Revision of the Flowcharts for the Management of Acute Cholangitis and Cholecystitis,and Development of the Mobile Application

DOI
  • Miura Fumihiko
    Department of Surgery, Teikyo University School of Medicine
  • Sano Keiji
    Department of Surgery, Teikyo University School of Medicine
  • Amano Hodaka
    Department of Surgery, Teikyo University School of Medicine
  • Toyota Naoyuki
    Department of Surgery, Teikyo University School of Medicine
  • Wada Keita
    Department of Surgery, Teikyo University School of Medicine
  • Ito Hiromichi
    Department of Surgery, Teikyo University School of Medicine
  • Aoyagi Yoshiko
    Department of Surgery, Teikyo University School of Medicine
  • Ikeda Yutaka
    Department of Surgery, Teikyo University School of Medicine
  • Kainuma Masahiko
    Department of Surgery, Teikyo University School of Medicine
  • Takada Tadahiro
    Department of Surgery, Teikyo University School of Medicine
  • Yoshida Masahiro
    Department of Hemodialysis and Surgery, Kaken Hospital, Clinical Research Center, International University of Health and Welfare

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Other Title
  • TG13：フローチャートの改訂とモバイルアプリケーションの開発

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Description

In the Tokyo guidelines for the Management of Acute Cholangitis and Acute Cholecystitis 2013 (hereinafter referred to as TG13), the flow charts are also revised. The TG13 flow charts recommend blood culture and bile culture. In the flow chart for the management of cholangitis, it is stated that treatment to remove the cause should be undertaken simultaneously with biliary drainage in patients with mild cholangitis caused by common bile duct stones. In the flow chart for the management of acute cholecystitis, laparoscopic cholecystectomy is recommended as the first-line treatment, except in patients with moderate cholecystitis associated with serious local inflammation such as biliary peritonitis who need an urgent surgical operation. The mobile application of TG13 is a digest of TG13 including the diagnostic criteria, the criteria for severity assessment, flow charts, bundles and figures and tables for antimicrobial therapy. With the upgrade of this application, it has become possible for users to transmit new information, making the application an important tool for use of the guideline in the future.

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