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Tokyo Guidelines 2018: management bundles for acute cholangitis and cholecystitis. 2018
Toshihiko Mayumi, and
Kohji Okamoto, and
Tadahiro Takada, and
Steven M Strasberg, and
Joseph S Solomkin, and
David Schlossberg, and
Henry A Pitt, and
Masahiro Yoshida, and
Harumi Gomi, and
Fumihiko Miura, and
O James Garden, and
Seiki Kiriyama, and
Masamichi Yokoe, and
Itaru Endo, and
Horacio J Asbun, and
Yukio Iwashita, and
Taizo Hibi, and
Akiko Umezawa, and
Kenji Suzuki, and
Takao Itoi, and
Jiro Hata, and
Ho-Seong Han, and
Tsann-Long Hwang, and
Christos Dervenis, and
Koji Asai, and
Yasuhisa Mori, and
Wayne Shih-Wei Huang, and
Giulio Belli, and
Shuntaro Mukai, and
Palepu Jagannath, and
Daniel Cherqui, and
Kazuto Kozaka, and
Todd H Baron, and
Eduardo de Santibañes, and
Ryota Higuchi, and
Keita Wada, and
Dirk J Gouma, and
Daniel J Deziel, and
Kui-Hin Liau, and
Go Wakabayashi, and
Robert Padbury, and
Eduard Jonas, and
Avinash Nivritti Supe, and
Harjit Singh, and
Toshifumi Gabata, and
Angus C W Chan, and
Wan Yee Lau, and
Sheung Tat Fan, and
Miin-Fu Chen, and
Chen-Guo Ker, and
Yoo-Seok Yoon, and
In-Seok Choi, and
Myung-Hwan Kim, and
Dong-Sup Yoon, and
Seigo Kitano, and
Masafumi Inomata, and
Koichi Hirata, and
Kazuo Inui, and
Yoshinobu Sumiyama, and
Masakazu Yamamoto
Department of Emergency Medicine, School of Medicine, University of Occupational and Environmental Health, Fukuoka, Japan.
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.
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Kohji Okamoto, and
Tadahiro Takada, and
Steven M Strasberg, and
Joseph S Solomkin, and
David Schlossberg, and
Henry A Pitt, and
Masahiro Yoshida, and
Harumi Gomi, and
Fumihiko Miura, and
O James Garden, and
Seiki Kiriyama, and
Masamichi Yokoe, and
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Horacio J Asbun, and
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Palepu Jagannath, and
Daniel Cherqui, and
Kazuto Kozaka, and
Todd H Baron, and
Eduardo de Santibañes, and
Ryota Higuchi, and
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Dirk J Gouma, and
Daniel J Deziel, and
Kui-Hin Liau, and
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Masahiro Yoshida, and
Harumi Gomi, and
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Seiki Kiriyama, and
Masamichi Yokoe, and
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Horacio J Asbun, and
Yukio Iwashita, and
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Ryota Higuchi, and
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Tadahiro Takada, and
Steven M Strasberg, and
Joseph S Solomkin, and
David Schlossberg, and
Henry A Pitt, and
Masahiro Yoshida, and
Harumi Gomi, and
Fumihiko Miura, and
O James Garden, and
Seiki Kiriyama, and
Masamichi Yokoe, and
Itaru Endo, and
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Yukio Iwashita, and
Taizo Hibi, and
Akiko Umezawa, and
Kenji Suzuki, and
Takao Itoi, and
Jiro Hata, and
Ho-Seong Han, and
Tsann-Long Hwang, and
Christos Dervenis, and
Koji Asai, and
Yasuhisa Mori, and
Wayne Shih-Wei Huang, and
Giulio Belli, and
Shuntaro Mukai, and
Palepu Jagannath, and
Daniel Cherqui, and
Kazuto Kozaka, and
Todd H Baron, and
Eduardo de Santibañes, and
Ryota Higuchi, and
Keita Wada, and
Dirk J Gouma, and
Daniel J Deziel, and
Kui-Hin Liau, and
Go Wakabayashi, and
Robert Padbury, and
Eduard Jonas, and
Avinash Nivritti Supe, and
Harjit Singh, and
Toshifumi Gabata, and
Angus C W Chan, and
Wan Yee Lau, and
Sheung Tat Fan, and
Miin-Fu Chen, and
Chen-Guo Ker, and
Yoo-Seok Yoon, and
In-Seok Choi, and
Myung-Hwan Kim, and
Dong-Sup Yoon, and
Seigo Kitano, and
Masafumi Inomata, and
Koichi Hirata, and
Kazuo Inui, and
Yoshinobu Sumiyama, and
Masakazu Yamamoto
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Toshihiko Mayumi, and
Kohji Okamoto, and
Tadahiro Takada, and
Steven M Strasberg, and
Joseph S Solomkin, and
David Schlossberg, and
Henry A Pitt, and
Masahiro Yoshida, and
Harumi Gomi, and
Fumihiko Miura, and
O James Garden, and
Seiki Kiriyama, and
Masamichi Yokoe, and
Itaru Endo, and
Horacio J Asbun, and
Yukio Iwashita, and
Taizo Hibi, and
Akiko Umezawa, and
Kenji Suzuki, and
Takao Itoi, and
Jiro Hata, and
Ho-Seong Han, and
Tsann-Long Hwang, and
Christos Dervenis, and
Koji Asai, and
Yasuhisa Mori, and
Wayne Shih-Wei Huang, and
Giulio Belli, and
Shuntaro Mukai, and
Palepu Jagannath, and
Daniel Cherqui, and
Kazuto Kozaka, and
Todd H Baron, and
Eduardo de Santibañes, and
Ryota Higuchi, and
Keita Wada, and
Dirk J Gouma, and
Daniel J Deziel, and
Kui-Hin Liau, and
Go Wakabayashi, and
Robert Padbury, and
Eduard Jonas, and
Avinash Nivritti Supe, and
Harjit Singh, and
Toshifumi Gabata, and
Angus C W Chan, and
Wan Yee Lau, and
Sheung Tat Fan, and
Miin-Fu Chen, and
Chen-Guo Ker, and
Yoo-Seok Yoon, and
In-Seok Choi, and
Myung-Hwan Kim, and
Dong-Sup Yoon, and
Seigo Kitano, and
Masafumi Inomata, and
Koichi Hirata, and
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Yoshinobu Sumiyama, and
Masakazu Yamamoto
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Journal of hepato-biliary-pancreatic sciences,
Toshihiko Mayumi, and
Kohji Okamoto, and
Tadahiro Takada, and
Steven M Strasberg, and
Joseph S Solomkin, and
David Schlossberg, and
Henry A Pitt, and
Masahiro Yoshida, and
Harumi Gomi, and
Fumihiko Miura, and
O James Garden, and
Seiki Kiriyama, and
Masamichi Yokoe, and
Itaru Endo, and
Horacio J Asbun, and
Yukio Iwashita, and
Taizo Hibi, and
Akiko Umezawa, and
Kenji Suzuki, and
Takao Itoi, and
Jiro Hata, and
Ho-Seong Han, and
Tsann-Long Hwang, and
Christos Dervenis, and
Koji Asai, and
Yasuhisa Mori, and
Wayne Shih-Wei Huang, and
Giulio Belli, and
Shuntaro Mukai, and
Palepu Jagannath, and
Daniel Cherqui, and
Kazuto Kozaka, and
Todd H Baron, and
Eduardo de Santibañes, and
Ryota Higuchi, and
Keita Wada, and
Dirk J Gouma, and
Daniel J Deziel, and
Kui-Hin Liau, and
Go Wakabayashi, and
Robert Padbury, and
Eduard Jonas, and
Avinash Nivritti Supe, and
Harjit Singh, and
Toshifumi Gabata, and
Angus C W Chan, and
Wan Yee Lau, and
Sheung Tat Fan, and
Miin-Fu Chen, and
Chen-Guo Ker, and
Yoo-Seok Yoon, and
In-Seok Choi, and
Myung-Hwan Kim, and
Dong-Sup Yoon, and
Seigo Kitano, and
Masafumi Inomata, and
Koichi Hirata, and
Kazuo Inui, and
Yoshinobu Sumiyama, and
Masakazu Yamamoto
March 2018,
Journal of hepato-biliary-pancreatic sciences,
