2019 Volume 33 Issue 1 Pages 140-146
We reviewed biliary drainage methods and the timing for acute cholangitis according to Tokyo Guidelines 2018 (TG18). The diagnostic and severity grading criteria for acute cholangitis in the 2013 Tokyo Guidelines were verified and adopted in the TG18. Many of cases with acute cholangitis occurred due to choledocholithiasis and the TG18 guidelines recommend endoscopic drainage first. We showed new biliary drainage methods (balloon enteroscopy assisted ERCP and endoscopic ultrasound assisted biliary drainage), however, those new ways should be performed at the tertiary referral hospitals with experienced hands.
