期刊
JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES
卷 25, 期 1, 页码 96-100出版社
WILEY
DOI: 10.1002/jhbp.519
关键词
Acute cholangitis; Acute cholecystitis; Cholangitis bundles; Cholecystitis bundles; Guidelines
资金
- Japanese Society of Hepato-Biliary-Pancreatic Surgery
- Japanese Society for Abdominal Emergency Medicine
- Japan Biliary Association
- Japan Society for Surgical Infection
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: . Related clinical questions and references are also included.
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