Sekimoto Miho, Takada Tadahiro, Kawarada Yoshifumi, Nimura Yuji, Yoshida Masahiro, Mayumi Toshihiko, Miura Fumihiko, Wada Keita, Hirota Masahiko, Yamashita Yuichi, Strasberg Steven, Pitt Henry A, Belghiti Jacques, de Santibanes Eduardo, Gadacz Thomas R, Hilvano Serafin C, Kim Sun-Whe, Liau Kui-Hin, Fan Sheung-Tat, Belli Giulio, Sachakul Vibul
Department of Healthcare Economics and Quality Management, Kyoto University Graduate School of Medicine, School of Public Health, Konoe-cho, Yoshida, Sakyo-ku, Kyoto, 606-8501, Japan.
J Hepatobiliary Pancreat Surg. 2007;14(1):11-4. doi: 10.1007/s00534-006-1151-z. Epub 2007 Jan 30.
The Tokyo Guidelines formulate clinical guidance for healthcare providers regarding the diagnosis, severity assessment, and treatment of acute cholangitis and acute cholecystitis. The Guidelines were developed through a comprehensive literature search and selection of evidence. Recommendations were based on the strength and quality of evidence. Expert consensus opinion was used to enhance or formulate important areas where data were insufficient. A working group, composed of gastroenterologists and surgeons with expertise in biliary tract surgery, supplemented with physicians in critical care medicine, epidemiology, and laboratory medicine, was selected to formulate draft guidelines. Several other groups (including members of the Japanese Society for Abdominal Emergency Medicine, the Japan Biliary Association, and the Japanese Society of Hepato-Biliary-Pancreatic Surgery) have reviewed and revised the draft guidelines. To build a global consensus on the management of acute biliary infection, an international expert panel, representing experts in this area, was established. Between April 1 and 2, 2006, an International Consensus Meeting on acute biliary infections was held in Tokyo. A consensus was determined based on best available scientific evidence and discussion by the panel of experts. This report describes the highlights of the Tokyo International Consensus Meeting in 2006. Some important areas focused on at the meeting include proposals for internationally accepted diagnostic criteria and severity assessment for both clinical and research purposes.
《东京指南》为医疗服务提供者制定了关于急性胆管炎和急性胆囊炎的诊断、严重程度评估及治疗的临床指南。该指南通过全面的文献检索和证据筛选制定而成。推荐意见基于证据的强度和质量。在数据不足的重要领域，采用专家共识意见进行补充或制定。一个由在胆道外科方面具有专业知识的胃肠病学家和外科医生组成的工作组，并辅以重症医学、流行病学和检验医学领域的医生，被挑选出来制定指南草案。其他几个团体（包括日本腹部急诊医学学会、日本胆道协会和日本肝胆胰外科学会的成员）对指南草案进行了审查和修订。为在急性胆道感染的管理方面达成全球共识，成立了一个代表该领域专家的国际专家小组。2006年4月1日至2日，在东京召开了急性胆道感染国际共识会议。基于现有最佳科学证据和专家小组的讨论确定了共识。本报告介绍了2006年东京国际共识会议的要点。会议重点关注的一些重要领域包括提出用于临床和研究目的的国际认可的诊断标准和严重程度评估方法。
