A multi-institutional study designed by members of Tokyo Guidelines (TG) Core Meeting to elucidate the clinical characteristics and pathogenesis of acute cholangitis after bilioenteric anastomosis and biliary stent insertion with a focus on biliary obstruction: Role of transient hepatic attenuation difference (THAD) and pneumobilia in improving TG diagnostic performance.
Hiroyuki KatoTadahiro TakadaSteven StrasbergShuji IsajiKeiji SanoMasahiro YoshidaTakao ItoiKohji OkamotoSeiki KiriyamaShintaro YagiTakashi MatsubaraRyota HiguchiTetsuji OhyamaTakeyuki MisawaShuntaro MukaiYasuhisa MoriKoji AsaiHiroyuki SakuraiYuta AbeKenji SuzukiYuki HommaJiro HataKana TsukiyamaYusuke KumamotoToshio TsuyuguchiHirotoshi MaruoYukio AsanoShutaro HoriMakoto ShibuyaToshihiko MayumiNaoyuki ToyotaAkiko UmezawaHarumi GomiAkihiko HoriguchiPublished in: Journal of hepato-biliary-pancreatic sciences (2023)
The diagnostic rate of PBR-AC using TG18 is low, but adding THAD and pneumobilia to TG imaging criteria may improve TG diagnostic performance.