Background: Tokyo Guidelines for the management of acute cholangitis and cholecystitis.

Hdl Handle:
http://hdl.handle.net/10675.2/142
Title:
Background: Tokyo Guidelines for the management of acute cholangitis and cholecystitis.
Authors:
Takada, Tadahiro; Kawarada, Yoshifumi; Nimura, Yuji; Yoshida, Masahiro; Mayumi, Toshihiko; Sekimoto, Miho; Miura, Fumihiko; Wada, Keita; Hirota, Masahiko ( 0000-0001-7651-5375 ) ; Yamashita, Yuichi; Nagino, Masato; Tsuyuguchi, Toshio; Tanaka, Atsushi; Kimura, Yasutoshi; Yasuda, Hideki; Hirata, Koichi; Pitt, Henry A; Strasberg, Steven M; Gadacz, Thomas R; Bornman, Philippus C; Gouma, Dirk J; Belli, Giulio; Liau, Kui-Hin
Abstract:
There are no evidence-based-criteria for the diagnosis, severity assessment, of treatment of acute cholecystitis or acute cholangitis. For example, the full complement of symptoms and signs described as Charcot's triad and as Reynolds' pentad are infrequent and as such do not really assist the clinician with planning management strategies. In view of these factors, we launched a project to prepare evidence-based guidelines for the management of acute cholangitis and cholecystitis that will be useful in the clinical setting. This research has been funded by the Japanese Ministry of Health, Labour, and Welfare, in cooperation with the Japanese Society for Abdominal Emergency Medicine, the Japan Biliary Association, and the Japanese Society of Hepato-Biliary-Pancreatic Surgery. A working group, consisting of 46 experts in gastroenterology, surgery, internal medicine, emergency medicine, intensive care, and clinical epidemiology, analyzed and examined the literature on patients with cholangitis and cholecystitis in order to produce evidence-based guidelines. During the investigations we found that there was a lack of high-level evidence, for treatments, and the working group formulated the guidelines by obtaining consensus, based on evidence categorized by level, according to the Oxford Centre for Evidence-Based Medicine Levels of Evidence of May 2001 (version 1). This work required more than 20 meetings to obtain a consensus on each item from the working group. Then four forums were held to permit examination of the Guideline details in Japan, both by an external assessment committee and by the working group participants (version 2). As we knew that the diagnosis and management of acute biliary infection may differ from country to country, we appointed a publication committee and held 12 meetings to prepare draft Guidelines in English (version 3). We then had several discussions on these draft guidelines with leading experts in the field throughout the world, via e-mail, leading to version 4. Finally, an International Consensus Meeting took place in Tokyo, on 1-2 April, 2006, to obtain international agreement on diagnostic criteria, severity assessment, and management.
Citation:
J Hepatobiliary Pancreat Surg. 2007 Jan 30; 14(1):1-10
Issue Date:
25-Jan-2007
URI:
http://hdl.handle.net/10675.2/142
DOI:
10.1007/s00534-006-1150-0
PubMed ID:
17252291
PubMed Central ID:
PMC2784507
Type:
Journal Article; Research Support, Non-U.S. Gov't
ISSN:
0944-1166
Appears in Collections:
Department of Surgery: Faculty Research and Presentations

Full metadata record

DC FieldValue Language
dc.contributor.authorTakada, Tadahiroen_US
dc.contributor.authorKawarada, Yoshifumien_US
dc.contributor.authorNimura, Yujien_US
dc.contributor.authorYoshida, Masahiroen_US
dc.contributor.authorMayumi, Toshihikoen_US
dc.contributor.authorSekimoto, Mihoen_US
dc.contributor.authorMiura, Fumihikoen_US
dc.contributor.authorWada, Keitaen_US
dc.contributor.authorHirota, Masahikoen_US
dc.contributor.authorYamashita, Yuichien_US
dc.contributor.authorNagino, Masatoen_US
dc.contributor.authorTsuyuguchi, Toshioen_US
dc.contributor.authorTanaka, Atsushien_US
dc.contributor.authorKimura, Yasutoshien_US
dc.contributor.authorYasuda, Hidekien_US
dc.contributor.authorHirata, Koichien_US
dc.contributor.authorPitt, Henry Aen_US
dc.contributor.authorStrasberg, Steven Men_US
dc.contributor.authorGadacz, Thomas Ren_US
dc.contributor.authorBornman, Philippus Cen_US
dc.contributor.authorGouma, Dirk Jen_US
dc.contributor.authorBelli, Giulioen_US
dc.contributor.authorLiau, Kui-Hinen_US
dc.date.accessioned2010-09-24T22:03:26Z-
dc.date.available2010-09-24T22:03:26Z-
dc.date.issued2007-01-25en_US
dc.identifier.citationJ Hepatobiliary Pancreat Surg. 2007 Jan 30; 14(1):1-10en_US
dc.identifier.issn0944-1166en_US
dc.identifier.pmid17252291en_US
dc.identifier.doi10.1007/s00534-006-1150-0en_US
dc.identifier.urihttp://hdl.handle.net/10675.2/142-
dc.description.abstractThere are no evidence-based-criteria for the diagnosis, severity assessment, of treatment of acute cholecystitis or acute cholangitis. For example, the full complement of symptoms and signs described as Charcot's triad and as Reynolds' pentad are infrequent and as such do not really assist the clinician with planning management strategies. In view of these factors, we launched a project to prepare evidence-based guidelines for the management of acute cholangitis and cholecystitis that will be useful in the clinical setting. This research has been funded by the Japanese Ministry of Health, Labour, and Welfare, in cooperation with the Japanese Society for Abdominal Emergency Medicine, the Japan Biliary Association, and the Japanese Society of Hepato-Biliary-Pancreatic Surgery. A working group, consisting of 46 experts in gastroenterology, surgery, internal medicine, emergency medicine, intensive care, and clinical epidemiology, analyzed and examined the literature on patients with cholangitis and cholecystitis in order to produce evidence-based guidelines. During the investigations we found that there was a lack of high-level evidence, for treatments, and the working group formulated the guidelines by obtaining consensus, based on evidence categorized by level, according to the Oxford Centre for Evidence-Based Medicine Levels of Evidence of May 2001 (version 1). This work required more than 20 meetings to obtain a consensus on each item from the working group. Then four forums were held to permit examination of the Guideline details in Japan, both by an external assessment committee and by the working group participants (version 2). As we knew that the diagnosis and management of acute biliary infection may differ from country to country, we appointed a publication committee and held 12 meetings to prepare draft Guidelines in English (version 3). We then had several discussions on these draft guidelines with leading experts in the field throughout the world, via e-mail, leading to version 4. Finally, an International Consensus Meeting took place in Tokyo, on 1-2 April, 2006, to obtain international agreement on diagnostic criteria, severity assessment, and management.en_US
dc.rightsThe PMC Open Access Subset is a relatively small part of the total collection of articles in PMC. Articles in the PMC Open Access Subset are still protected by copyright, but are made available under a Creative Commons or similar license that generally allows more liberal redistribution and reuse than a traditional copyrighted work. Please refer to the license statement in each article for specific terms of use. The license terms are not identical for all articles in this subset.en_US
dc.subject.meshAcute Diseaseen_US
dc.subject.meshCholangitis / diagnosis / therapyen_US
dc.subject.meshCholecystitis, Acute / diagnosis / therapyen_US
dc.subject.meshEvidence-Based Medicineen_US
dc.subject.meshHumansen_US
dc.subject.meshPractice Guidelines as Topicen_US
dc.subject.meshResearch Designen_US
dc.subject.meshTokyoen_US
dc.titleBackground: Tokyo Guidelines for the management of acute cholangitis and cholecystitis.en_US
dc.typeJournal Articleen_US
dc.typeResearch Support, Non-U.S. Gov'ten_US
dc.identifier.pmcidPMC2784507en_US
dc.contributor.corporatenameDepartment of Surgeryen_US

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