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Article: Diagnostic criteria and severity assessment of acute cholecystitis: Tokyo Guidelines

TitleDiagnostic criteria and severity assessment of acute cholecystitis: Tokyo Guidelines
Authors
KeywordsAcute cholecystitis
Diagnosis
Guidelines
Infection
Severity of illness index
Issue Date2007
PublisherSpringer Japan. The Journal's web site is located at http://link.springer.de/link/service/journals/00534/index.htm
Citation
Journal Of Hepato-Biliary-Pancreatic Surgery, 2007, v. 14 n. 1, p. 78-82 How to Cite?
AbstractThe aim of this article is to propose new criteria for the diagnosis and severity assessment of acute cholecystitis, based on a systematic review of the literature and a consensus of experts. A working group reviewed articles with regard to the diagnosis and treatment of acute cholecystitis and extracted the best current available evidence. In addition to the evidence and face-to-face discussions, domestic consensus meetings were held by the experts in order to assess the results. A provisional outcome statement regarding the diagnostic criteria and criteria for severity assessment was discussed and finalized during an International Consensus Meeting held in Tokyo 2006. Patients exhibiting one of the local signs of inflammation, such as Murphy's sign, or a mass, pain or tenderness in the right upper quadrant, as well as one of the systemic signs of inflammation, such as fever, elevated white blood cell count, and elevated C-reactive protein level, are diagnosed as having acute cholecystitis. Patients in whom suspected clinical findings are confirmed by diagnostic imaging are also diagnosed with acute cholecystitis. The severity of acute cholecystitis is classified into three grades, mild (grade I), moderate (grade II), and severe (grade III). Grade I (mild acute cholecystitis) is defined as acute cholecystitis in a patient with no organ dysfunction and limited disease in the gallbladder, making cholecystectomy a low-risk procedure. Grade II (moderate acute cholecystitis) is associated with no organ dysfunction but there is extensive disease in the gallbladder, resulting in difficulty in safely performing a cholecystectomy. Grade II disease is usually characterized by an elevated white blood cell count; a palpable, tender mass in the right upper abdominal quadrant; disease duration of more than 72h; and imaging studies indicating significant inflammatory changes in the gallbladder. Grade III (severe acute cholecystitis) is defined as acute cholecystitis with organ dysfunction. © Springer-Verlag Tokyo 2007.
Persistent Identifierhttp://hdl.handle.net/10722/83941
ISSN
2009 Impact Factor: 1.601
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorHirota, Men_HK
dc.contributor.authorTakada, Ten_HK
dc.contributor.authorKawarada, Yen_HK
dc.contributor.authorNimura, Yen_HK
dc.contributor.authorMiura, Fen_HK
dc.contributor.authorHirata, Ken_HK
dc.contributor.authorMayumi, Ten_HK
dc.contributor.authorYoshida, Men_HK
dc.contributor.authorStrasberg, Sen_HK
dc.contributor.authorPitt, Hen_HK
dc.contributor.authorGadacz, TRen_HK
dc.contributor.authorde Santibanes, Een_HK
dc.contributor.authorGouma, DJen_HK
dc.contributor.authorSolomkin, JSen_HK
dc.contributor.authorBelghiti, Jen_HK
dc.contributor.authorNeuhaus, Hen_HK
dc.contributor.authorBüchler, MWen_HK
dc.contributor.authorFan, STen_HK
dc.contributor.authorKer, CGen_HK
dc.contributor.authorPadbury, RTen_HK
dc.contributor.authorLiau, KHen_HK
dc.contributor.authorHilvano, SCen_HK
dc.contributor.authorBelli, Gen_HK
dc.contributor.authorWindsor, JAen_HK
dc.contributor.authorDervenis, Cen_HK
dc.date.accessioned2010-09-06T08:47:02Z-
dc.date.available2010-09-06T08:47:02Z-
dc.date.issued2007en_HK
dc.identifier.citationJournal Of Hepato-Biliary-Pancreatic Surgery, 2007, v. 14 n. 1, p. 78-82en_HK
dc.identifier.issn0944-1166en_HK
dc.identifier.urihttp://hdl.handle.net/10722/83941-
dc.description.abstractThe aim of this article is to propose new criteria for the diagnosis and severity assessment of acute cholecystitis, based on a systematic review of the literature and a consensus of experts. A working group reviewed articles with regard to the diagnosis and treatment of acute cholecystitis and extracted the best current available evidence. In addition to the evidence and face-to-face discussions, domestic consensus meetings were held by the experts in order to assess the results. A provisional outcome statement regarding the diagnostic criteria and criteria for severity assessment was discussed and finalized during an International Consensus Meeting held in Tokyo 2006. Patients exhibiting one of the local signs of inflammation, such as Murphy's sign, or a mass, pain or tenderness in the right upper quadrant, as well as one of the systemic signs of inflammation, such as fever, elevated white blood cell count, and elevated C-reactive protein level, are diagnosed as having acute cholecystitis. Patients in whom suspected clinical findings are confirmed by diagnostic imaging are also diagnosed with acute cholecystitis. The severity of acute cholecystitis is classified into three grades, mild (grade I), moderate (grade II), and severe (grade III). Grade I (mild acute cholecystitis) is defined as acute cholecystitis in a patient with no organ dysfunction and limited disease in the gallbladder, making cholecystectomy a low-risk procedure. Grade II (moderate acute cholecystitis) is associated with no organ dysfunction but there is extensive disease in the gallbladder, resulting in difficulty in safely performing a cholecystectomy. Grade II disease is usually characterized by an elevated white blood cell count; a palpable, tender mass in the right upper abdominal quadrant; disease duration of more than 72h; and imaging studies indicating significant inflammatory changes in the gallbladder. Grade III (severe acute cholecystitis) is defined as acute cholecystitis with organ dysfunction. © Springer-Verlag Tokyo 2007.en_HK
dc.languageengen_HK
dc.publisherSpringer Japan. The Journal's web site is located at http://link.springer.de/link/service/journals/00534/index.htmen_HK
dc.relation.ispartofJournal of Hepato-Biliary-Pancreatic Surgeryen_HK
dc.subjectAcute cholecystitisen_HK
dc.subjectDiagnosisen_HK
dc.subjectGuidelinesen_HK
dc.subjectInfectionen_HK
dc.subjectSeverity of illness indexen_HK
dc.titleDiagnostic criteria and severity assessment of acute cholecystitis: Tokyo Guidelinesen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0944-1166&volume=14&issue=1&spage=78&epage=82&date=2007&atitle=Diagnostic+criteria+and+severity+assessment+of+acute+cholecystitis:+Tokyo+Guidelinesen_HK
dc.identifier.emailFan, ST: stfan@hku.hken_HK
dc.identifier.authorityFan, ST=rp00355en_HK
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1007/s00534-006-1159-4en_HK
dc.identifier.pmid17252300-
dc.identifier.scopuseid_2-s2.0-33846669096en_HK
dc.identifier.hkuros126074en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-33846669096&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume14en_HK
dc.identifier.issue1en_HK
dc.identifier.spage78en_HK
dc.identifier.epage82en_HK
dc.identifier.isiWOS:000245342900016-
dc.publisher.placeJapanen_HK
dc.identifier.scopusauthoridHirota, M=7201993802en_HK
dc.identifier.scopusauthoridTakada, T=7202751961en_HK
dc.identifier.scopusauthoridKawarada, Y=7102270197en_HK
dc.identifier.scopusauthoridNimura, Y=7201351672en_HK
dc.identifier.scopusauthoridMiura, F=35475649700en_HK
dc.identifier.scopusauthoridHirata, K=36078084300en_HK
dc.identifier.scopusauthoridMayumi, T=7102413301en_HK
dc.identifier.scopusauthoridYoshida, M=14421962900en_HK
dc.identifier.scopusauthoridStrasberg, S=7101931401en_HK
dc.identifier.scopusauthoridPitt, H=7103213587en_HK
dc.identifier.scopusauthoridGadacz, TR=7006317671en_HK
dc.identifier.scopusauthoridde Santibanes, E=15057704700en_HK
dc.identifier.scopusauthoridGouma, DJ=36046572200en_HK
dc.identifier.scopusauthoridSolomkin, JS=7006149016en_HK
dc.identifier.scopusauthoridBelghiti, J=35403099400en_HK
dc.identifier.scopusauthoridNeuhaus, H=7101811971en_HK
dc.identifier.scopusauthoridBüchler, MW=35277875400en_HK
dc.identifier.scopusauthoridFan, ST=7402678224en_HK
dc.identifier.scopusauthoridKer, CG=7005769410en_HK
dc.identifier.scopusauthoridPadbury, RT=6603924012en_HK
dc.identifier.scopusauthoridLiau, KH=15837148100en_HK
dc.identifier.scopusauthoridHilvano, SC=6603194000en_HK
dc.identifier.scopusauthoridBelli, G=7004998933en_HK
dc.identifier.scopusauthoridWindsor, JA=16173985400en_HK
dc.identifier.scopusauthoridDervenis, C=7003990635en_HK
dc.identifier.citeulike1100214-

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