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- W2741708072 abstract "We propose a management strategy for acute cholangitis and cholecystitis according to the severity assessment. For Grade I (mild) acute cholangitis, initial medical treatment including the use of antimicrobial agents may be sufficient for most cases. For non-responders to initial medical treatment, biliary drainage should be con- sidered. For Grade II (moderate) acute cholangitis, early biliary drainage should be performed along with the administration of antibiotics. For Grade III (severe) acute cholangitis, appropriate organ support is required. After hemodynamic stabilization has been achieved, urgent endoscopic or percutaneous transhepatic biliary drainage should be performed. In patients with Grade II (moderate) and Grade III (severe) acute cholangitis, treatment for the underlying etiology including endoscopic, percutaneous, or surgical treatment should be performed after the patient's general condition has been improved. In patients with Grade I (mild) acute cholangitis, treatment for etiology such as endoscopic sphincterotomy for choledocholithiasis might be performed simultaneously, if possible, with bili- ary drainage. Early laparoscopic cholecystectomy is the first-line treatment in patients with Grade I (mild) acute" @default.
- W2741708072 created "2017-08-08" @default.
- W2741708072 creator A5035369930 @default.
- W2741708072 date "2013-01-01" @default.
- W2741708072 modified "2023-09-27" @default.
- W2741708072 title "TG13 flowchart for the management of acute cholangitis and cholecystitis Fumihiko MiuraTadahiro TakadaSteven M. StrasbergJoseph S. SolomkinHenry A. PittDirk J. Gouma • O. James GardenMarkus W. BuchlerMasahiro YoshidaToshihiko MayumiKohji Okamoto • Harumi GomiShinya KusachiSeiki KiriyamaMasamichi YokoeYasutoshi KimuraRyota Higuchi • Yuichi YamashitaJohn A. WindsorToshio TsuyuguchiToshifumi GabataTakao ItoiJiro Hata •" @default.
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