Journal of hepato-biliary-pancreatic sciences · 2018
Tokyo Guidelines 2018: diagnostic criteria and severity grading of acute cholecystitis (with videos).
Письмо в редакциюОбзорНазвание и аннотация: Перевод пока не подготовлен
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Yokoe Masamichi, Hata Jiro, Takada Tadahiro, Strasberg Steven M, Asbun Horacio J, Wakabayashi Go, Kozaka Kazuto, Endo Itaru, Deziel Daniel J, Miura Fumihiko, Okamoto Kohji, Hwang Tsann-Long, Huang Wayne Shih-Wei, Ker Chen-Guo, Chen Miin-Fu, Han Ho-Seong, Yoon Yoo-Seok, Choi In-Seok, Yoon Dong-Sup, Noguchi Yoshinori, Shikata Satoru, Ukai Tomohiko, Higuchi Ryota, Gabata Toshifumi, Mori Yasuhisa, Iwashita Yukio, Hibi Taizo, Jagannath Palepu, Jonas Eduard, Liau Kui-Hin, Dervenis Christos, Gouma Dirk J, Cherqui Daniel, Belli Giulio, Garden O James, Giménez Mariano Eduardo, de Santibañes Eduardo, Suzuki Kenji, Umezawa Akiko, Supe Avinash Nivritti, Pitt Henry A, Singh Harjit, Chan Angus C W, Lau Wan Yee, Teoh Anthony Yuen Bun, Honda Goro, Sugioka Atsushi, Asai Koji, Gomi Harumi, Itoi Takao, Kiriyama Seiki, Yoshida Masahiro, Mayumi Toshihiko, Matsumura Naoki, Tokumura Hiromi, Kitano Seigo, Hirata Koichi, Inui Kazuo, Sumiyama Yoshinobu, Yamamoto Masakazu
Аннотация
The Tokyo Guidelines 2013 (TG13) for acute cholangitis and cholecystitis were globally disseminated and various clinical studies about the management of acute cholecystitis were reported by many researchers and clinicians from all over the world. The 1st edition of the Tokyo Guidelines 2007 (TG07) was revised in 2013. According to that revision, the TG13 diagnostic criteria of acute cholecystitis provided better specificity and higher diagnostic accuracy. Thorough our literature search about diagnostic criteria for acute cholecystitis, new and strong evidence that had been released from 2013 to 2017 was not found with serious and important issues about using TG13 diagnostic criteria of acute cholecystitis. On the other hand, the TG13 severity grading for acute cholecystitis has been validated in numerous studies. As a result of these reviews, the TG13 severity grading for acute cholecystitis was significantly associated with parameters including 30-day overall mortality, length of hospital stay, conversion rates to open surgery, and medical costs. In terms of severity assessment, breakthrough and intensive literature for revising severity grading was not reported. Consequently, TG13 diagnostic criteria and severity grading were judged from numerous validation studies as useful indicators in clinical practice and adopted as TG18/TG13 diagnostic criteria and severity grading of acute cholecystitis without any modification. 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.