Autoimmune pancreatitis: role of endoscopy in diagnosis and treatment.
This review addresses the role of endoscopy in the diagnosis and treatment of autoimmune pancreatitis (AIP) and provides a diagnostic process for patients with suspected AIP. When should AIP be suspected? When can it be diagnosed without endoscopic examination? Which endoscopic approaches are appropriate in suspected AIP, and when? What are the roles of diagnostic endoscopic retrograde pancreatography, endoscopic biopsies, and IgG4 immunostaining? What is the proper use of the steroid trial in the diagnosis of AIP in patients with indeterminate computed tomography imaging? Should biliary stenting be performed in patients with AIP with obstructive jaundice?
Department of Internal Medicine, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, 896 Pyeongchon-dong, Dongan-gu, Anyang 431-070, South Korea.
Sung-Hoon
SH
Moon
Myung-Hwan
MH
Kim
D001327:Autoimmune Diseases / Q000175:diagnosis*; D002760:Cholangiopancreatography, Endoscopic Retrograde; D003937:Diagnosis, Differential; D061765:Endoscopic Ultrasound-Guided Fine Needle Aspiration; D019160:Endosonography; D006801:Humans; D007074:Immunoglobulin G / Q000032:analysis / Q000097:blood; D010190:Pancreatic Neoplasms / Q000175:diagnosis*; D010195:Pancreatitis / Q000175:diagnosis* / Q000628:therapy*; D015607:Stents; D013256:Steroids / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed
D007074:Immunoglobulin G; D013256:Steroids
Autoimmune pancreatitis; Endoscopic retrograde cholangiopancreatography; Endoscopic ultrasonography; Endoscopy; IgG4-related disease; Pancreatic cancer