The Experts below are selected from a list of 318 Experts worldwide ranked by ideXlab platform

Toshihiko Mayumi - One of the best experts on this subject based on the ideXlab platform.

  • The Practice Guidelines for Primary Care of Acute Abdomen 2015
    Japanese Journal of Radiology, 2016
    Co-Authors: Toshihiko Mayumi, Masahiro Yoshida, Susumu Tazuma, Akira Furukawa, Osamu Nishii, Kunihiro Shigematsu, Takeo Azuhata, Atsuo Itakura, Seiji Kamei, Hiroshi Kondo
    Abstract:

    Background Since Acute Abdomen requires accurate diagnosis and treatment within a particular time limit to prevent mortality, the Japanese Society for Abdominal Emergency Medicine in collaboration with four other medical societies launched the Practice Guidelines for Primary Care of Acute Abdomen that were the first English guidelines in the world for the management of Acute Abdomen. Here we provide the highlights of these guidelines [all clinical questions (CQs) and recommendations are shown in supplementary information]. Methods A systematic and comprehensive evaluation of the evidence for epidemiology, diagnosis, differential diagnosis, and primary treatment for Acute Abdomen was performed to develop the Practice Guidelines for Primary Care of Acute Abdomen 2015. Because many types of pathophysiological events underlie Acute Abdomen, these guidelines cover the primary care of adult patients with nontraumatic Acute Abdomen. Results A total of 108 questions based on 9 subject areas were used to compile 113 recommendations. The subject areas included definition, epidemiology, history taking, physical examination, laboratory test, imaging studies, differential diagnosis, initial treatment, and education. Japanese medical circumstances were considered for grading the recommendations to assure useful information. The two-step methods for the initial management of Acute Abdomen were proposed. Early use of transfusion and analgesia, particularly intravenous acetaminophen, were recommended. Conclusions The Practice Guidelines for Primary Care of Acute Abdomen 2015 have been prepared as the first evidence-based guidelines for the management of Acute Abdomen. We hope that these guidelines contribute to clinical practice and improve the primary care and prognosis of patients with Acute Abdomen.

  • Practice Guidelines for Primary Care of Acute Abdomen 2015.
    Journal of hepato-biliary-pancreatic sciences, 2015
    Co-Authors: Toshihiko Mayumi, Masahiro Yoshida, Susumu Tazuma, Akira Furukawa, Osamu Nishii, Kunihiro Shigematsu, Takeo Azuhata, Atsuo Itakura, Seiji Kamei, Hiroshi Kondo
    Abstract:

    Since Acute Abdomen requires accurate diagnosis and treatment within a particular time limit to prevent mortality, the Japanese Society for Abdominal Emergency Medicine, in collaboration with four other medical societies, launched the Practice Guidelines for Primary Care of Acute Abdomen that were the first English guidelines in the world for the management of Acute Abdomen. Here we provide the highlights of these guidelines (all clinical questions and recommendations were shown in supplementary information). A systematic and comprehensive evaluation of the evidence for epidemiology, diagnosis, differential diagnosis, and primary treatment for Acute Abdomen was performed to develop the Practice Guidelines for Primary Care of Acute Abdomen 2015. Because many types of pathophysiological events underlie Acute Abdomen, these guidelines cover the primary care of adult patients with nontraumatic Acute Abdomen. A total of 108 questions based on nine subject areas were used to compile 113 recommendations. The subject areas included definition, epidemiology, history taking, physical examination, laboratory test, imaging studies, differential diagnosis, initial treatment, and education. Japanese medical circumstances were considered for grading the recommendations to assure useful information. The two-step methods for the initial management of Acute Abdomen were proposed. Early use of transfusion and analgesia, particularly intravenous acetaminophen, were recommended. The Practice Guidelines for Primary Care of Acute Abdomen 2015 have been prepared as the first evidence-based guidelines for the management of Acute Abdomen. We hope that these guidelines contribute to clinical practice and improve the primary care and prognosis of patients with Acute Abdomen.

  • The Practice Guidelines for Primary Care of Acute Abdomen 2015.
    Japanese journal of radiology, 2015
    Co-Authors: Toshihiko Mayumi, Masahiro Yoshida, Susumu Tazuma, Akira Furukawa, Osamu Nishii, Kunihiro Shigematsu, Takeo Azuhata, Atsuo Itakura, Seiji Kamei, Hiroshi Kondo
    Abstract:

    Since Acute Abdomen requires accurate diagnosis and treatment within a particular time limit to prevent mortality, the Japanese Society for Abdominal Emergency Medicine in collaboration with four other medical societies launched the Practice Guidelines for Primary Care of Acute Abdomen that were the first English guidelines in the world for the management of Acute Abdomen. Here we provide the highlights of these guidelines [all clinical questions (CQs) and recommendations are shown in supplementary information]. A systematic and comprehensive evaluation of the evidence for epidemiology, diagnosis, differential diagnosis, and primary treatment for Acute Abdomen was performed to develop the Practice Guidelines for Primary Care of Acute Abdomen 2015. Because many types of pathophysiological events underlie Acute Abdomen, these guidelines cover the primary care of adult patients with nontraumatic Acute Abdomen. A total of 108 questions based on 9 subject areas were used to compile 113 recommendations. The subject areas included definition, epidemiology, history taking, physical examination, laboratory test, imaging studies, differential diagnosis, initial treatment, and education. Japanese medical circumstances were considered for grading the recommendations to assure useful information. The two-step methods for the initial management of Acute Abdomen were proposed. Early use of transfusion and analgesia, particularly intravenous acetaminophen, were recommended. The Practice Guidelines for Primary Care of Acute Abdomen 2015 have been prepared as the first evidence-based guidelines for the management of Acute Abdomen. We hope that these guidelines contribute to clinical practice and improve the primary care and prognosis of patients with Acute Abdomen.

  • JPN guidelines for the management of Acute Abdomen 2015
    Journal of Critical Care, 2015
    Co-Authors: Toshihiko Mayumi, Masahiro Yoshida, Kouichi Hirata
    Abstract:

    JPN guidelines for the management of Acute Abdomen 2015 Toshihiko Mayumi, Masahiro Yoshida, Kouichi Hirata Department of Emergency Medicine, School of Medicine, University of Occupational and Environmental Health, Japan Clinical Research Center Kaken Hospital, International University of Health and Welfare, Japan Department of Surgery, Surgical Oncology and Science, Sapporo Medical University, Japan Background/Purpose: There have not been the practical guidelines for the management of Acute Abdomen in the world. Therefore, the Japanese Society for Abdominal Emergency Medicine and collaborated 4 other societies began to make the practical guidelines for the management of Acute Abdomen (JPN guidelines for Acute Abdomen) in 2012 and finally published them in 2015. Here, we present brief summary of them. Methods: The working group of JPN guidelines consists of 18 specialists, primary care physicians, surgeons, gastroenterologists, radiologists, vascular surgeon, obstetrician and gynecologist, and epidemiologists. The guidelines were made using EBM methods with level of evidence (body of evidence) and recommendations. Results: JPN guidelines for Acute Abdomen 2015 contain 108 clinical questions and major topics as described below: (1) definitions, (2) epidemiology, (3) practical algorithms of Acute Abdomen and tables of pain location anddisease, (4) history taking, (5)medical examination, (6) laboratory and radiological examination, (7) differential diagnosis, (8) initial treatment, and (9) educational program. For algorithm of initial treatment for Acute Abdomen, 2 steps method were proposed (Figure). Conclusions: Since these brand-new JPN guidelines for Acute Abdomen 2015 are the first guidelines, these need a lot of update to be in line with a clinic in the near future.

Hiroshi Kondo - One of the best experts on this subject based on the ideXlab platform.

  • The Practice Guidelines for Primary Care of Acute Abdomen 2015
    Japanese Journal of Radiology, 2016
    Co-Authors: Toshihiko Mayumi, Masahiro Yoshida, Susumu Tazuma, Akira Furukawa, Osamu Nishii, Kunihiro Shigematsu, Takeo Azuhata, Atsuo Itakura, Seiji Kamei, Hiroshi Kondo
    Abstract:

    Background Since Acute Abdomen requires accurate diagnosis and treatment within a particular time limit to prevent mortality, the Japanese Society for Abdominal Emergency Medicine in collaboration with four other medical societies launched the Practice Guidelines for Primary Care of Acute Abdomen that were the first English guidelines in the world for the management of Acute Abdomen. Here we provide the highlights of these guidelines [all clinical questions (CQs) and recommendations are shown in supplementary information]. Methods A systematic and comprehensive evaluation of the evidence for epidemiology, diagnosis, differential diagnosis, and primary treatment for Acute Abdomen was performed to develop the Practice Guidelines for Primary Care of Acute Abdomen 2015. Because many types of pathophysiological events underlie Acute Abdomen, these guidelines cover the primary care of adult patients with nontraumatic Acute Abdomen. Results A total of 108 questions based on 9 subject areas were used to compile 113 recommendations. The subject areas included definition, epidemiology, history taking, physical examination, laboratory test, imaging studies, differential diagnosis, initial treatment, and education. Japanese medical circumstances were considered for grading the recommendations to assure useful information. The two-step methods for the initial management of Acute Abdomen were proposed. Early use of transfusion and analgesia, particularly intravenous acetaminophen, were recommended. Conclusions The Practice Guidelines for Primary Care of Acute Abdomen 2015 have been prepared as the first evidence-based guidelines for the management of Acute Abdomen. We hope that these guidelines contribute to clinical practice and improve the primary care and prognosis of patients with Acute Abdomen.

  • Practice Guidelines for Primary Care of Acute Abdomen 2015.
    Journal of hepato-biliary-pancreatic sciences, 2015
    Co-Authors: Toshihiko Mayumi, Masahiro Yoshida, Susumu Tazuma, Akira Furukawa, Osamu Nishii, Kunihiro Shigematsu, Takeo Azuhata, Atsuo Itakura, Seiji Kamei, Hiroshi Kondo
    Abstract:

    Since Acute Abdomen requires accurate diagnosis and treatment within a particular time limit to prevent mortality, the Japanese Society for Abdominal Emergency Medicine, in collaboration with four other medical societies, launched the Practice Guidelines for Primary Care of Acute Abdomen that were the first English guidelines in the world for the management of Acute Abdomen. Here we provide the highlights of these guidelines (all clinical questions and recommendations were shown in supplementary information). A systematic and comprehensive evaluation of the evidence for epidemiology, diagnosis, differential diagnosis, and primary treatment for Acute Abdomen was performed to develop the Practice Guidelines for Primary Care of Acute Abdomen 2015. Because many types of pathophysiological events underlie Acute Abdomen, these guidelines cover the primary care of adult patients with nontraumatic Acute Abdomen. A total of 108 questions based on nine subject areas were used to compile 113 recommendations. The subject areas included definition, epidemiology, history taking, physical examination, laboratory test, imaging studies, differential diagnosis, initial treatment, and education. Japanese medical circumstances were considered for grading the recommendations to assure useful information. The two-step methods for the initial management of Acute Abdomen were proposed. Early use of transfusion and analgesia, particularly intravenous acetaminophen, were recommended. The Practice Guidelines for Primary Care of Acute Abdomen 2015 have been prepared as the first evidence-based guidelines for the management of Acute Abdomen. We hope that these guidelines contribute to clinical practice and improve the primary care and prognosis of patients with Acute Abdomen.

  • The Practice Guidelines for Primary Care of Acute Abdomen 2015.
    Japanese journal of radiology, 2015
    Co-Authors: Toshihiko Mayumi, Masahiro Yoshida, Susumu Tazuma, Akira Furukawa, Osamu Nishii, Kunihiro Shigematsu, Takeo Azuhata, Atsuo Itakura, Seiji Kamei, Hiroshi Kondo
    Abstract:

    Since Acute Abdomen requires accurate diagnosis and treatment within a particular time limit to prevent mortality, the Japanese Society for Abdominal Emergency Medicine in collaboration with four other medical societies launched the Practice Guidelines for Primary Care of Acute Abdomen that were the first English guidelines in the world for the management of Acute Abdomen. Here we provide the highlights of these guidelines [all clinical questions (CQs) and recommendations are shown in supplementary information]. A systematic and comprehensive evaluation of the evidence for epidemiology, diagnosis, differential diagnosis, and primary treatment for Acute Abdomen was performed to develop the Practice Guidelines for Primary Care of Acute Abdomen 2015. Because many types of pathophysiological events underlie Acute Abdomen, these guidelines cover the primary care of adult patients with nontraumatic Acute Abdomen. A total of 108 questions based on 9 subject areas were used to compile 113 recommendations. The subject areas included definition, epidemiology, history taking, physical examination, laboratory test, imaging studies, differential diagnosis, initial treatment, and education. Japanese medical circumstances were considered for grading the recommendations to assure useful information. The two-step methods for the initial management of Acute Abdomen were proposed. Early use of transfusion and analgesia, particularly intravenous acetaminophen, were recommended. The Practice Guidelines for Primary Care of Acute Abdomen 2015 have been prepared as the first evidence-based guidelines for the management of Acute Abdomen. We hope that these guidelines contribute to clinical practice and improve the primary care and prognosis of patients with Acute Abdomen.

Masahiro Yoshida - One of the best experts on this subject based on the ideXlab platform.

  • The Practice Guidelines for Primary Care of Acute Abdomen 2015
    Japanese Journal of Radiology, 2016
    Co-Authors: Toshihiko Mayumi, Masahiro Yoshida, Susumu Tazuma, Akira Furukawa, Osamu Nishii, Kunihiro Shigematsu, Takeo Azuhata, Atsuo Itakura, Seiji Kamei, Hiroshi Kondo
    Abstract:

    Background Since Acute Abdomen requires accurate diagnosis and treatment within a particular time limit to prevent mortality, the Japanese Society for Abdominal Emergency Medicine in collaboration with four other medical societies launched the Practice Guidelines for Primary Care of Acute Abdomen that were the first English guidelines in the world for the management of Acute Abdomen. Here we provide the highlights of these guidelines [all clinical questions (CQs) and recommendations are shown in supplementary information]. Methods A systematic and comprehensive evaluation of the evidence for epidemiology, diagnosis, differential diagnosis, and primary treatment for Acute Abdomen was performed to develop the Practice Guidelines for Primary Care of Acute Abdomen 2015. Because many types of pathophysiological events underlie Acute Abdomen, these guidelines cover the primary care of adult patients with nontraumatic Acute Abdomen. Results A total of 108 questions based on 9 subject areas were used to compile 113 recommendations. The subject areas included definition, epidemiology, history taking, physical examination, laboratory test, imaging studies, differential diagnosis, initial treatment, and education. Japanese medical circumstances were considered for grading the recommendations to assure useful information. The two-step methods for the initial management of Acute Abdomen were proposed. Early use of transfusion and analgesia, particularly intravenous acetaminophen, were recommended. Conclusions The Practice Guidelines for Primary Care of Acute Abdomen 2015 have been prepared as the first evidence-based guidelines for the management of Acute Abdomen. We hope that these guidelines contribute to clinical practice and improve the primary care and prognosis of patients with Acute Abdomen.

  • Practice Guidelines for Primary Care of Acute Abdomen 2015.
    Journal of hepato-biliary-pancreatic sciences, 2015
    Co-Authors: Toshihiko Mayumi, Masahiro Yoshida, Susumu Tazuma, Akira Furukawa, Osamu Nishii, Kunihiro Shigematsu, Takeo Azuhata, Atsuo Itakura, Seiji Kamei, Hiroshi Kondo
    Abstract:

    Since Acute Abdomen requires accurate diagnosis and treatment within a particular time limit to prevent mortality, the Japanese Society for Abdominal Emergency Medicine, in collaboration with four other medical societies, launched the Practice Guidelines for Primary Care of Acute Abdomen that were the first English guidelines in the world for the management of Acute Abdomen. Here we provide the highlights of these guidelines (all clinical questions and recommendations were shown in supplementary information). A systematic and comprehensive evaluation of the evidence for epidemiology, diagnosis, differential diagnosis, and primary treatment for Acute Abdomen was performed to develop the Practice Guidelines for Primary Care of Acute Abdomen 2015. Because many types of pathophysiological events underlie Acute Abdomen, these guidelines cover the primary care of adult patients with nontraumatic Acute Abdomen. A total of 108 questions based on nine subject areas were used to compile 113 recommendations. The subject areas included definition, epidemiology, history taking, physical examination, laboratory test, imaging studies, differential diagnosis, initial treatment, and education. Japanese medical circumstances were considered for grading the recommendations to assure useful information. The two-step methods for the initial management of Acute Abdomen were proposed. Early use of transfusion and analgesia, particularly intravenous acetaminophen, were recommended. The Practice Guidelines for Primary Care of Acute Abdomen 2015 have been prepared as the first evidence-based guidelines for the management of Acute Abdomen. We hope that these guidelines contribute to clinical practice and improve the primary care and prognosis of patients with Acute Abdomen.

  • The Practice Guidelines for Primary Care of Acute Abdomen 2015.
    Japanese journal of radiology, 2015
    Co-Authors: Toshihiko Mayumi, Masahiro Yoshida, Susumu Tazuma, Akira Furukawa, Osamu Nishii, Kunihiro Shigematsu, Takeo Azuhata, Atsuo Itakura, Seiji Kamei, Hiroshi Kondo
    Abstract:

    Since Acute Abdomen requires accurate diagnosis and treatment within a particular time limit to prevent mortality, the Japanese Society for Abdominal Emergency Medicine in collaboration with four other medical societies launched the Practice Guidelines for Primary Care of Acute Abdomen that were the first English guidelines in the world for the management of Acute Abdomen. Here we provide the highlights of these guidelines [all clinical questions (CQs) and recommendations are shown in supplementary information]. A systematic and comprehensive evaluation of the evidence for epidemiology, diagnosis, differential diagnosis, and primary treatment for Acute Abdomen was performed to develop the Practice Guidelines for Primary Care of Acute Abdomen 2015. Because many types of pathophysiological events underlie Acute Abdomen, these guidelines cover the primary care of adult patients with nontraumatic Acute Abdomen. A total of 108 questions based on 9 subject areas were used to compile 113 recommendations. The subject areas included definition, epidemiology, history taking, physical examination, laboratory test, imaging studies, differential diagnosis, initial treatment, and education. Japanese medical circumstances were considered for grading the recommendations to assure useful information. The two-step methods for the initial management of Acute Abdomen were proposed. Early use of transfusion and analgesia, particularly intravenous acetaminophen, were recommended. The Practice Guidelines for Primary Care of Acute Abdomen 2015 have been prepared as the first evidence-based guidelines for the management of Acute Abdomen. We hope that these guidelines contribute to clinical practice and improve the primary care and prognosis of patients with Acute Abdomen.

  • JPN guidelines for the management of Acute Abdomen 2015
    Journal of Critical Care, 2015
    Co-Authors: Toshihiko Mayumi, Masahiro Yoshida, Kouichi Hirata
    Abstract:

    JPN guidelines for the management of Acute Abdomen 2015 Toshihiko Mayumi, Masahiro Yoshida, Kouichi Hirata Department of Emergency Medicine, School of Medicine, University of Occupational and Environmental Health, Japan Clinical Research Center Kaken Hospital, International University of Health and Welfare, Japan Department of Surgery, Surgical Oncology and Science, Sapporo Medical University, Japan Background/Purpose: There have not been the practical guidelines for the management of Acute Abdomen in the world. Therefore, the Japanese Society for Abdominal Emergency Medicine and collaborated 4 other societies began to make the practical guidelines for the management of Acute Abdomen (JPN guidelines for Acute Abdomen) in 2012 and finally published them in 2015. Here, we present brief summary of them. Methods: The working group of JPN guidelines consists of 18 specialists, primary care physicians, surgeons, gastroenterologists, radiologists, vascular surgeon, obstetrician and gynecologist, and epidemiologists. The guidelines were made using EBM methods with level of evidence (body of evidence) and recommendations. Results: JPN guidelines for Acute Abdomen 2015 contain 108 clinical questions and major topics as described below: (1) definitions, (2) epidemiology, (3) practical algorithms of Acute Abdomen and tables of pain location anddisease, (4) history taking, (5)medical examination, (6) laboratory and radiological examination, (7) differential diagnosis, (8) initial treatment, and (9) educational program. For algorithm of initial treatment for Acute Abdomen, 2 steps method were proposed (Figure). Conclusions: Since these brand-new JPN guidelines for Acute Abdomen 2015 are the first guidelines, these need a lot of update to be in line with a clinic in the near future.

Raymond Oyen - One of the best experts on this subject based on the ideXlab platform.

  • Ultrasonography in the evaluation of the Acute Abdomen: intestinal pathology
    Emergency Radiology, 2001
    Co-Authors: Eric Geusens, I. Vervloessem, Dirk Vanbeckevoort, Maria-helena Smet, Raymond Oyen
    Abstract:

    Ultrasonography (US) has become an essential tool in the initial evaluation of patients presenting with an Acute Abdomen, being quick and easy to use. When a patient is referred with Acute Abdomen of presumed intestinal origin, US can be employed in the diagnosis of Acute appendicitis, Acute diverticulitis, obstruction, intussusception, Crohn's disease, infectious enteritis, ischemic bowel disease, and even tumors. US does not show findings specific for these disease processes, and frequently only shows nonspecific wall thickening, some infiltration of the adjacent fat, and a small amount of fluid, but nevertheless it is quite sensitive when performed by an experienced examiner, and can therefore be used as a rapid screening tool in patients with an Acute Abdomen. This paper describes the use of US in the evaluation of the Acute Abdomen of intestinal origin.

Atsuo Itakura - One of the best experts on this subject based on the ideXlab platform.

  • The Practice Guidelines for Primary Care of Acute Abdomen 2015
    Japanese Journal of Radiology, 2016
    Co-Authors: Toshihiko Mayumi, Masahiro Yoshida, Susumu Tazuma, Akira Furukawa, Osamu Nishii, Kunihiro Shigematsu, Takeo Azuhata, Atsuo Itakura, Seiji Kamei, Hiroshi Kondo
    Abstract:

    Background Since Acute Abdomen requires accurate diagnosis and treatment within a particular time limit to prevent mortality, the Japanese Society for Abdominal Emergency Medicine in collaboration with four other medical societies launched the Practice Guidelines for Primary Care of Acute Abdomen that were the first English guidelines in the world for the management of Acute Abdomen. Here we provide the highlights of these guidelines [all clinical questions (CQs) and recommendations are shown in supplementary information]. Methods A systematic and comprehensive evaluation of the evidence for epidemiology, diagnosis, differential diagnosis, and primary treatment for Acute Abdomen was performed to develop the Practice Guidelines for Primary Care of Acute Abdomen 2015. Because many types of pathophysiological events underlie Acute Abdomen, these guidelines cover the primary care of adult patients with nontraumatic Acute Abdomen. Results A total of 108 questions based on 9 subject areas were used to compile 113 recommendations. The subject areas included definition, epidemiology, history taking, physical examination, laboratory test, imaging studies, differential diagnosis, initial treatment, and education. Japanese medical circumstances were considered for grading the recommendations to assure useful information. The two-step methods for the initial management of Acute Abdomen were proposed. Early use of transfusion and analgesia, particularly intravenous acetaminophen, were recommended. Conclusions The Practice Guidelines for Primary Care of Acute Abdomen 2015 have been prepared as the first evidence-based guidelines for the management of Acute Abdomen. We hope that these guidelines contribute to clinical practice and improve the primary care and prognosis of patients with Acute Abdomen.

  • Practice Guidelines for Primary Care of Acute Abdomen 2015.
    Journal of hepato-biliary-pancreatic sciences, 2015
    Co-Authors: Toshihiko Mayumi, Masahiro Yoshida, Susumu Tazuma, Akira Furukawa, Osamu Nishii, Kunihiro Shigematsu, Takeo Azuhata, Atsuo Itakura, Seiji Kamei, Hiroshi Kondo
    Abstract:

    Since Acute Abdomen requires accurate diagnosis and treatment within a particular time limit to prevent mortality, the Japanese Society for Abdominal Emergency Medicine, in collaboration with four other medical societies, launched the Practice Guidelines for Primary Care of Acute Abdomen that were the first English guidelines in the world for the management of Acute Abdomen. Here we provide the highlights of these guidelines (all clinical questions and recommendations were shown in supplementary information). A systematic and comprehensive evaluation of the evidence for epidemiology, diagnosis, differential diagnosis, and primary treatment for Acute Abdomen was performed to develop the Practice Guidelines for Primary Care of Acute Abdomen 2015. Because many types of pathophysiological events underlie Acute Abdomen, these guidelines cover the primary care of adult patients with nontraumatic Acute Abdomen. A total of 108 questions based on nine subject areas were used to compile 113 recommendations. The subject areas included definition, epidemiology, history taking, physical examination, laboratory test, imaging studies, differential diagnosis, initial treatment, and education. Japanese medical circumstances were considered for grading the recommendations to assure useful information. The two-step methods for the initial management of Acute Abdomen were proposed. Early use of transfusion and analgesia, particularly intravenous acetaminophen, were recommended. The Practice Guidelines for Primary Care of Acute Abdomen 2015 have been prepared as the first evidence-based guidelines for the management of Acute Abdomen. We hope that these guidelines contribute to clinical practice and improve the primary care and prognosis of patients with Acute Abdomen.

  • The Practice Guidelines for Primary Care of Acute Abdomen 2015.
    Japanese journal of radiology, 2015
    Co-Authors: Toshihiko Mayumi, Masahiro Yoshida, Susumu Tazuma, Akira Furukawa, Osamu Nishii, Kunihiro Shigematsu, Takeo Azuhata, Atsuo Itakura, Seiji Kamei, Hiroshi Kondo
    Abstract:

    Since Acute Abdomen requires accurate diagnosis and treatment within a particular time limit to prevent mortality, the Japanese Society for Abdominal Emergency Medicine in collaboration with four other medical societies launched the Practice Guidelines for Primary Care of Acute Abdomen that were the first English guidelines in the world for the management of Acute Abdomen. Here we provide the highlights of these guidelines [all clinical questions (CQs) and recommendations are shown in supplementary information]. A systematic and comprehensive evaluation of the evidence for epidemiology, diagnosis, differential diagnosis, and primary treatment for Acute Abdomen was performed to develop the Practice Guidelines for Primary Care of Acute Abdomen 2015. Because many types of pathophysiological events underlie Acute Abdomen, these guidelines cover the primary care of adult patients with nontraumatic Acute Abdomen. A total of 108 questions based on 9 subject areas were used to compile 113 recommendations. The subject areas included definition, epidemiology, history taking, physical examination, laboratory test, imaging studies, differential diagnosis, initial treatment, and education. Japanese medical circumstances were considered for grading the recommendations to assure useful information. The two-step methods for the initial management of Acute Abdomen were proposed. Early use of transfusion and analgesia, particularly intravenous acetaminophen, were recommended. The Practice Guidelines for Primary Care of Acute Abdomen 2015 have been prepared as the first evidence-based guidelines for the management of Acute Abdomen. We hope that these guidelines contribute to clinical practice and improve the primary care and prognosis of patients with Acute Abdomen.