Acute Cholecystitis and Cholangitis in adults |
Publication: 01/04/2009 |
Next review: 09/01/2026 |
Clinical Guideline |
CURRENT |
ID: 1684 |
Approved By: Improving Antimicrobial Prescribing Group |
Copyright© Leeds Teaching Hospitals NHS Trust 2023 |
This Clinical Guideline is intended for use by healthcare professionals within Leeds unless otherwise stated. |
Diagnosis and Management of Acute Cholecystitis and Cholangitis in adults
Summary Acute Cholecystitis and Cholangitis in adults |
Criteria for use of guidelines
Assessment of severity Investigations
Non-Antimicrobial Management
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Investigation |
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Treatment | ||||||||||||||||||||||||||||
Non-Antimicrobial Treatment | ||||||||||||||||||||||||||||
General management
Calculous cholecystitis Mild/moderate cholecystitis
Severe cholecystitis
Acalculous cholecystitis
Acute cholangitis Mild cholecystitis
Moderate/severe cholecystitis
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Empirical Antimicrobial Treatment | ||||||||||||||||||||||||||||
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Duration of Treatment | ||||||||||||||||||||||||||||
Cholangitis: Cholecystitis: |
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Switch to oral agent(s) | ||||||||||||||||||||||||||||
Patients should be switched to oral medicines as soon as they meet IV to oral switch criteria |
Provenance
Record: | 1684 |
Objective: |
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Clinical condition: | Acute cholecystitis or cholangitis |
Target patient group: | Patients presenting with clinical features consistent with acute cholecystitis or cholangitis |
Target professional group(s): | Secondary Care Doctors Secondary Care Nurses Pharmacists |
Adapted from: |
Evidence base
Evidence base
- Yoshida M. Antimicrobial therapy for acute cholecystitis: Tokyo Guidelines. J Hepatobiliary Pancreat Surg 2007;14:83-90.
- Yasuda H. Unusual cases of acute cholecystitis and cholangitis: Tokyo Guidelines. J Hepatobiliary Pancreat Surg 2007;14:98-113.
- Yamashita Y. Surgical treatment of patients with acute cholecystitis: Tokyo Guidelines. J Hepatobiliary Pancreat Surg 2007;14:91-97.
- Wada K. Diagnostic criteria and severity assessment of acute cholangitis: Tokyo Guidelines. J Hepatobiliary Pancreat Surg 2007;14:52-58.
- Tsuyuguchi T. Techniques of biliary drainage for acute cholecystitis: Tokyo Guidelines. J Hepatobiliary Pancreat Surg 2007;14:46-51.
- Tsuyuguchi T. Techniques of biliary drainage for acute cholangitis: Tokyo Guidelines. J Hepatobiliary Pancreat Surg 2007;14:35-45.
- Tanaka A. Antimicrobial therapy for acute cholangitis: Tokyo Guidelines. J Hepatobiliary Pancreat Surg 2007;14:59-67.
- Takada T. Background: Tokyo Guidelines for the management of acute cholangitis and cholecystitis. J Hepatobiliary Pancreat Surg 2007;14:1-10.
- Strasberg SM. Acute Calculous Cholecystitis. T h e new engl and journa l o f medicine 2008;358:2804-11.
- Sekimoto M. Need for criteria for the diagnosis and severity assessment of acute cholangitis and cholecystitis: Tokyo Guidelines. J Hepatobiliary Pancreat Surg 2007;14:11-14.
- Nagino M. Methods and timing of biliary drainage for acute cholangitis: Tokyo Guidelines. J Hepatobiliary Pancreat Surg 2007;14:69-77.
- Miura F. Flowcharts for the diagnosis and treatment of acute cholangitis and cholecystitis: Tokyo Guidelines. J Hepatobiliary Pancreat Surg 2007;14:27-34.
- Mayumi T. Results of the Tokyo Consensus Meeting Tokyo Guidelines. J Hepatobiliary Pancreat Surg 2007;14:114-21.
- Kimura Y. Definitions, pathophysiology, and epidemiology of acute cholangitis and cholecystitis: Tokyo Guidelines. J Hepatobiliary Pancreat Surg 2007;14:15-26.
- Iheanacho I. What if it’s acute cholangitis? Drug and Therapeutics Bulletin 2005;43(8):62-64.
- Hirota M. Diagnostic criteria and severity assessment of acute cholecystitis: Tokyo Guidelines. J Hepatobiliary Pancreat Surg 2007;14:78-82.
- NICE. October 2014. Gallstone Disease. Clinical Guideline 188 [online] London, NICE Available from the World Wide Web. http://www.nice.org.uk/guidance/cg188/resources/guidance-gallstone-disease-pdf
Approved By
Improving Antimicrobial Prescribing Group
Document history
LHP version 2.1
Related information
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