Background: Tokyo Guidelines for the management of acute cholangitis and cholecystitis View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2007-01

AUTHORS

Tadahiro Takada, Yoshifumi Kawarada, Yuji Nimura, Masahiro Yoshida, Toshihiko Mayumi, Miho Sekimoto, Fumihiko Miura, Keita Wada, Masahiko Hirota, Yuichi Yamashita, Masato Nagino, Toshio Tsuyuguchi, Atsushi Tanaka, Yasutoshi Kimura, Hideki Yasuda, Koichi Hirata, Henry A. Pitt, Steven M. Strasberg, Thomas R. Gadacz, Philippus C. Bornman, Dirk J. Gouma, Giulio Belli, Kui-Hin Liau

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. More... »

PAGES

1-10

References to SciGraph publications

  • 2006-02. JPN Guidelines for the management of acute pancreatitis: cutting-edge information in JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES
  • 2002-10. Evidence-based clinical practice guidelines for acute pancreatitis: proposals in JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00534-006-1150-0

    DOI

    http://dx.doi.org/10.1007/s00534-006-1150-0

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1019360846

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/17252291


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