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Journal of Hepato-Biliary-Pancreatic Sciences

Published in:

01-01-2007

Techniques of biliary drainage for acute cholecystitis: Tokyo Guidelines

Authors: Toshio Tsuyuguchi, Tadahiro Takada, Yoshifumi Kawarada, Yuji Nimura, Keita Wada, Masato Nagino, Toshihiko Mayumi, Masahiro Yoshida, Fumihiko Miura, Atsushi Tanaka, Yuichi Yamashita, Masahiko Hirota, Koichi Hirata, Hideki Yasuda, Yasutoshi Kimura, Horst Neuhaus, Steven Strasberg, Henry Pitt, Jacques Belghiti, Giulio Belli, John A. Windsor, Miin-Fu Chen, Sun-Whe Kim, Christos Dervenis

Published in: Journal of Hepato-Biliary-Pancreatic Sciences | Issue 1/2007

Abstract

The principal management of acute cholecystitis is early cholecystectomy. However, percutaneous transhepatic gallbladder drainage (PTGBD) may be preferable for patients with moderate (grade II) or severe (grade III) acute cholecystitis. For patients with moderate (grade II) disease, PTGBD should be applied only when they do not respond to conservative treatment. For patients with severe (grade III) disease, PTGBD is recommended with intensive care. Percutaneous transhepatic gallbladder aspiration (PTGBA) is a simple alternative drainage method with fewer complications; however, its clinical usefulness has been shown only by case-series studies. To clarify the clinical value of these drainage methods, proper randomized trials should be done. This article describes techniques of drainage for acute cholecystitis.

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Title: Techniques of biliary drainage for acute cholecystitis: Tokyo Guidelines
Authors: Toshio Tsuyuguchi
Tadahiro Takada
Yoshifumi Kawarada
Yuji Nimura
Keita Wada
Masato Nagino
Toshihiko Mayumi
Masahiro Yoshida
Fumihiko Miura
Atsushi Tanaka
Yuichi Yamashita
Masahiko Hirota
Koichi Hirata
Hideki Yasuda
Yasutoshi Kimura
Horst Neuhaus
Steven Strasberg
Henry Pitt
Jacques Belghiti
Giulio Belli
John A. Windsor
Miin-Fu Chen
Sun-Whe Kim
Christos Dervenis
Publication date: 01-01-2007
Publisher: Springer-Verlag
Published in: Journal of Hepato-Biliary-Pancreatic Sciences / Issue 1/2007
Print ISSN: 1868-6974
Electronic ISSN: 1868-6982
DOI: https://doi.org/10.1007/s00534-006-1155-8

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Techniques of biliary drainage for acute cholecystitis: Tokyo Guidelines

Abstract

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