Tokyo Guidelines 2018: management bundles for acute cholangitis and cholecystitis
Open accessAbstract
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 ( TG 13), we proposed management bundles for acute cholangitis and cholecystitis. Here, in Tokyo Guidelines 2018 ( TG 18), we redefine the management bundles for acute cholangitis and cholecystitis. Critical parts of the bundles in TG 18 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 TG 18 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.
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Patients with severe acute cholangitis and high-grade bile duct strictures are at high risk of mortality and require urgent biliary decompression.
“Patients with severe acute cholangitis and high-grade bile duct strictures are at high risk of mortality and require urgent biliary decompression.231,232”
From EASL Clinical Practice Guidelines on sclerosing cholangitis (2022) · cites this paper as [232]
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- Authors
- 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., Itoi, T., Hata, J., Han, H., Hwang, T., Dervenis, C., Asai, K., Mori, Y., Huang, W. S., Belli, G., Mukai, S., Jagannath, P., Cherqui, D., Kozaka, K., Baron, T. H., de Santibañes, E., Higuchi, R., Wada, K., Gouma, D. J., Deziel, D. J., Liau, K., Wakabayashi, G., Padbury, R., Jonas, E., Supe, A. N., Singh, H., Gabata, T., Chan, A. C. W., Lau, W. Y., Fan, S. T., Chen, M., Ker, C., Yoon, Y., Choi, I., Kim, M., Yoon, D., Kitano, S., Inomata, M., Hirata, K., Inui, K., Sumiyama, Y., & Yamamoto, M.
- Affiliations
- University of Occupational and Environmental Health Japan (JP)
- Kitakyushu City Hospital Organization (JP)
- Teikyo University (JP)
- Washington University in St. Louis (US)
- University of Cincinnati (US)
- Philadelphia Department of Public Health (US)
- Temple University (US)
- Japan Council for Quality Health Care (JP)
- University of Tsukuba (JP)
- University of Edinburgh (GB)
- Ogaki Municipal Hospital (JP)
- Japanese Red Cross Nagoya Daini Hospital (JP)
- Yokohama City University (JP)
- Mayo Clinic (US)
- Oita University (JP)
- Keio University (JP)
- Yotsuya Medical Cube (JP)
- Fujinomiya City General Hospital (JP)
- Tokyo Medical University Hospital (JP)
- Kawasaki Medical School (JP)
- Seoul National University (KR)
- Taoyuan Chang Gung Memorial Hospital (TW)
- Agia Olga Hospital (GR)
- Toho University Ohashi Medical Center (JP)
- Kyushu University (JP)
- Chang Bing Show Chwan Memorial Hospital (TW)
- Ospedale Santa Maria di Loreto Nuovo (IT)
- Lilavati Hospital & Research Centre (IN)
- Hôpital Paul-Brousse (FR)
- Kanazawa University (JP)
- University of North Carolina at Chapel Hill (US)
- Department of Surgery Hospital Italiano University of Buenos Aires Buenos Aires Argentina
- Tokyo Women's Medical University (JP)
- Amsterdam UMC Location University of Amsterdam (NL)
- Rush University Medical Center (US)
- National University of Singapore (SG)
- Ageo Central General Hospital (JP)
- Flinders Medical Centre (AU)
- University of Cape Town (ZA)
- King Edward Memorial Hospital and Seth G.S. Medical College (IN)
- Hospital Selayang (MY)
- Kanazawa University Hospital (JP)
- Hong Kong Sanatorium and Hospital (HK)
- Chinese University of Hong Kong (HK)
- Yuan's General Hospital (TW)
- Konyang University Hospital (KR)
- University of Ulsan (KR)
- Yonsei University (KR)
- JR Sapporo Hospital (JP)
- Fujita Health University (JP)
- Toho University (JP)
- Corresponding author
- Takada, Tadahiro
- ORCID
- Mayumi, Toshihiko
- Okamoto, Kohji
- Takada, Tadahiro
- Strasberg, Steven M.
- Solomkin, Joseph S.
- Pitt, Henry A.
- Yoshida, Masahiro
- Gomi, Harumi
- Garden, O. James
- Kiriyama, Seiki
- Endo, Itaru
- Asbun, Horacio J.
- Iwashita, Yukio
- Hibi, Taizo
- Umezawa, Akiko
- Suzuki, Kenji
- Itoi, Takao
- Hata, Jiro
- Han, Ho‐Seong
- Hwang, Tsann‐Long
- Asai, Koji
- Mori, Yasuhisa
- Mukai, Shuntaro
- Jagannath, Palepu
- Cherqui, Daniel
- Kozaka, Kazuto
- Baron, Todd H.
- Higuchi, Ryota
- Wakabayashi, Go
- Padbury, Robert
- Jonas, Eduard
- Supe, Avinash Nivritti
- Singh, Harjit
- Gabata, Toshifumi
- Lau, Wan Yee
- Fan, Sheung Tat
- Chen, Miin‐Fu
- Ker, Chen‐Guo
- Yoon, Yoo‐Seok
- Choi, In‐Seok
- Kim, Myung‐Hwan
- Yoon, Dong‐Sup
- Inomata, Masafumi
- Hirata, Koichi
- Yamamoto, Masakazu
- Venue
- Journal of Hepato-Biliary-Pancreatic Sciences
- Publisher
- Wiley
- Published
- 2017-12-16
- Volume
- 25
- Issue
- 1
- Pages
- 96-100
- ISSN
- 1868-6974 (ISSN-L)
- 1868-6982
- OpenAlex
- W2765814213
- Cited by
- 311
- References
- 17
- Citations by year
- 2026: 42 · 2025: 39 · 2024: 46 · 2023: 37 · 2022: 50 · 2021: 35 · 2020: 29 · 2019: 23 · 2018: 10
- FWCI
- 14.02
- Type
- journal article
- Language
- en
- Open access
- green
- pure.amsterdamumc.nl
- Licence
- Locations
- Journal of Hepato-Biliary-Pancreatic Sciences (publishedVersion)
- PubMed (publishedVersion)
- Pure Amsterdam UMC (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Institutional Repositories DataBase (IRDB) (submittedVersion)
- Edinburgh Research Explorer (University of Edinburgh) (submittedVersion, other-oa)
- Funders
- Rush University
- Seoul National University Bundang Hospital
- Kanazawa University
- National University of Singapore
- Keio University
- Konyang University
- Seoul National University
- University of Ulsan
- Yonsei University
- Chang Gung Medical Foundation
- Chinese University of Hong Kong
- Universidad de Buenos Aires
- University of Cape Town
- Kawasaki Medical School
- Tokyo Women's Medical University
- University of North Carolina at Chapel Hill
- College of Medicine, Seoul National University
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Gallbladder and Bile Duct Disorders
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
- Health Sciences › Medicine › Epidemiology › Sepsis Diagnosis and Treatment
- Keywords
- acute cholangitis, cholecystitis, Tokyo Guidelines 2018, disease severity assessment, diagnostic process, patient transfer, treatment options, guideline dissemination
- MeSH terms
- Conservative Treatment, Acute Disease, Anti-Bacterial Agents, Cholangitis, Cholecystectomy, Drainage, Female, Humans, Male, Prognosis, Tokyo, Practice Guidelines as Topic, Disease Management, Cholecystitis, Acute, Checklist
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