Updated comprehensive epidemiology, microbiology, and outcomes among patients with acute cholangitis

Background The international practice guidelines for patients with acute cholangitis and cholecystitis were released in 2007 (TG07) and revised in 2013 (TG13). This study investigated updated epidemiology and outcomes among patients with acute cholangitis on a larger scale for the first time. Method...

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Published in:Journal of hepato-biliary-pancreatic sciences 2017-06, Vol.24 (6), p.310-318
Main Authors: Gomi, Harumi, Takada, Tadahiro, Hwang, Tsann‐Long, Akazawa, Kohei, Mori, Rintaro, Endo, Itaru, Miura, Fumihiko, Kiriyama, Seiki, Matsunaga, Naohisa, Itoi, Takao, Yokoe, Masamichi, Chen, Miin‐Fu, Jan, Yi‐Yin, Ker, Chen‐Guo, Wang, Hsiu‐Po, Wada, Keita, Yamaue, Hiroki, Miyazaki, Masaru, Yamamoto, Masakazu
Format: Article
Language:English
Subjects:
Acute cholangitis
Acute Disease
Age Distribution
Aged
Aged, 80 and over
Anti-Bacterial Agents - therapeutic use
Biopsy, Needle
Cholangitis - diagnosis
Cholangitis - drug therapy
Cholangitis - epidemiology
Cholangitis - microbiology
Cohort Studies
Epidemiology
Female
Humans
Immunohistochemistry
Incidence
Internationality
Japan - epidemiology
Male
Microbiology
Middle Aged
Mortality
Prognosis
Retrospective Studies
Severity of Illness Index
Sex Distribution
Studies
Survival Rate
Taiwan - epidemiology
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Summary:Background The international practice guidelines for patients with acute cholangitis and cholecystitis were released in 2007 (TG07) and revised in 2013 (TG13). This study investigated updated epidemiology and outcomes among patients with acute cholangitis on a larger scale for the first time. Methods This is an international multi‐center retrospective observational study in Japan and Taiwan. All consecutive patients older than 18 years of age and given a clinical diagnosis of acute cholangitis by clinicians between 1 January 2011 and 31 December 2012 were enrolled. Those who met the diagnostic criteria of acute cholangitis by TG13 were statistically analyzed. Results A total of 7,294 patients were enrolled and 6,433 patients met the TG13 diagnostic criteria. The severity distribution was Grade I (37.5%), Grade II (36.2%), and Grade III (26.2%). The 30‐day all‐cause mortality was 2.4%, 4.7%, and 8.4% in Grade I, II, III severity, respectively (P 
ISSN:1868-6974
1868-6982
DOI:10.1002/jhbp.452