Tokyo Guidelines 2018

initial management of acute biliary infection and flowchart for acute cholangitis

Fumihiko Miura, Kohji Okamoto, Tadahiro Takada, Steven M. Strasberg, Horacio J. Asbun, Henry A. Pitt, Harumi Gomi, Joseph S. Solomkin, David Schlossberg, Ho Seong Han, Myung Hwan Kim, Tsann Long Hwang, Miin Fu Chen, Wayne Shih Wei Huang, Seiki Kiriyama, Takao Itoi, O. James Garden, Kui Hin Liau, Akihiko Horiguchi, Keng Hao Liu & 38 others Cheng Hsi Su, Dirk J. Gouma, Giulio Belli, Christos Dervenis, Palepu Jagannath, Angus C.W. Chan, Wan Yee Lau, Itaru Endo, Kenji Suzuki, Yoo Seok Yoon, Eduardo de Santibañes, Mariano Eduardo Giménez, Eduard Jonas, Harjit Singh, Goro Honda, Koji Asai, Yasuhisa Mori, Keita Wada, Ryota Higuchi, Manabu Watanabe, Toshiki Rikiyama, Naohiro Sata, Nobuyasu Kano, Akiko Umezawa, Shuntaro Mukai, Hiromi Tokumura, Jiro Hata, Kazuto Kozaka, Yukio Iwashita, Taizo Hibi, Masamichi Yokoe, Taizo Kimura, Seigo Kitano, Masafumi Inomata, Koichi Hirata, Yoshinobu Sumiyama, Kazuo Inui, Masakazu Yamamoto

研究成果: ジャーナルへの寄稿記事

25 引用 (Scopus)

抄録

The initial management of patients with suspected acute biliary infection starts with the measurement of vital signs to assess whether or not the situation is urgent. If the case is judged to be urgent, initial medical treatment should be started immediately including respiratory/circulatory management if required, without waiting for a definitive diagnosis. The patient's medical history is then taken; an abdominal examination is performed; blood tests, urinalysis, and diagnostic imaging are carried out; and a diagnosis is made using the diagnostic criteria for cholangitis/cholecystitis. Once the diagnosis has been confirmed, initial medical treatment should be started immediately, severity should be assessed according to the severity grading criteria for acute cholangitis/cholecystitis, and the patient's general status should be evaluated. For mild acute cholangitis, in most cases initial treatment including antibiotics is sufficient, and most patients do not require biliary drainage. However, biliary drainage should be considered if a patient does not respond to initial treatment. For moderate acute cholangitis, early endoscopic or percutaneous transhepatic biliary drainage is indicated. If the underlying etiology requires treatment, this should be provided after the patient's general condition has improved; endoscopic sphincterotomy and subsequent choledocholithotomy may be performed together with biliary drainage. For severe acute cholangitis, appropriate respiratory/circulatory management is required. Biliary drainage should be performed as soon as possible after the patient's general condition has been improved by initial treatment and respiratory/circulatory management. 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)31-40
ページ数10
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 1 2018

Fingerprint

Software Design
Cholangitis
Tokyo
Guidelines
Drainage
Infection
Therapeutics
Mobile Applications
Endoscopic Sphincterotomy
Acute Cholecystitis
Cholecystitis
Urinalysis
Vital Signs
Hematologic Tests
Diagnostic Imaging
Anti-Bacterial Agents

All Science Journal Classification (ASJC) codes

  • Surgery
  • Hepatology

これを引用

Miura, F., Okamoto, K., Takada, T., Strasberg, S. M., Asbun, H. J., Pitt, H. A., ... Yamamoto, M. (2018). Tokyo Guidelines 2018: initial management of acute biliary infection and flowchart for acute cholangitis. Journal of Hepato-Biliary-Pancreatic Sciences, 25(1), 31-40. https://doi.org/10.1002/jhbp.509

Tokyo Guidelines 2018 : initial management of acute biliary infection and flowchart for acute cholangitis. / Miura, Fumihiko; Okamoto, Kohji; Takada, Tadahiro; Strasberg, Steven M.; Asbun, Horacio J.; Pitt, Henry A.; Gomi, Harumi; Solomkin, Joseph S.; Schlossberg, David; Han, Ho Seong; Kim, Myung Hwan; Hwang, Tsann Long; Chen, Miin Fu; Huang, Wayne Shih Wei; Kiriyama, Seiki; Itoi, Takao; Garden, O. James; Liau, Kui Hin; Horiguchi, Akihiko; Liu, Keng Hao; Su, Cheng Hsi; Gouma, Dirk J.; Belli, Giulio; Dervenis, Christos; Jagannath, Palepu; Chan, Angus C.W.; Lau, Wan Yee; Endo, Itaru; Suzuki, Kenji; Yoon, Yoo Seok; de Santibañes, Eduardo; Giménez, Mariano Eduardo; Jonas, Eduard; Singh, Harjit; Honda, Goro; Asai, Koji; Mori, Yasuhisa; Wada, Keita; Higuchi, Ryota; Watanabe, Manabu; Rikiyama, Toshiki; Sata, Naohiro; Kano, Nobuyasu; Umezawa, Akiko; Mukai, Shuntaro; Tokumura, Hiromi; Hata, Jiro; Kozaka, Kazuto; Iwashita, Yukio; Hibi, Taizo; Yokoe, Masamichi; Kimura, Taizo; Kitano, Seigo; Inomata, Masafumi; Hirata, Koichi; Sumiyama, Yoshinobu; Inui, Kazuo; Yamamoto, Masakazu.

:: Journal of Hepato-Biliary-Pancreatic Sciences, 巻 25, 番号 1, 01.01.2018, p. 31-40.

研究成果: ジャーナルへの寄稿記事

Miura, F, Okamoto, K, Takada, T, Strasberg, SM, Asbun, HJ, Pitt, HA, Gomi, H, Solomkin, JS, Schlossberg, D, Han, HS, Kim, MH, Hwang, TL, Chen, MF, Huang, WSW, Kiriyama, S, Itoi, T, Garden, OJ, Liau, KH, Horiguchi, A, Liu, KH, Su, CH, Gouma, DJ, Belli, G, Dervenis, C, Jagannath, P, Chan, ACW, Lau, WY, Endo, I, Suzuki, K, Yoon, YS, de Santibañes, E, Giménez, ME, Jonas, E, Singh, H, Honda, G, Asai, K, Mori, Y, Wada, K, Higuchi, R, Watanabe, M, Rikiyama, T, Sata, N, Kano, N, Umezawa, A, Mukai, S, Tokumura, H, Hata, J, Kozaka, K, Iwashita, Y, Hibi, T, Yokoe, M, Kimura, T, Kitano, S, Inomata, M, Hirata, K, Sumiyama, Y, Inui, K & Yamamoto, M 2018, 'Tokyo Guidelines 2018: initial management of acute biliary infection and flowchart for acute cholangitis', Journal of Hepato-Biliary-Pancreatic Sciences, 巻. 25, 番号 1, pp. 31-40. https://doi.org/10.1002/jhbp.509
Miura, Fumihiko ; Okamoto, Kohji ; Takada, Tadahiro ; Strasberg, Steven M. ; Asbun, Horacio J. ; Pitt, Henry A. ; Gomi, Harumi ; Solomkin, Joseph S. ; Schlossberg, David ; Han, Ho Seong ; Kim, Myung Hwan ; Hwang, Tsann Long ; Chen, Miin Fu ; Huang, Wayne Shih Wei ; Kiriyama, Seiki ; Itoi, Takao ; Garden, O. James ; Liau, Kui Hin ; Horiguchi, Akihiko ; Liu, Keng Hao ; Su, Cheng Hsi ; Gouma, Dirk J. ; Belli, Giulio ; Dervenis, Christos ; Jagannath, Palepu ; Chan, Angus C.W. ; Lau, Wan Yee ; Endo, Itaru ; Suzuki, Kenji ; Yoon, Yoo Seok ; de Santibañes, Eduardo ; Giménez, Mariano Eduardo ; Jonas, Eduard ; Singh, Harjit ; Honda, Goro ; Asai, Koji ; Mori, Yasuhisa ; Wada, Keita ; Higuchi, Ryota ; Watanabe, Manabu ; Rikiyama, Toshiki ; Sata, Naohiro ; Kano, Nobuyasu ; Umezawa, Akiko ; Mukai, Shuntaro ; Tokumura, Hiromi ; Hata, Jiro ; Kozaka, Kazuto ; Iwashita, Yukio ; Hibi, Taizo ; Yokoe, Masamichi ; Kimura, Taizo ; Kitano, Seigo ; Inomata, Masafumi ; Hirata, Koichi ; Sumiyama, Yoshinobu ; Inui, Kazuo ; Yamamoto, Masakazu. / Tokyo Guidelines 2018 : initial management of acute biliary infection and flowchart for acute cholangitis. :: Journal of Hepato-Biliary-Pancreatic Sciences. 2018 ; 巻 25, 番号 1. pp. 31-40.
@article{52970822eafb425f8b7a1b0e33dc7512,
title = "Tokyo Guidelines 2018: initial management of acute biliary infection and flowchart for acute cholangitis",
abstract = "The initial management of patients with suspected acute biliary infection starts with the measurement of vital signs to assess whether or not the situation is urgent. If the case is judged to be urgent, initial medical treatment should be started immediately including respiratory/circulatory management if required, without waiting for a definitive diagnosis. The patient's medical history is then taken; an abdominal examination is performed; blood tests, urinalysis, and diagnostic imaging are carried out; and a diagnosis is made using the diagnostic criteria for cholangitis/cholecystitis. Once the diagnosis has been confirmed, initial medical treatment should be started immediately, severity should be assessed according to the severity grading criteria for acute cholangitis/cholecystitis, and the patient's general status should be evaluated. For mild acute cholangitis, in most cases initial treatment including antibiotics is sufficient, and most patients do not require biliary drainage. However, biliary drainage should be considered if a patient does not respond to initial treatment. For moderate acute cholangitis, early endoscopic or percutaneous transhepatic biliary drainage is indicated. If the underlying etiology requires treatment, this should be provided after the patient's general condition has improved; endoscopic sphincterotomy and subsequent choledocholithotomy may be performed together with biliary drainage. For severe acute cholangitis, appropriate respiratory/circulatory management is required. Biliary drainage should be performed as soon as possible after the patient's general condition has been improved by initial treatment and respiratory/circulatory management. 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 = "Fumihiko Miura and Kohji Okamoto and Tadahiro Takada and Strasberg, {Steven M.} and Asbun, {Horacio J.} and Pitt, {Henry A.} and Harumi Gomi and Solomkin, {Joseph S.} and David Schlossberg and Han, {Ho Seong} and Kim, {Myung Hwan} and Hwang, {Tsann Long} and Chen, {Miin Fu} and Huang, {Wayne Shih Wei} and Seiki Kiriyama and Takao Itoi and Garden, {O. James} and Liau, {Kui Hin} and Akihiko Horiguchi and Liu, {Keng Hao} and Su, {Cheng Hsi} and Gouma, {Dirk J.} and Giulio Belli and Christos Dervenis and Palepu Jagannath and Chan, {Angus C.W.} and Lau, {Wan Yee} and Itaru Endo and Kenji Suzuki and Yoon, {Yoo Seok} and {de Santiba{\~n}es}, Eduardo and Gim{\'e}nez, {Mariano Eduardo} and Eduard Jonas and Harjit Singh and Goro Honda and Koji Asai and Yasuhisa Mori and Keita Wada and Ryota Higuchi and Manabu Watanabe and Toshiki Rikiyama and Naohiro Sata and Nobuyasu Kano and Akiko Umezawa and Shuntaro Mukai and Hiromi Tokumura and Jiro Hata and Kazuto Kozaka and Yukio Iwashita and Taizo Hibi and Masamichi Yokoe and Taizo Kimura and Seigo Kitano and Masafumi Inomata and Koichi Hirata and Yoshinobu Sumiyama and Kazuo Inui and Masakazu Yamamoto",
year = "2018",
month = "1",
day = "1",
doi = "10.1002/jhbp.509",
language = "English",
volume = "25",
pages = "31--40",
journal = "Journal of Hepato-Biliary-Pancreatic Sciences",
issn = "1868-6974",
publisher = "Springer Verlag",
number = "1",

}

TY - JOUR

T1 - Tokyo Guidelines 2018

T2 - initial management of acute biliary infection and flowchart for acute cholangitis

AU - Miura, Fumihiko

AU - Okamoto, Kohji

AU - Takada, Tadahiro

AU - Strasberg, Steven M.

AU - Asbun, Horacio J.

AU - Pitt, Henry A.

AU - Gomi, Harumi

AU - Solomkin, Joseph S.

AU - Schlossberg, David

AU - Han, Ho Seong

AU - Kim, Myung Hwan

AU - Hwang, Tsann Long

AU - Chen, Miin Fu

AU - Huang, Wayne Shih Wei

AU - Kiriyama, Seiki

AU - Itoi, Takao

AU - Garden, O. James

AU - Liau, Kui Hin

AU - Horiguchi, Akihiko

AU - Liu, Keng Hao

AU - Su, Cheng Hsi

AU - Gouma, Dirk J.

AU - Belli, Giulio

AU - Dervenis, Christos

AU - Jagannath, Palepu

AU - Chan, Angus C.W.

AU - Lau, Wan Yee

AU - Endo, Itaru

AU - Suzuki, Kenji

AU - Yoon, Yoo Seok

AU - de Santibañes, Eduardo

AU - Giménez, Mariano Eduardo

AU - Jonas, Eduard

AU - Singh, Harjit

AU - Honda, Goro

AU - Asai, Koji

AU - Mori, Yasuhisa

AU - Wada, Keita

AU - Higuchi, Ryota

AU - Watanabe, Manabu

AU - Rikiyama, Toshiki

AU - Sata, Naohiro

AU - Kano, Nobuyasu

AU - Umezawa, Akiko

AU - Mukai, Shuntaro

AU - Tokumura, Hiromi

AU - Hata, Jiro

AU - Kozaka, Kazuto

AU - Iwashita, Yukio

AU - Hibi, Taizo

AU - Yokoe, Masamichi

AU - Kimura, Taizo

AU - Kitano, Seigo

AU - Inomata, Masafumi

AU - Hirata, Koichi

AU - Sumiyama, Yoshinobu

AU - Inui, Kazuo

AU - Yamamoto, Masakazu

PY - 2018/1/1

Y1 - 2018/1/1

N2 - The initial management of patients with suspected acute biliary infection starts with the measurement of vital signs to assess whether or not the situation is urgent. If the case is judged to be urgent, initial medical treatment should be started immediately including respiratory/circulatory management if required, without waiting for a definitive diagnosis. The patient's medical history is then taken; an abdominal examination is performed; blood tests, urinalysis, and diagnostic imaging are carried out; and a diagnosis is made using the diagnostic criteria for cholangitis/cholecystitis. Once the diagnosis has been confirmed, initial medical treatment should be started immediately, severity should be assessed according to the severity grading criteria for acute cholangitis/cholecystitis, and the patient's general status should be evaluated. For mild acute cholangitis, in most cases initial treatment including antibiotics is sufficient, and most patients do not require biliary drainage. However, biliary drainage should be considered if a patient does not respond to initial treatment. For moderate acute cholangitis, early endoscopic or percutaneous transhepatic biliary drainage is indicated. If the underlying etiology requires treatment, this should be provided after the patient's general condition has improved; endoscopic sphincterotomy and subsequent choledocholithotomy may be performed together with biliary drainage. For severe acute cholangitis, appropriate respiratory/circulatory management is required. Biliary drainage should be performed as soon as possible after the patient's general condition has been improved by initial treatment and respiratory/circulatory management. 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.

AB - The initial management of patients with suspected acute biliary infection starts with the measurement of vital signs to assess whether or not the situation is urgent. If the case is judged to be urgent, initial medical treatment should be started immediately including respiratory/circulatory management if required, without waiting for a definitive diagnosis. The patient's medical history is then taken; an abdominal examination is performed; blood tests, urinalysis, and diagnostic imaging are carried out; and a diagnosis is made using the diagnostic criteria for cholangitis/cholecystitis. Once the diagnosis has been confirmed, initial medical treatment should be started immediately, severity should be assessed according to the severity grading criteria for acute cholangitis/cholecystitis, and the patient's general status should be evaluated. For mild acute cholangitis, in most cases initial treatment including antibiotics is sufficient, and most patients do not require biliary drainage. However, biliary drainage should be considered if a patient does not respond to initial treatment. For moderate acute cholangitis, early endoscopic or percutaneous transhepatic biliary drainage is indicated. If the underlying etiology requires treatment, this should be provided after the patient's general condition has improved; endoscopic sphincterotomy and subsequent choledocholithotomy may be performed together with biliary drainage. For severe acute cholangitis, appropriate respiratory/circulatory management is required. Biliary drainage should be performed as soon as possible after the patient's general condition has been improved by initial treatment and respiratory/circulatory management. 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.

UR - http://www.scopus.com/inward/record.url?scp=85040723161&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85040723161&partnerID=8YFLogxK

U2 - 10.1002/jhbp.509

DO - 10.1002/jhbp.509

M3 - Article

VL - 25

SP - 31

EP - 40

JO - Journal of Hepato-Biliary-Pancreatic Sciences

JF - Journal of Hepato-Biliary-Pancreatic Sciences

SN - 1868-6974

IS - 1

ER -