+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Endoscopic management of acute cholangitis according to the TG13



Endoscopic management of acute cholangitis according to the TG13



Digestive Endoscopy 29(Suppl. 2): 94-99



The Tokyo Guidelines 2013 (TG13) recommend that endoscopic drainage should be the first-choice treatment for biliary decompression in patients with acute cholangitis. Timing of biliary drainage for acute cholangitis should be based on the severity of the disease. For patients with severe acute cholangitis, appropriate organ support and urgent biliary drainage are needed. For patients with moderate acute cholangitis, early biliary drainage is needed. For patients with mild acute cholangitis, biliary drainage is needed when initial treatment such as antimicrobial therapy is ineffective. There are three methods of biliary drainage: endoscopic drainage, percutaneous transhepatic drainage, and surgical drainage. Endoscopic drainage is less invasive than the other two drainage methods. The drainage method (endoscopic nasobiliary drainage and stenting) depends on the endoscopist's preference but endoscopic sphincterotomy should be selected rather than endoscopic papillary balloon dilation from the aspect of procedure-related complications. In the TG13, balloon enteroscopy-assisted and endoscopic ultrasound-guided biliary drainages have been newly added as specific drainage methods. Recent studies have demonstrated their usefulness and safety. These drainage methods will become more widespread in the future.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 059680605

Download citation: RISBibTeXText

PMID: 28425666

DOI: 10.1111/den.12799


Related references

TG13 flowchart for the management of acute cholangitis and cholecystitis. Journal of Hepato-Biliary-Pancreatic Sciences 20(1): 47-54, 2013

TG13 management bundles for acute cholangitis and cholecystitis. Journal of Hepato-Biliary-Pancreatic Sciences 20(1): 55-59, 2013

TG13: Updated Tokyo Guidelines for the management of acute cholangitis and cholecystitis. Journal of Hepato-Biliary-Pancreatic Sciences 20(1): 1-7, 2013

TG13 antimicrobial therapy for acute cholangitis and cholecystitis. Journal of Hepato-Biliary-Pancreatic Sciences 20(1): 60-70, 2013

Mo1356 Are the Current Diagnostic Criteria for Acute Cholangitis (Tg13) Applicable in Patients With Acute Biliary Pancreatitis?. Gastroenterology 148(4): S-681, 2015

TG13 guidelines for diagnosis and severity grading of acute cholangitis (with videos). Journal of Hepato-Biliary-Pancreatic Sciences 20(1): 24-34, 2013

TG13 current terminology, etiology, and epidemiology of acute cholangitis and cholecystitis. JournalofHepato-Biliary-PancreaticSciences20(1):8, 2013

TG13 indications and techniques for biliary drainage in acute cholangitis (with videos). Journal of Hepato-Biliary-Pancreatic Sciences 20(1): 71-80, 2013

Controversy and progress for treatment of acute cholangitis after Tokyo Guidelines (TG13). Bioscience Trends 10(1): 22-26, 2016

Tg13: the Updated Tokyo's Clinical Recommendations for Treatment of An Acute Cholangitis and Cholecystitis. Klinichna Khirurhiia 2015(10): 5, 2015

Clinical application and verification of the TG13 diagnostic and severity grading criteria for acute cholangitis: an international multicenter observational study. Journal of Hepato-Biliary-Pancreatic Sciences 24(6): 329-337, 2017

Combined endoscopic percutaneous drainage and endoscopic biliary lithotripsy in the management of acute cholangitis. First experience in Panama. Revista Medica de Panama 16(2): 130-137, 1991

Endoscopic management of acute calculous cholangitis. Journal of Gastroenterology and Hepatology 12(12): 874-876, 1997

Endoscopic management of acute calculous cholangitis. Journal Of Gastroenterology & Hepatology. 12(12): 874-876,., 1997

Endoscopic management of acute cholangitis in elderly patients. World Journal of Gastroenterology 12(40): 6551-6555, 2006