Gomi, Fumihiko Miura, O. James Garden, Seiki Kiriyama, Masamichi Yokoe, Itaru Endo, Horacio J. Asbun, Yukio Iwashita, Taizo Hibi, Akiko Umezawa, Kenji Suzuki, Takao ItoiJiro Hata, Ho Seong Han, Tsann Long Hwang, Christos Dervenis, Koji Asai, Yasuhisa Mori, Wayne Shih Wei Huang, Giulio Belli, Shuntaro Mukai, Palepu Jagannath, Daniel Cherqui, Kazuto Kozaka, Todd H. Baron, Eduardo de Santibañes, Ryota Higuchi, Keita Wada, Dirk J. Gouma, Daniel J. Deziel, Kui Hin Liau, Go Wakabayashi, Robert Padbury, Eduard Jonas, Avinash Nivritti Supe, Harjit Singh, Toshifumi Gabata, Angus C.W. Chan, Wan Yee Lau, Sheung Tat Fan, Miin Fu Chen, Chen Guo Ker, Yoo Seok Yoon, In Seok Choi, Myung Hwan Kim, Dong Sup Yoon, Seigo Kitano, Masafumi Inomata, Koichi Hirata, Kazuo Inui, Yoshinobu Sumiyama, Masakazu Yamamoto

Research output: Contribution to journalArticle

38 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)96-100
Number of pages5
JournalJournal of Hepato-Biliary-Pancreatic Sciences
Volume25
Issue number1
DOIs
Publication statusPublished - Jan 2018
Externally publishedYes

Keywords

  • Acute cholangitis
  • Acute cholecystitis
  • Cholangitis bundles
  • Cholecystitis bundles
  • Guidelines

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    Mayumi, T., Okamoto, K., Takada, T., Strasberg, S. M., Solomkin, J. S., Schlossberg, D., Pitt, H. A., Yoshida, M., Gomi, H., Miura, F., Garden, O. J., Kiriyama, S., Yokoe, M., Endo, I., Asbun, H. J., Iwashita, Y., Hibi, T., Umezawa, A., Suzuki, K., ... Yamamoto, M. (2018). Tokyo Guidelines 2018: management bundles for acute cholangitis and cholecystitis. Journal of Hepato-Biliary-Pancreatic Sciences, 25(1), 96-100. https://doi.org/10.1002/jhbp.519