Tokyo Guidelines 2018: diagnostic criteria and severity grading of acute cholecystitis (with videos)

被引：757

作者：

Yokoe, Masamichi ^{[1
]}

Hata, Jiro ^{[2
]}

Takada, Tadahiro ^{[3
]}

Strasberg, Steven M. ^{[4
]}

Asbun, Horacio J. ^{[5
]}

Wakabayashi, Go ^{[6
]}

Kozaka, Kazuto ^{[7
]}

Endo, Itaru ^{[8
]}

Deziel, Daniel J. ^{[9
]}

Miura, Fumihiko ^{[3
]}

Okamoto, Kohji ^{[10
]}

Hwang, Tsann-Long ^{[11
]}

Huang, Wayne Shih-Wei ^{[12
]}

Ker, Chen-Guo ^{[13
]}

Chen, Miin-Fu ^{[11
]}

Han, Ho-Seong ^{[14
]}

Yoon, Yoo-Seok ^{[14
]}

Choi, In-Seok ^{[15
]}

Yoon, Dong-Sup ^{[16
]}

Noguchi, Yoshinori ^{[1
]}

Shikata, Satoru ^{[17
]}

Ukai, Tomohiko ^{[18
]}

Higuchi, Ryota ^{[19
]}

Gabata, Toshifumi ^{[20
]}

Mori, Yasuhisa ^{[21
]}

Iwashita, Yukio ^{[22
]}

Hibi, Taizo ^{[23
]}

Jagannath, Palepu ^{[24
]}

Jonas, Eduard ^{[25
,26
]}

Liau, Kui-Hin ^{[27
,28
]}

Dervenis, Christos ^{[29
]}

Gouma, Dirk J. ^{[30
]}

Cherqui, Daniel ^{[31
]}

Belli, Giulio ^{[32
]}

Garden, O. James ^{[33
]}

Eduardo Gimenez, Mariano ^{[34
]}

de Santibanes, Eduardo ^{[35
]}

Suzuki, Kenji ^{[36
]}

Umezawa, Akiko ^{[37
]}

Supe, Avinash Nivritti ^{[38
]}

Pitt, Henry A. ^{[39
]}

Singh, Harjit ^{[40
]}

Chan, Angus C. W. ^{[41
]}

Lau, Wan Yee ^{[42
]}

Teoh, Anthony Yuen Bun ^{[43
]}

Honda, Goro ^{[44
]}

Sugioka, Atsushi ^{[45
]}

Asai, Koji ^{[46
]}

Gomi, Harumi ^{[47
]}

Itoi, Takao ^{[48
]}

机构：

[1] Japanese Red Cross Nagoya Daini Hosp, Dept Gen Internal Med, Nagoya, Aichi, Japan

[2] Kawasaki Med Sch, Dept Endoscopy & Ultrasound, Okayama, Japan

[3] Teikyo Univ, Dept Surg, Sch Med, Tokyo, Japan

[4] Washington Univ, Sch Med, Sect Hepatopancreatobiliary Surg, St Louis, MO USA

[5] Mayo Clin, Coll Med, Dept Surg, Jacksonville, FL 32224 USA

[6] Ageo Cent Gen Hosp, Dept Surg, Saitama, Japan

[7] Kanazawa Univ, Dept Radiol, Grad Sch Med Sci, Kanazawa, Ishikawa, Japan

[8] Yokohama City Univ, Dept Surg Gastroenterol, Grad Sch Med, Yokohama, Kanagawa, Japan

[9] Rush Univ, Med Ctr, Dept Surg, Chicago, IL 60612 USA

[10] Kitakyushu City Yahata Hosp, Ctr Gastroenterol & Liver Dis, Dept Surg, Fukuoka, Japan

[11] Linkou Chang Gung Mem Hosp, Div Gen Surg, Taoyuan, Taiwan

[12] Show Chwan Mem Hosp, Dept Surg, Changhua, Taiwan

[13] Yuans Gen Hosp, Dept Surg, Kaohsiung, Taiwan

[14] Seoul Natl Univ, Coll Med, Bundang Hosp, Dept Surg, Seoul, South Korea

[15] Konyang Univ Hosp, Dept Surg, Daejeon, South Korea

[16] Yonsei Univ, Gangnam Severance Hosp, Dept Surg, Seoul, South Korea

[17] Mie Prefectural Ichishi Hosp, Tsu, Mie, Japan

[18] Mie Prefectural Ichishi Hosp, Dept Family Med, Tsu, Mie, Japan

[19] Tokyo Womens Med Univ, Dept Surg, Inst Gastroenterol, Tokyo, Japan

[20] Kanazawa Univ Hosp, Kanazawa, Ishikawa, Japan

[21] Kyushu Univ, Grad Sch Med Sci, Dept Surg & Oncol, Fukuoka, Japan

[22] Oita Univ, Fac Med, Dept Gastroenterol & Pediat Surg, Oita, Japan

[23] Keio Univ, Sch Med, Dept Surg, Tokyo, Japan

[24] Lilavati Hosp & Res Ctr, Dept Surg Oncol, Bombay, Maharashtra, India

[25] Univ Cape Town, Surg Gastroenterol Hepatopancreatobiliary Unit, Cape Town, South Africa

[26] Groote Schuur Hosp, Cape Town, South Africa

[27] Mt Elizabeth Novena Hosp, Liau KH Consulting PL, Singapore, Singapore

[28] Natl Univ Singapore, Yong Loo Lin Sch Med, Singapore, Singapore

[29] Agia Olga Hosp, Dept Surg 1, Athens, Greece

[30] Acad Med Ctr, Dept Surg, Amsterdam, Netherlands

[31] Hop Paul Brousse, Hepatobiliary Ctr, Villejuif, France

[32] Loreto Nuovo Hosp, Dept Gen & HPB Surg, Naples, Italy

[33] Univ Edinburgh, Surg Clin, Edinburgh, Midlothian, Scotland

[34] Univ Buenos Aires, DAICIM Fdn, Chair Gen Surg & Minimal Invas Surg Taquini, Buenos Aires, DF, Argentina

[35] Univ Buenos Aires, Hosp Italiano, Dept Surg, Buenos Aires, DF, Argentina

[36] Fujinomiya City Gen Hosp, Dept Surg, Shizuoka, Japan

[37] Yotsuya Med Cube, Minimally Invas Surg Ctr, Tokyo, Japan

[38] Seth GS Med Coll & KEM Hosp, Dept Surg Gastroenterol, Bombay, Maharashtra, India

[39] Temple Univ, Lewis Katz Sch Med, Philadelphia, PA 19122 USA

[40] Hosp Selayang, Dept Hepatopancreatobiliary Surg, Selangor, Malaysia

[41] Hong Kong Sanat & Hosp, Dept Surg, Surg Ctr, Hong Kong, Hong Kong, Peoples R China

[42] Chinese Univ Hong Kong, Fac Med, Shatin, Hong Kong, Peoples R China

[43] Chinese Univ Hong Kong, Dept Surg, Shatin, Hong Kong, Peoples R China

[44] Tokyo Metropolitan Komagome Hosp, Dept Surg, Tokyo, Japan

[45] Fujita Hlth Univ, Sch Med, Dept Surg, Toyoake, Aichi, Japan

[46] Toho Univ, Ohashi Med Ctr, Dept Surg, Tokyo, Japan

[47] Univ Tsukuba, Mito Kyodo Gen Hosp, Ctr Global Hlth, Tsukuba, Ibaraki, Japan

[48] Tokyo Med Univ Hosp, Dept Gastroenterol & Hepatol, Tokyo, Japan

[49] Ogaki Municipal Hosp, Dept Gastroenterol, Gifu, Japan

[50] Int Univ Hlth & Welf, Ichikawa Hosp, Dept Hemodialysis & Surg, Chiba, Japan

来源：

JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES | 2018年 / 25卷 / 01期

关键词：

Acute; Cholecystitis; Diagnosis; Diagnostic imaging; Guidelines; Severity of Illness Index; ACUTE CALCULOUS CHOLECYSTITIS; PREDICTIVE FACTORS; CHOLECYSTECTOMY; PROCALCITONIN; ULTRASOUND; MANAGEMENT; CONVERSION; ACCURACY; SEPSIS; RISK;

D O I：

10.1002/jhbp.515

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

The Tokyo Guidelines 2013 (TG13) for acute cholangitis and cholecystitis were globally disseminated and various clinical studies about the management of acute cholecystitis were reported by many researchers and clinicians from all over the world. The 1st edition of the Tokyo Guidelines 2007 (TG07) was revised in 2013. According to that revision, the TG13 diagnostic criteria of acute cholecystitis provided better specificity and higher diagnostic accuracy. Thorough our literature search about diagnostic criteria for acute cholecystitis, new and strong evidence that had been released from 2013 to 2017 was not found with serious and important issues about using TG13 diagnostic criteria of acute cholecystitis. On the other hand, the TG13 severity grading for acute cholecystitis has been validated in numerous studies. As a result of these reviews, the TG13 severity grading for acute cholecystitis was significantly associated with parameters including 30-day overall mortality, length of hospital stay, conversion rates to open surgery, and medical costs. In terms of severity assessment, breakthrough and intensive literature for revising severity grading was not reported. Consequently, TG13 diagnostic criteria and severity grading were judged from numerous validation studies as useful indicators in clinical practice and adopted as TG18/TG13 diagnostic criteria and severity grading of acute cholecystitis without any modification. Free full articles and mobile app of TG18 are available at: http://www.jshbps.jp/modules/en/index.php?content_id=47. Related clinical questions and references are also included.

引用

页码：41 / 54

页数：14

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