title: [TG13: THE UPDATED TOKYO'S CLINICAL RECOMMENDATIONS FOR TREATMENT OF AN ACUTE CHOLANGITIS AND CHOLECYSTITIS].
abstract: Basing on analysis of the multicenter clinical investigations results, as well as meta-analysis and consensuses, the main suggestions of the updated Tokyo's clinical recommendations for the treatment of an acute cholangitis and an acute cholecystitis (TG13), diagnostic criteria and the scales of estimation for the patients' state severity, were elaborated. Indications and the drainage methods of a gallbladder were substantiated - in an acute cholecystitis, and of biliary ducts - in an acute cholangitis, as well as peculiarities of surgical treatment of an acute cholecystitis. Empirical antibacterial therapy was enlightened, taking into account the characteristics for biliary infection microorganisms and the disease severity.
authors.forename: A Yu
authors.initials: AY
authors.lastname: Usenko
authors.forename: V G
authors.initials: VG
authors.lastname: Yareshko
authors.forename: M E
authors.initials: ME
authors.lastname: Nichitaylo
authors.forename: Yu A
authors.initials: YA
authors.lastname: Mikheyev
authors.forename: S A
authors.initials: SA
authors.lastname: Andreyeshchev
mesh_terms: D000208:Acute Disease; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001652:Bile Ducts / Q000187:drug effects / Q000473:pathology / Q000601:surgery*; D002761:Cholangitis / Q000188:drug therapy / Q000473:pathology / Q000601:surgery*; D017081:Cholecystectomy, Laparoscopic / Q000379:methods; D041881:Cholecystitis, Acute / Q000188:drug therapy / Q000473:pathology / Q000601:surgery*; D004322:Drainage / Q000295:instrumentation / Q000379:methods; D005704:Gallbladder / Q000187:drug effects / Q000473:pathology / Q000601:surgery*; D006801:Humans; D017410:Practice Guidelines as Topic; D012720:Severity of Illness Index
chemical_list: D000900:Anti-Bacterial Agents