The Differences Between the Japanese Evidenced-Based Guidelines for Acute Cholangitis and Acute Cholecystitis and the International Guidelines ‘Tokyo Guidelines for the Management of Acute Cholangitis and Cholecystitis’

DOI
  • Yokoe Masamichi
    Department of General Internal Medicine, Nagoya Daini Red Cross Hospital
  • Mayumi Toshihiko
    Department of Emergency Medicine and Intensive Care, Nagoya University School of Medicine
  • Hasegawa Hiroshi
    Department of Surgery, Nagoya Daini Red Cross Hospital

Bibliographic Information

Other Title
  • 急性胆道炎・胆管炎診療ガイドラインにおける国内版と国際版の相違点と問題点

Abstract

There are many differences between the Japanese Evidenced-Based Guidelines for acute cholangitis and cholecystitis and the International clinical guidelines for acute cholangitis and cholecystitis (‘Tokyo Guidelines’). The present study examines all the differences between them. A remarkable difference in acute cholangitis diagnostic criteria is that the International edition places emphasis on the patient's past history and physical examinations. On the severity index of acute cholangitis, general conditions in the International guidelines are focused on the severity. On the other hand, the category of a suspected diagnosis based on acute cholecystitis diagnostic criteria is lacking. The Japanese edition of the severity index of acute cholecystitis emphasizes the local condition of the right upper quadrant around the gall bladder when deciding whether an emergency operation is warranted. On the contrary, the International edition focuses on the general conditions. As seen above, there are many differences between the Japanese guidelines and the International Guidelines. We should try to compare these characteristic variations between the two sets of guidelines in order to improve the quality of both.

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Details 詳細情報について

  • CRID
    1390282679711380352
  • NII Article ID
    130004508734
  • DOI
    10.11231/jaem.29.457
  • ISSN
    18824781
    13402242
  • Text Lang
    ja
  • Data Source
    • JaLC
    • CiNii Articles
  • Abstract License Flag
    Disallowed

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