Tokyo Guidelines 2018: management bundles for acute cholangitis and cholecystitis.
J Hepatobiliary Pancreat Sci
; 25(1): 96-100, 2018 Jan.
Article
em En
| MEDLINE
| ID: mdl-29090868
ABSTRACT
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.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Colangite
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Guias de Prática Clínica como Assunto
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Gerenciamento Clínico
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Colecistite Aguda
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Lista de Checagem
Tipo de estudo:
Guideline
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Prognostic_studies
Limite:
Female
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Humans
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Male
País como assunto:
Asia
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article