TG13: Updated Tokyo Guidelines for the management of acute cholangitis and cholecystitis

详细信息    查看全文

• 作者：Tadahiro Takada (1)
  Steven M. Strasberg (2)
  Joseph S. Solomkin (3)
  Henry A. Pitt (4)
  Harumi Gomi (5)
  Masahiro Yoshida (6)
  Toshihiko Mayumi (7)
  Fumihiko Miura (1)
  Dirk J. Gouma (8)
  O. James Garden (9)
  Markus W. Büchler (10)
  Seiki Kiriyama (11)
  Masamichi Yokoe (12)
  Yasutoshi Kimura (13)
  Toshio Tsuyuguchi (14)
  Takao Itoi (15)
  Toshifumi Gabata (16)
  Ryota Higuchi (17)
  Kohji Okamoto (18)
  Jiro Hata (19)
  Atsuhiko Murata (20)
  Shinya Kusachi (21)
  John A. Windsor (22)
  Avinash N. Supe (23)
  SungGyu Lee (24)
  Xiao-Ping Chen (25)
  Yuichi Yamashita (26)
  Koichi Hirata (27)
  Kazuo Inui (28)
  Yoshinobu Sumiyama (29)
  
• 关键词：Acute cholangitis ; Acute cholecystitis ; Charcot’s triad ; Biliary infection ; GRADE
• 刊名：Journal of Hepato-Biliary-Pancreatic Sciences
• 出版年：2013
• 出版时间：January 2013
• 年：2013
• 卷：20
• 期：1
• 页码：1-7
• 全文大小：429KB
• 参考文献：1. Takada T, Kawarada Y, Nimura Y, Yoshida M, Mayumi T, Sekimoto M, et al. Background: Tokyo Guidelines for the management of acute cholangitis and cholecystitis. J Hepatobiliary Pancreat Surg. 2007;14:1-0. CrossRef
  2. Tokyo Guidelines for the management of acute cholangitis and cholecystitis. Proceedings of a consensus meeting, April 2006, Tokyo, Japan. J Hepato-Biliary Pancreat Surg. 2007;14:1-21.
  3. Miura F, Takada T, Kawarada Y, Nimura Y, Wada K, Hirota M, et al. Flowcharts for the diagnosis and treatment of acute cholangitis and cholecystitis: Tokyo guidelines. J Hepatobiliary Pancreat Surg. 2007;14:27-4. CrossRef
  4. Wada K, Takada T, Kawarada Y, Nimura Y, Miura F, Yoshida M, et al. Diagnostic criteria and severity assessment of acute cholangitis: Tokyo guidelines. J Hepatobiliary Pancreat Surg. 2007;14:52-. CrossRef
  5. Hirota M, Takada T, Kawarada Y, Nimura Y, Miura F, Hirata K, et al. Diagnostic criteria and severity assessment of acute cholecystitis: Tokyo guidelines. J Hepatobiliary Pancreat Surg. 2007;14:78-2. CrossRef
  6. Strasberg SM. Acute calculous cholecystitis. N Engl J Med. 2008;358:2804-1. CrossRef
  7. Cameron JL, Cameron AM. Current surgical therapy. 10th ed. Elsevier Mosby: Philadelphia. 2011; p. 345-48.
  8. Dooley JS, Lok A, Burroughs A, Heathcote J. Sherlock’s diseases of the liver and biliary system, 12th ed. Blackwell: Hoboken; 2011.
  9. Solomkin JS, Mazuski JE, Bradley JS, Rodvold KA, Goldstein EJ, Baron EJ, et al. Diagnosis and management of complicated intra-abdominal infection in adults and children: guidelines by the Surgical Infection Society and the Infectious Diseases Society of America. Clinical Infect Dis. 2010;50(2):133-4. CrossRef
  10. Murata A, Matsuda S, Kuwabara K, Fujino Y, Kubo T, et al. Evaluation of compliance with the Tokyo Guidelines for the management of acute cholangitis based on the Japanese administrative database associated with the Diagnosis Procedure Combination system. J Hepatobiliary Pancreat Sci. 2010;18:53-.
  11. Yokoe M, Takada T, Mayumi T, Yoshida M, Hasegawa H, Norimizo S, et al. Accuracy of the Tokyo Guidelines for the diagnosis of acute cholangitis and cholecystitis taking into consideration the clinical practice pattern in Japan. J Hepatobiliary Pancreat Sci. 2011;18:250-. CrossRef
  12. Shekelle PG, Ortiz E, Rhodes S, Morton SC, Eccles MP, Grimshaw JM, Woolf SH. Validity of the Agency for Healthcare Research and Quality clinical practice guidelines: how quickly do guidelines become outdated? JAMA. 2001;286:1461-. CrossRef
  13. Kiriyama S, Takada T, Strasberg SM, Solomkin JS, Mayumi T, Pitt HA, et al. New diagnostic criteria and severity assessment of acute cholangitis in revised Tokyo guidelines. J Hepatobiliary Pancreat Sci. 2012;19:548-6. CrossRef
  14. Yokoe M, Takada T, Strasberg SM, Solomkin JS, Mayumi T, Gomi H, et al. New diagnostic criteria and severity assessment of acute cholesystitis in revised Tokyo guidelines. J Hepatobiliary Pancreat Sci. 2012;19:578-5. CrossRef
  15. Atkins D, Eccles M, Flottorp S, Guyatt GH, Henry D, Hill S, et al. Systems for grading the quality of evidence and the strength of recommendations I: critical appraisal of existing approaches. The GRADE Working Group. BMC Health Serv Res. 2004;4(1):38. CrossRef
  16. Guyatt GH, Oxman AD, Vist GE, Kunz R, Falck-Ytter Y, Alonso-Coello P, et al. Rating quality of evidence and strength of recommendations. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ. 2008;336:924-. CrossRef
  17. Guyatt GH, Oxman AD, Kunz R, Vist GE, Falck-Ytter Y, Schünemann HJ, et al. Rating quality of evidence and strength of recommendations. What is “quality of evidence-and why is it important to clinicians? BMJ. 2008;336:995-. CrossRef
  
• 作者单位：Tadahiro Takada (1)
  Steven M. Strasberg (2)
  Joseph S. Solomkin (3)
  Henry A. Pitt (4)
  Harumi Gomi (5)
  Masahiro Yoshida (6)
  Toshihiko Mayumi (7)
  Fumihiko Miura (1)
  Dirk J. Gouma (8)
  O. James Garden (9)
  Markus W. Büchler (10)
  Seiki Kiriyama (11)
  Masamichi Yokoe (12)
  Yasutoshi Kimura (13)
  Toshio Tsuyuguchi (14)
  Takao Itoi (15)
  Toshifumi Gabata (16)
  Ryota Higuchi (17)
  Kohji Okamoto (18)
  Jiro Hata (19)
  Atsuhiko Murata (20)
  Shinya Kusachi (21)
  John A. Windsor (22)
  Avinash N. Supe (23)
  SungGyu Lee (24)
  Xiao-Ping Chen (25)
  Yuichi Yamashita (26)
  Koichi Hirata (27)
  Kazuo Inui (28)
  Yoshinobu Sumiyama (29)
  
  1. Department of Surgery, Teikyo University School of Medicine, 2-11-1 Kaga, Itabashi-ku, Tokyo, 173-8605, Japan
  2. Section of Hepatobiliary and Pancreatic Surgery, Washington University in Saint Louis School of Medicine, Saint Louis, MO, USA
  3. Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, OH, USA
  4. Department of Surgery, Indiana University School of Medicine, Indianapolis, IN, USA
  5. Center for Clinical Infectious Diseases, Jichi Medical University, Tochigi, Japan
  6. Clinical Research Center Kaken Hospital, International University of Health and Welfare, Ichikawa, Japan
  7. Department of Emergency and Critical Care Medicine, Ichinomiya Municipal Hospital, Ichinomiya, Japan
  8. Department of Surgery, Academic Medical Center, Amsterdam, The Netherlands
  9. Clinical Surgery, The University of Edinburgh, Edinburgh, UK
  10. Department of Surgery, University of Heidelberg, Heidelberg, Germany
  11. Department of Gastroenterology, Ogaki Municipal Hospital, Ogaki, Japan
  12. General Internal Medicine, Nagoya Daini Red Cross Hospital, Nagoya, Japan
  13. Department of Surgical Oncology and Gastroenterological Surgery, Sapporo Medical University School of Medicine, Sapporo, Japan
  14. Department of Medicine and Clinical Oncology, Graduate School of Medicine Chiba University, Chiba, Japan
  15. Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan
  16. Department of Radiology, Kanazawa University Graduate School of Medical Science, Kanazawa, Japan
  17. Department of Surgery, Institute of Gastroenterology, Tokyo Women’s Medical University, Tokyo, Japan
  18. Department of Surgery, Kitakyushu Municipal Yahata Hospital, Kitakyushu, Japan
  19. Department of Endoscopy and Ultrasound, Kawasaki Medical School, Okayama, Japan
  20. Department of Preventive Medicine and Community Health, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan
  21. Department of Surgery, Toho University Medical Center Ohashi Hospital, Tokyo, Japan
  22. Department of Surgery, The University of Auckland, Auckland, New Zealand
  23. Department of Surgical Gastroenterology, Seth G S Medical College and K E M Hospital, Mumbai, India
  24. HepatoBiliary Surgery and Liver Transplantation, Asan Medical Center, Ulsan University, Seoul, Korea
  25. Department of Surgery, Hepatic Surgery Centre, Tongji Hospital, Tongi Medical College, Huazhong Universty of Science & Technology, Wuhan, China
  26. Department of Gastroenterological Surgery, Fukuoka University School of Medicine, Fukuoka, Japan
  27. Department of Internal Medicine, Second Teaching Hospital, Fujita Health University School of Medicine, Nagoya, Aichi, Japan
  28. Department of Surgery I, Sapporo Medical University Hospital, Sapporo, Hokkaido, Japan
  29. Toho University School of Medicine, Tokyo, Japan
  

文摘

In 2007, the Tokyo Guidelines for the management of acute cholangitis and cholecystitis (TG07) were first published in the Journal of Hepato-Biliary-Pancreatic Surgery. The fundamental policy of TG07 was to achieve the objectives of TG07 through the development of consensus among specialists in this field throughout the world. Considering such a situation, validation and feedback from the clinicians-viewpoints were indispensable. What had been pointed out from clinical practice was the low diagnostic sensitivity of TG07 for acute cholangitis and the presence of divergence between severity assessment and clinical judgment for acute cholangitis. In June 2010, we set up the Tokyo Guidelines Revision Committee for the revision of TG07 (TGRC) and started the validation of TG07. We also set up new diagnostic criteria and severity assessment criteria by retrospectively analyzing cases of acute cholangitis and cholecystitis, including cases of non-inflammatory biliary disease, collected from multiple institutions. TGRC held meetings a total of 35 times as well as international email exchanges with co-authors abroad. On June 9 and September 6, 2011, and on April 11, 2012, we held three International Meetings for the Clinical Assessment and Revision of Tokyo Guidelines. Through these meetings, the final draft of the updated Tokyo Guidelines (TG13) was prepared on the basis of the evidence from retrospective multi-center analyses. To be specific, discussion took place involving the revised new diagnostic criteria, and the new severity assessment criteria, new flowcharts of the management of acute cholangitis and cholecystitis, recommended medical care for which new evidence had been added, new recommendations for gallbladder drainage and antimicrobial therapy, and the role of surgical intervention. Management bundles for acute cholangitis and cholecystitis were introduced for effective dissemination with the level of evidence and the grade of recommendations. GRADE systems were utilized to provide the level of evidence and the grade of recommendations. TG13 improved the diagnostic sensitivity for acute cholangitis and cholecystitis, and presented criteria with extremely low false positive rates adapted for clinical practice. Furthermore, severity assessment criteria adapted for clinical use, flowcharts, and many new diagnostic and therapeutic modalities were presented. The bundles for the management of acute cholangitis and cholecystitis are presented in a separate section in TG13. Free full-text articles and a mobile application of TG13 are available via http://www.jshbps.jp/en/guideline/tg13.html.