Tokyo Guidelines 2018: management bundles for acute cholangitis and cholecystitis

Mayumi T 1 , Okamoto K 2 , Takada T 3 , Strasberg SM 4 , Solomkin JS 5 , Schlossberg D 6 Show all authors , Pitt HA 7 , Yoshida M 8 , Gomi H 9 , Miura F 3 , Garden OJ 10 , Kiriyama S 11 , Yokoe M 12 , Endo I 13 , Asbun HJ 14 , Iwashita Y 15 , Hibi T 16 , Umezawa A 17 , Suzuki K 18 , Itoi T 19 , Hata J 20 , Han HS 21 , Hwang TL 22 , Dervenis C 23 , Asai K 24 , Mori Y 25 , Huang WS 26 , Belli G 27 , Mukai S 19 , Jagannath P 28 , Cherqui D 29 , Kozaka K 30 , Baron TH 31 , de Santibañes E 32 , Higuchi R 33 , Wada K 3 , Gouma DJ 34 , Deziel DJ 35 , Liau KH 36 , Wakabayashi G 37 , Padbury R 38 , Jonas E 39 , Supe AN 40 , Singh H 41 , Gabata T 42 , Chan ACW 43 , Lau WY 44 , Fan ST 45 , Chen MF 22 , Ker CG 46 , Yoon YS 21 , Choi IS 47 , Kim MH 48 , Yoon DS 49 , Kitano S 50 , Inomata M 15 , Hirata K 51 , Inui K 52 , Sumiyama Y 53 , Yamamoto M 33

Affiliations 

  • 1 Department of Emergency Medicine, School of Medicine, University of Occupational and Environmental Health, Fukuoka, Japan
  • 2 Department of Surgery, Center for Gastroenterology and Liver Disease, Kitakyushu City Yahata Hospital, Fukuoka, Japan
  • 3 Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan
  • 4 Section of Hepato-Pancreato-Biliary Surgery, Washington University School of Medicine in St. Louis, St. Louis, MO, USA
  • 5 Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, OH, USA
  • 6 Professor of Medicine, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA
  • 7 Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA
  • 8 Department of Hemodialysis and Surgery, Ichikawa Hospital, International University of Health and Welfare, Chiba, Japan
  • 9 Center for Global Health, Mito Kyodo General Hospital, University of Tsukuba, Ibaraki, Japan
  • 10 Clinical Surgery, University of Edinburgh, Edinburgh, UK
  • 11 Department of Gastroenterology, Ogaki Municipal Hospital, Gifu, Japan
  • 12 Department of General Internal Medicine, Japanese Red Cross Nagoya Daini Hospital, Aichi, Japan
  • 13 Department of Gastroenterological Surgery, Yokohama City University Graduate School of Medicine, Kanagawa, Japan
  • 14 Department of Surgery, Mayo Clinic College of Medicine, Jacksonville, FL, USA
  • 15 Department of Gastroenterological and Pediatric Surgery, Oita University, Faculty of Medicine, Oita, Japan
  • 16 Department of Surgery, Keio University School of Medicine, Tokyo, Japan
  • 17 Minimally Invasive Surgery Center, Yotsuya Medical Cube, Tokyo, Japan
  • 18 Department of Surgery, Fujinomiya City General Hospital, Shizuoka, Japan
  • 19 Department of Gastroenterology and Hepatology, Tokyo Medical University Hospital, Tokyo, Japan
  • 20 Department of Endoscopy and Ultrasound, Kawasaki Medical School, Okayama, Japan
  • 21 Department of Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seoul, Korea
  • 22 Division of General Surgery, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan
  • 23 First Department of Surgery, Agia Olga Hospital, Athens, Greece
  • 24 Department of Surgery, Toho University Ohashi Medical Center, Tokyo, Japan
  • 25 Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
  • 26 Department of Surgery, Show Chwan Memorial Hospital, Changhua, Taiwan
  • 27 Department of General and HPB Surgery, Loreto Nuovo Hospital, Naples, Italy
  • 28 Department of Surgical Oncology, Lilavati Hospital and Research Centre, Mumbai, India
  • 29 Hepatobiliary Center, Paul Brousse Hospital, Villejuif, France
  • 30 Department of Radiology, Kanazawa University Graduate School of Medical Sciences, Kanazawa, Japan
  • 31 Division of Gastroenterology and Hepatology, University of North Carolina at Chapel Hill, NC, USA
  • 32 Department of Surgery, Hospital Italiano, University of Buenos Aires, Buenos Aires, Argentina
  • 33 Department of Surgery, Institute of Gastroenterology, Tokyo Women's Medical University, Tokyo, Japan
  • 34 Department of Surgery, Academic Medical Center, Amsterdam, The Netherlands
  • 35 Department of Surgery, Rush University Medical Center, Chicago, IL, USA
  • 36 Liau KH Consulting PL, Mt Elizabeth Novena Hospital, Singapore, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
  • 37 Department of Surgery, Ageo Central General Hospital, Saitama, Japan
  • 38 Division of Surgical and Specialty Services, Flinders Medical Centre, Adelaide, South Australia, Australia
  • 39 Surgical Gastroenterology/Hepatopancreatobiliary Unit, University of Cape Town and Groote Schuur Hospital, Cape Town, South Africa
  • 40 Department of Surgical Gastroenterology, Seth G S Medical College and K E M Hospital, Mumbai, India
  • 41 Department of Hepato-Pancreato-Biliary Surgery, Hospital Selayang, Selangor, Malaysia
  • 42 Director, General Kanazawa University Hospital, Ishikawa, Japan
  • 43 Surgery Centre, Department of Surgery, Hong Kong Sanatorium and Hospital, Hong Kong, Hong Kong
  • 44 Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong
  • 45 Director, Liver Surgery Centre, Hong Kong Sanatorium and Hospital, Hong Kong, Hong Kong
  • 46 Department of Surgery, Yuan's General Hospital, Kaohsiung, Taiwan
  • 47 Department of Surgery, Konyang University Hospital, Daejeon, Korea
  • 48 Department of Gastroenterology, University of Ulsan College of Medicine, Seoul, Korea
  • 49 Department of Surgery, Yonsei University Gangnam Severance Hospital, Seoul, Korea
  • 50 President, Oita University, Oita, Japan
  • 51 Department of Surgery, JR Sapporo Hospital, Hokkaido, Japan
  • 52 Department of Gastroenterology, Second Teaching Hospital, Fujita Health University, Aichi, Japan
  • 53 Director, Toho University, Tokyo, Japan
J Hepatobiliary Pancreat Sci, 2018 Jan;25(1):96-100.
PMID: 29090868 DOI: 10.1002/jhbp.519

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.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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