Tokyo Guidelines 2018 management bundles for acute cholangitis and cholecystitis

Published on Jan 1, 2018in Journal of Hepato-biliary-pancreatic Sciences4.16
· DOI :10.1002/JHBP.519
Toshihiko Mayumi62
Estimated H-index: 62
Kohji Okamoto41
Estimated H-index: 41
+ 57 AuthorsMasakazu Yamamoto63
Estimated H-index: 63
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. This article is protected by copyright. All rights reserved.
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