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    Need for criteria for the diagnosis and severity assessment of acute cholangitis and cholecystitis: Tokyo Guidelines.

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    Authors
    Sekimoto, Miho
    Takada, Tadahiro
    Kawarada, Yoshifumi
    Nimura, Yuji
    Yoshida, Masahiro
    Mayumi, Toshihiko
    Miura, Fumihiko
    Wada, Keita
    Hirota, Masahiko
    Yamashita, Yuichi
    Strasberg, Steven M
    Pitt, Henry A
    Belghiti, Jacques
    de Santibanes, Eduardo
    Gadacz, Thomas R
    Hilvano, Serafin C
    Kim, Sun-Whe
    Liau, Kui-Hin
    Fan, Sheung-Tat
    Belli, Giulio
    Sachakul, Vibul
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    Issue Date
    2007-01-25
    URI
    http://hdl.handle.net/10675.2/123
    
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    Abstract
    The Tokyo Guidelines formulate clinical guidance for healthcare providers regarding the diagnosis, severity assessment, and treatment of acute cholangitis and acute cholecystitis. The Guidelines were developed through a comprehensive literature search and selection of evidence. Recommendations were based on the strength and quality of evidence. Expert consensus opinion was used to enhance or formulate important areas where data were insufficient. A working group, composed of gastroenterologists and surgeons with expertise in biliary tract surgery, supplemented with physicians in critical care medicine, epidemiology, and laboratory medicine, was selected to formulate draft guidelines. Several other groups (including members of the Japanese Society for Abdominal Emergency Medicine, the Japan Biliary Association, and the Japanese Society of Hepato-Biliary-Pancreatic Surgery) have reviewed and revised the draft guidelines. To build a global consensus on the management of acute biliary infection, an international expert panel, representing experts in this area, was established. Between April 1 and 2, 2006, an International Consensus Meeting on acute biliary infections was held in Tokyo. A consensus was determined based on best available scientific evidence and discussion by the panel of experts. This report describes the highlights of the Tokyo International Consensus Meeting in 2006. Some important areas focused on at the meeting include proposals for internationally accepted diagnostic criteria and severity assessment for both clinical and research purposes.
    Citation
    J Hepatobiliary Pancreat Surg. 2007 Jan 30; 14(1):11-14
    ae974a485f413a2113503eed53cd6c53
    10.1007/s00534-006-1151-z
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    Department of Surgery: Faculty Research and Presentations

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