Tokyo Guidelines 2018: diagnostic criteria and severity grading of acute cholecystitis (with videos)
Токийские рекомендации 2018: диагностические критерии и градация тяжести острого холецистита (с видеоматериалами)
2017-10-15
SCID: 54.1/ppt5v7a2
Discuss with AI
Tokyo Guidelines 2018acute cholecystitisclinical validationdiagnostic criteriaseverity grading
Figures from the paper
Abstract (AI)
Abstract 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 1 st edition of the Tokyo Guidelines 2007 ( TG 07) was revised in 2013. According to that revision, the TG 13 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 TG 13 diagnostic criteria of acute cholecystitis. On the other hand, the TG 13 severity grading for acute cholecystitis has been validated in numerous studies. As a result of these reviews, the TG 13 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, TG 13 diagnostic criteria and severity grading were judged from numerous validation studies as useful indicators in clinical practice and adopted as TG 18/ TG 13 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.
Key Findings
1
No substantial new evidence justified revising the TG13 severity grading system.
2
TG13 diagnostic criteria and severity grading were adopted unchanged as the TG18/TG13 standards for clinical practice.
3
TG13 diagnostic criteria for acute cholecystitis demonstrated improved specificity and higher diagnostic accuracy than the 2007 criteria.
4
TG13 severity grading was validated across numerous studies and significantly associated with 30-day overall mortality, hospital stay length, conversion to open surgery, and medical costs.
5
The literature review found no new strong evidence from 2013–2017 requiring modification of the TG13 diagnostic criteria.
Research Object
acute cholecystitis
Research Subject
diagnostic criteria and severity grading, including their clinical validity and associations with outcomes
Publication Details
Publication Date
2017-10-15
Journal
Publisher
ISSN
Open access PDF
Access Type
Author Information
Download PDF
Subscribe to digest