ArticleAnnals of gastroenterological surgery2026
Validation of the Safe Application of Tokyo Guideline 2018 (TG18) Severity Grading and Treatment Algorithm in Super-Elderly Patients Aged 85 and Over With Acute Cholecystitis: A Study in the Japanese Tertiary Care Hospital.
Article in Annals of gastroenterological surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Emergency Cholecystectomy in Patients Classified as High Risk According to the Tokyo Guidelines 2018: A Real-World Analysis.Annals of gastroenterological surgery · 2026Article
- Reappraisal of Real-World Management of Acute Cholecystitis in Elderly Patients Based on the Adherence to Tokyo Guidelines 2018 (TG18): A Multicenter Study on Anzu HPB Surgical Meeting.Annals of gastroenterological surgery · 2026Article
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10 authors.
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Abstract
Background: With population aging and extended healthy life expectancy, the management of acute cholecystitis (AC) in patients aged ≥ 85 years has evolved. However, the Tokyo Guidelines 2018 (TG18) for AC provide no specific risk assessment criteria for this population. This study aimed to evaluate the safety of applying the TG18 surgical algorithm to super-elderly patients. Methods: This retrospective study compared short- and long-term outcomes between a super-elderly group (≥ 85 years, Results: In severity Grade I, no significant increase in overall (21.1% vs. 21.1%, Conclusions: In TG18 severity Grades I and II, decision-making based on the TG18 algorithm can be safely applied to super-elderly patients, allowing for surgical intervention with favorable postoperative outcomes. However, careful assessment is necessary to avoid underestimating perioperative risks.
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