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New diagnostic criteria and severity assessment of acute cholangitis in revised Tokyo guidelines

2012; Wiley; Volume: 19; Issue: 5 Linguagem: Inglês

10.1007/s00534-012-0537-3

1868-6982

Seiki Kiriyama, Tadahiro Takada, Steven M. Strasberg, Joseph S. Solomkin, Toshihiko Mayumi, Henry A. Pitt, Dirk J. Gouma, O. James Garden, Markus W. Büchler, Masamichi Yokoe, Yasutoshi Kimura, Toshio Tsuyuguchi, Takao Itoi, Masahiro Yoshida, Fumihiko Miura, Yuichi Yamashita, Kohji Okamoto, Toshifumi Gabata, Jiro Hata, Ryota Higuchi, John A. Windsor, Philippus C. Bornman, Irene Oi‐Lin Ng, Harijt Singh, Eduardo de Santibáñes, Harumi Gomi, Shinya Kusachi, Atsuhiko Murata, Xiaoping Chen, P. Jagannath, Sung Gyu Lee, Robert Padbury, Miin‐Fu Chen,

Pneumonia and Respiratory Infections

The Tokyo Guidelines for the management of acute cholangitis and cholecystitis (TG07) were published in 2007 as the world's first guidelines for acute cholangitis and cholecystitis. The diagnostic criteria and severity assessment of acute cholecystitis have since been widely used all over the world. A validation study of TG07 has shown that the diagnostic criteria for acute cholecystitis are highly reliable but that the definition of definite diagnosis is ambiguous. In addition, considerable new evidence referring to acute cholecystitis as well as evaluations of TG07 have been published. Consequently, we organized the Tokyo Guidelines Revision Committee to evaluate TG07, recognize new evidence, and conduct a multi-center analysis to revise the guidelines (TG13).