Tokyo Guidelines 2018: flowchart for the management of acute cholecystitis

Kohji Okamoto, Kenji Suzuki, Tadahiro Takada, Steven M. Strasberg, Horacio J. Asbun, Itaru Endo, Yukio Iwashita, Taizo Hibi, Henry A. Pitt, Akiko Umezawa, Koji Asai, Ho Seong Han, Tsann Long Hwang, Yasuhisa Mori, Yoo Seok Yoon, Wayne Shih Wei Huang, Giulio Belli, Christos Dervenis, Masamichi Yokoe, Seiki KiriyamaTakao Itoi, Palepu Jagannath, O. James Garden, Fumihiko Miura, Masafumi Nakamura, Akihiko Horiguchi, Go Wakabayashi, Daniel Cherqui, Eduardo de Santibañes, Satoru Shikata, Yoshinori Noguchi, Tomohiko Ukai, Ryota Higuchi, Keita Wada, Goro Honda, Avinash Nivritti Supe, Masahiro Yoshida, Toshihiko Mayumi, Dirk J. Gouma, Daniel J. Deziel, Kui Hin Liau, Miin Fu Chen, Kazunori Shibao, Keng Hao Liu, Cheng Hsi Su, Angus C.W. Chan, Dong Sup Yoon, In Seok Choi, Eduard Jonas, Xiao Ping Chen, Sheung Tat Fan, Chen Guo Ker, Mariano Eduardo Giménez, Seigo Kitano, Masafumi Inomata, Koichi Hirata, Kazuo Inui, Yoshinobu Sumiyama, Masakazu Yamamoto

研究成果: ジャーナルへの寄稿記事

45 引用 (Scopus)

抄録

We propose a new flowchart for the treatment of acute cholecystitis (AC) in the Tokyo Guidelines 2018 (TG18). Grade III AC was not indicated for straightforward laparoscopic cholecystectomy (Lap-C). Following analysis of subsequent clinical investigations and drawing on Big Data in particular, TG18 proposes that some Grade III AC can be treated by Lap-C when performed at advanced centers with specialized surgeons experienced in this procedure and for patients that satisfy certain strict criteria. For Grade I, TG18 recommends early Lap-C if the patients meet the criteria of Charlson comorbidity index (CCI) ≤5 and American Society of Anesthesiologists physical status classification (ASA-PS) ≤2. For Grade II AC, if patients meet the criteria of CCI ≤5 and ASA-PS ≤2, TG18 recommends early Lap-C performed by experienced surgeons; and if not, after medical treatment and/or gallbladder drainage, Lap-C would be indicated. TG18 proposes that Lap-C is indicated in Grade III patients with strict criteria. These are that the patients have favorable organ system failure, and negative predictive factors, who meet the criteria of CCI ≤3 and ASA-PS ≤2 and who are being treated at an advanced center (where experienced surgeons practice). If the patient is not considered suitable for early surgery, TG18 recommends early/urgent biliary drainage followed by delayed Lap-C once the patient's overall condition has improved. 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.

元の言語英語
ページ(範囲)55-72
ページ数18
ジャーナルJournal of Hepato-Biliary-Pancreatic Sciences
25
発行部数1
DOI
出版物ステータス出版済み - 1 2018

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Software Design
Acute Cholecystitis
Tokyo
Laparoscopic Cholecystectomy
Guidelines
Comorbidity
Drainage
Mobile Applications
Gallbladder
Therapeutics

All Science Journal Classification (ASJC) codes

  • Medicine(all)

これを引用

Okamoto, K., Suzuki, K., Takada, T., Strasberg, S. M., Asbun, H. J., Endo, I., ... Yamamoto, M. (2018). Tokyo Guidelines 2018: flowchart for the management of acute cholecystitis. Journal of Hepato-Biliary-Pancreatic Sciences, 25(1), 55-72. https://doi.org/10.1002/jhbp.516

Tokyo Guidelines 2018 : flowchart for the management of acute cholecystitis. / Okamoto, Kohji; Suzuki, Kenji; Takada, Tadahiro; Strasberg, Steven M.; Asbun, Horacio J.; Endo, Itaru; Iwashita, Yukio; Hibi, Taizo; Pitt, Henry A.; Umezawa, Akiko; Asai, Koji; Han, Ho Seong; Hwang, Tsann Long; Mori, Yasuhisa; Yoon, Yoo Seok; Huang, Wayne Shih Wei; Belli, Giulio; Dervenis, Christos; Yokoe, Masamichi; Kiriyama, Seiki; Itoi, Takao; Jagannath, Palepu; Garden, O. James; Miura, Fumihiko; Nakamura, Masafumi; Horiguchi, Akihiko; Wakabayashi, Go; Cherqui, Daniel; de Santibañes, Eduardo; Shikata, Satoru; Noguchi, Yoshinori; Ukai, Tomohiko; Higuchi, Ryota; Wada, Keita; Honda, Goro; Supe, Avinash Nivritti; Yoshida, Masahiro; Mayumi, Toshihiko; Gouma, Dirk J.; Deziel, Daniel J.; Liau, Kui Hin; Chen, Miin Fu; Shibao, Kazunori; Liu, Keng Hao; Su, Cheng Hsi; Chan, Angus C.W.; Yoon, Dong Sup; Choi, In Seok; Jonas, Eduard; Chen, Xiao Ping; Fan, Sheung Tat; Ker, Chen Guo; Giménez, Mariano Eduardo; Kitano, Seigo; Inomata, Masafumi; Hirata, Koichi; Inui, Kazuo; Sumiyama, Yoshinobu; Yamamoto, Masakazu.

:: Journal of Hepato-Biliary-Pancreatic Sciences, 巻 25, 番号 1, 01.2018, p. 55-72.

研究成果: ジャーナルへの寄稿記事

Okamoto, K, Suzuki, K, Takada, T, Strasberg, SM, Asbun, HJ, Endo, I, Iwashita, Y, Hibi, T, Pitt, HA, Umezawa, A, Asai, K, Han, HS, Hwang, TL, Mori, Y, Yoon, YS, Huang, WSW, Belli, G, Dervenis, C, Yokoe, M, Kiriyama, S, Itoi, T, Jagannath, P, Garden, OJ, Miura, F, Nakamura, M, Horiguchi, A, Wakabayashi, G, Cherqui, D, de Santibañes, E, Shikata, S, Noguchi, Y, Ukai, T, Higuchi, R, Wada, K, Honda, G, Supe, AN, Yoshida, M, Mayumi, T, Gouma, DJ, Deziel, DJ, Liau, KH, Chen, MF, Shibao, K, Liu, KH, Su, CH, Chan, ACW, Yoon, DS, Choi, IS, Jonas, E, Chen, XP, Fan, ST, Ker, CG, Giménez, ME, Kitano, S, Inomata, M, Hirata, K, Inui, K, Sumiyama, Y & Yamamoto, M 2018, 'Tokyo Guidelines 2018: flowchart for the management of acute cholecystitis', Journal of Hepato-Biliary-Pancreatic Sciences, 巻. 25, 番号 1, pp. 55-72. https://doi.org/10.1002/jhbp.516
Okamoto, Kohji ; Suzuki, Kenji ; Takada, Tadahiro ; Strasberg, Steven M. ; Asbun, Horacio J. ; Endo, Itaru ; Iwashita, Yukio ; Hibi, Taizo ; Pitt, Henry A. ; Umezawa, Akiko ; Asai, Koji ; Han, Ho Seong ; Hwang, Tsann Long ; Mori, Yasuhisa ; Yoon, Yoo Seok ; Huang, Wayne Shih Wei ; Belli, Giulio ; Dervenis, Christos ; Yokoe, Masamichi ; Kiriyama, Seiki ; Itoi, Takao ; Jagannath, Palepu ; Garden, O. James ; Miura, Fumihiko ; Nakamura, Masafumi ; Horiguchi, Akihiko ; Wakabayashi, Go ; Cherqui, Daniel ; de Santibañes, Eduardo ; Shikata, Satoru ; Noguchi, Yoshinori ; Ukai, Tomohiko ; Higuchi, Ryota ; Wada, Keita ; Honda, Goro ; Supe, Avinash Nivritti ; Yoshida, Masahiro ; Mayumi, Toshihiko ; Gouma, Dirk J. ; Deziel, Daniel J. ; Liau, Kui Hin ; Chen, Miin Fu ; Shibao, Kazunori ; Liu, Keng Hao ; Su, Cheng Hsi ; Chan, Angus C.W. ; Yoon, Dong Sup ; Choi, In Seok ; Jonas, Eduard ; Chen, Xiao Ping ; Fan, Sheung Tat ; Ker, Chen Guo ; Giménez, Mariano Eduardo ; Kitano, Seigo ; Inomata, Masafumi ; Hirata, Koichi ; Inui, Kazuo ; Sumiyama, Yoshinobu ; Yamamoto, Masakazu. / Tokyo Guidelines 2018 : flowchart for the management of acute cholecystitis. :: Journal of Hepato-Biliary-Pancreatic Sciences. 2018 ; 巻 25, 番号 1. pp. 55-72.
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abstract = "We propose a new flowchart for the treatment of acute cholecystitis (AC) in the Tokyo Guidelines 2018 (TG18). Grade III AC was not indicated for straightforward laparoscopic cholecystectomy (Lap-C). Following analysis of subsequent clinical investigations and drawing on Big Data in particular, TG18 proposes that some Grade III AC can be treated by Lap-C when performed at advanced centers with specialized surgeons experienced in this procedure and for patients that satisfy certain strict criteria. For Grade I, TG18 recommends early Lap-C if the patients meet the criteria of Charlson comorbidity index (CCI) ≤5 and American Society of Anesthesiologists physical status classification (ASA-PS) ≤2. For Grade II AC, if patients meet the criteria of CCI ≤5 and ASA-PS ≤2, TG18 recommends early Lap-C performed by experienced surgeons; and if not, after medical treatment and/or gallbladder drainage, Lap-C would be indicated. TG18 proposes that Lap-C is indicated in Grade III patients with strict criteria. These are that the patients have favorable organ system failure, and negative predictive factors, who meet the criteria of CCI ≤3 and ASA-PS ≤2 and who are being treated at an advanced center (where experienced surgeons practice). If the patient is not considered suitable for early surgery, TG18 recommends early/urgent biliary drainage followed by delayed Lap-C once the patient's overall condition has improved. 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.",
author = "Kohji Okamoto and Kenji Suzuki and Tadahiro Takada and Strasberg, {Steven M.} and Asbun, {Horacio J.} and Itaru Endo and Yukio Iwashita and Taizo Hibi and Pitt, {Henry A.} and Akiko Umezawa and Koji Asai and Han, {Ho Seong} and Hwang, {Tsann Long} and Yasuhisa Mori and Yoon, {Yoo Seok} and Huang, {Wayne Shih Wei} and Giulio Belli and Christos Dervenis and Masamichi Yokoe and Seiki Kiriyama and Takao Itoi and Palepu Jagannath and Garden, {O. James} and Fumihiko Miura and Masafumi Nakamura and Akihiko Horiguchi and Go Wakabayashi and Daniel Cherqui and {de Santiba{\~n}es}, Eduardo and Satoru Shikata and Yoshinori Noguchi and Tomohiko Ukai and Ryota Higuchi and Keita Wada and Goro Honda and Supe, {Avinash Nivritti} and Masahiro Yoshida and Toshihiko Mayumi and Gouma, {Dirk J.} and Deziel, {Daniel J.} and Liau, {Kui Hin} and Chen, {Miin Fu} and Kazunori Shibao and Liu, {Keng Hao} and Su, {Cheng Hsi} and Chan, {Angus C.W.} and Yoon, {Dong Sup} and Choi, {In Seok} and Eduard Jonas and Chen, {Xiao Ping} and Fan, {Sheung Tat} and Ker, {Chen Guo} and Gim{\'e}nez, {Mariano Eduardo} and Seigo Kitano and Masafumi Inomata and Koichi Hirata and Kazuo Inui and Yoshinobu Sumiyama and Masakazu Yamamoto",
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T1 - Tokyo Guidelines 2018

T2 - flowchart for the management of acute cholecystitis

AU - Okamoto, Kohji

AU - Suzuki, Kenji

AU - Takada, Tadahiro

AU - Strasberg, Steven M.

AU - Asbun, Horacio J.

AU - Endo, Itaru

AU - Iwashita, Yukio

AU - Hibi, Taizo

AU - Pitt, Henry A.

AU - Umezawa, Akiko

AU - Asai, Koji

AU - Han, Ho Seong

AU - Hwang, Tsann Long

AU - Mori, Yasuhisa

AU - Yoon, Yoo Seok

AU - Huang, Wayne Shih Wei

AU - Belli, Giulio

AU - Dervenis, Christos

AU - Yokoe, Masamichi

AU - Kiriyama, Seiki

AU - Itoi, Takao

AU - Jagannath, Palepu

AU - Garden, O. James

AU - Miura, Fumihiko

AU - Nakamura, Masafumi

AU - Horiguchi, Akihiko

AU - Wakabayashi, Go

AU - Cherqui, Daniel

AU - de Santibañes, Eduardo

AU - Shikata, Satoru

AU - Noguchi, Yoshinori

AU - Ukai, Tomohiko

AU - Higuchi, Ryota

AU - Wada, Keita

AU - Honda, Goro

AU - Supe, Avinash Nivritti

AU - Yoshida, Masahiro

AU - Mayumi, Toshihiko

AU - Gouma, Dirk J.

AU - Deziel, Daniel J.

AU - Liau, Kui Hin

AU - Chen, Miin Fu

AU - Shibao, Kazunori

AU - Liu, Keng Hao

AU - Su, Cheng Hsi

AU - Chan, Angus C.W.

AU - Yoon, Dong Sup

AU - Choi, In Seok

AU - Jonas, Eduard

AU - Chen, Xiao Ping

AU - Fan, Sheung Tat

AU - Ker, Chen Guo

AU - Giménez, Mariano Eduardo

AU - Kitano, Seigo

AU - Inomata, Masafumi

AU - Hirata, Koichi

AU - Inui, Kazuo

AU - Sumiyama, Yoshinobu

AU - Yamamoto, Masakazu

PY - 2018/1

Y1 - 2018/1

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