Tokyo Guidelines 2018: management bundles for acute cholangitis and cholecystitis
Tokyo Guidelines 2018: management bundles for acute cholangitis and cholecystitis
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DOI：
10.1002/jhbp.519
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发表时间：
2018-01-01
影响因子：
3
通讯作者：
Yamamoto, Masakazu
中科院分区：
文献类型：
--
作者：
Mayumi, Toshihiko;Okamoto, Kohji;Yamamoto, Masakazu
近年来，在许多指南中使用了定义临床实践中强烈推荐的项目或程序的管理包。这些捆绑包的应用有助于适应指南，并有助于改善目标疾病的预后。在2013年东京指南（TG13）中，我们提出了急性胆管炎和胆囊炎的管理捆绑。在2018年东京指南（TG18）中，我们重新定义了急性胆管炎和胆囊炎的管理包。TG 18中的捆绑包的关键部分包括诊断过程、严重程度评估、必要时的患者转移以及每个时间点的治疗方法。这些项目和程序的遵守应改善急性胆管炎和胆囊炎的预后。现在需要进行研究，以评估这些TG18捆绑包的传播及其有效性。TG 18的免费完整文章和移动的应用程序可在以下网址获得：。相关的临床问题和参考文献也包括在内。
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: . Related clinical questions and references are also included.