{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T17:38:29Z","timestamp":1791999509020,"version":"4.4.0"},"reference-count":54,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,1,9]],"date-time":"2018-01-09T00:00:00Z","timestamp":1515456000000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Hepato Biliary Pancreat"],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    The Tokyo Guidelines 2013 (TG13) for acute cholangitis and cholecystitis were globally disseminated and various clinical studies about the management of acute cholecystitis were reported by many researchers and clinicians from all over the world. The 1\n                    <jats:sup>st<\/jats:sup>\n                    edition of the Tokyo Guidelines 2007 (\n                    <jats:styled-content style=\"fixed-case\">TG<\/jats:styled-content>\n                    07) was revised in 2013. According to that revision, the\n                    <jats:styled-content style=\"fixed-case\">TG<\/jats:styled-content>\n                    13 diagnostic criteria of acute cholecystitis provided better specificity and higher diagnostic accuracy. Thorough our literature search about diagnostic criteria for acute cholecystitis, new and strong evidence that had been released from 2013 to 2017 was not found with serious and important issues about using\n                    <jats:styled-content style=\"fixed-case\">TG<\/jats:styled-content>\n                    13 diagnostic criteria of acute cholecystitis. On the other hand, the\n                    <jats:styled-content style=\"fixed-case\">TG<\/jats:styled-content>\n                    13 severity grading for acute cholecystitis has been validated in numerous studies. As a result of these reviews, the\n                    <jats:styled-content style=\"fixed-case\">TG<\/jats:styled-content>\n                    13 severity grading for acute cholecystitis was significantly associated with parameters including 30\u2010day overall mortality, length of hospital stay, conversion rates to open surgery, and medical costs. In terms of severity assessment, breakthrough and intensive literature for revising severity grading was not reported. Consequently,\n                    <jats:styled-content style=\"fixed-case\">TG<\/jats:styled-content>\n                    13 diagnostic criteria and severity grading were judged from numerous validation studies as useful indicators in clinical practice and adopted as\n                    <jats:styled-content style=\"fixed-case\">TG<\/jats:styled-content>\n                    18\/\n                    <jats:styled-content style=\"fixed-case\">TG<\/jats:styled-content>\n                    13 diagnostic criteria and severity grading of acute cholecystitis without any modification. Free full articles and mobile app of TG18 are available at:\n                    <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/www.jshbps.jp\/modules\/en\/index.php?content_id=47\">http:\/\/www.jshbps.jp\/modules\/en\/index.php?content_id=47<\/jats:ext-link>\n                    . Related clinical questions and references are also included.\n                  <\/jats:p>","DOI":"10.1002\/jhbp.515","type":"journal-article","created":{"date-parts":[[2017,10,15]],"date-time":"2017-10-15T11:02:38Z","timestamp":1508065358000},"page":"41-54","source":"Crossref","is-referenced-by-count":1132,"title":["Tokyo Guidelines 2018: diagnostic criteria and severity grading of acute cholecystitis (with videos)"],"prefix":"10.1002","volume":"25","author":[{"given":"Masamichi","family":"Yokoe","sequence":"first","affiliation":[{"name":"Department of General Internal Medicine Japanese Red Cross Nagoya Daini Hospital Aichi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiro","family":"Hata","sequence":"additional","affiliation":[{"name":"Department of Endoscopy and Ultrasound Kawasaki Medical School Okayama 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