{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T21:03:08Z","timestamp":1791838988593,"version":"4.3.4"},"reference-count":17,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,12,16]],"date-time":"2017-12-16T00:00:00Z","timestamp":1513382400000},"content-version":"vor","delay-in-days":0,"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":"Abstract<\/jats:title>\n \n Management bundles that define items or procedures strongly recommended in clinical practice have been used in many guidelines in recent years. Application of these bundles facilitates the adaptation of guidelines and helps improve the prognosis of target diseases. In Tokyo Guidelines 2013 (\n TG<\/jats:styled-content>\n 13), we proposed management bundles for acute cholangitis and cholecystitis. Here, in Tokyo Guidelines 2018 (\n TG<\/jats:styled-content>\n 18), we redefine the management bundles for acute cholangitis and cholecystitis. Critical parts of the bundles in\n TG<\/jats:styled-content>\n 18 include the diagnostic process, severity assessment, transfer of patients if necessary, and therapeutic approach at each time point. Observance of these items and procedures should improve the prognosis of acute cholangitis and cholecystitis. Studies are now needed to evaluate the dissemination of these\n TG<\/jats:styled-content>\n 18 bundles and their effectiveness. Free full articles and mobile app of TG18 are available at:\n 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.519","type":"journal-article","created":{"date-parts":[[2017,11,1]],"date-time":"2017-11-01T05:42:38Z","timestamp":1509514958000},"page":"96-100","source":"Crossref","is-referenced-by-count":251,"title":["Tokyo Guidelines 2018: management bundles for acute cholangitis and cholecystitis"],"prefix":"10.1002","volume":"25","author":[{"given":"Toshihiko","family":"Mayumi","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine School of Medicine University of Occupational and Environmental Health Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kohji","family":"Okamoto","sequence":"additional","affiliation":[{"name":"Department of Surgery Center for Gastroenterology and Liver Disease Kitakyushu City Yahata Hospital Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tadahiro","family":"Takada","sequence":"additional","affiliation":[{"name":"Department of Surgery Teikyo University School of Medicine Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven M.","family":"Strasberg","sequence":"additional","affiliation":[{"name":"Section of Hepato\u2010Pancreato\u2010Biliary Surgery Washington University School of Medicine in St. Louis St. Louis MO USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph S.","family":"Solomkin","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Cincinnati College of Medicine Cincinnati OH USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Schlossberg","sequence":"additional","affiliation":[{"name":"Professor of Medicine Lewis Katz School of Medicine at Temple University Philadelphia PA USA"},{"name":"Medical Director TB Control Program Philadelphia PA USA"},{"name":"Department of Public Health Philadelphia PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henry A.","family":"Pitt","sequence":"additional","affiliation":[{"name":"Lewis Katz School of Medicine at Temple University Philadelphia PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masahiro","family":"Yoshida","sequence":"additional","affiliation":[{"name":"Department of Hemodialysis and Surgery Ichikawa Hospital International University of Health and Welfare Chiba Japan"},{"name":"Department of EBM and Guidelines Japan Council for Quality Health Care Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harumi","family":"Gomi","sequence":"additional","affiliation":[{"name":"Center for Global Health Mito Kyodo General Hospital University of Tsukuba Ibaraki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fumihiko","family":"Miura","sequence":"additional","affiliation":[{"name":"Department of Surgery Teikyo University School of Medicine Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"O. 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