Abstract:

Acute biliary sepsis which includes Acute cholecystitis and Acute Cholangitis are life threatening surgical emergencies which needs early recognition and prompt institution of appropriate management strategies. Except for some well-known clinical signs like Murphys sign and Charcots triad there are no well-defined criteria for the diagnosis of above said biliary infections. Tokyo Guidelines 2018 is expert panel formulated Diagnostic and severity assessment criteria guidelines is the only guidelines available till date which aids in the diagnosis and management of the same. More number of patients can be diagnosed at an early stage of infection and appropriate treatment instituted at the earliest by using this guidelines, thus avoiding any foreseen complications. In this study, we have assessed the feasibility of using TG 18 guidelines in diagnosing and managing acute biliary infections in ESI Medical College and Hospital Rajajinagar, Bengaluru.

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