Pancreatitis

Notes: Wang, Jian-Hua

Sun, Gao-Feng

Zhang, Jian

Shao, Cheng-Wei

Zuo, Chang-Jing

Hao, Jun

Zheng, Jian-Ming

Feng, Xiao-Yuan

eng

Comparative Study

Research Support, Non-U.S. Gov’t

China

2013/08/16 06:00

World J Gastroenterol. 2013 Aug 14;19(30):4897-906. doi: 10.3748/wjg.v19.i30.4897.

URL: http://www.ncbi.nlm.nih.gov/pubmed/23946594

Author Address: Jian-Hua Wang, Department of Radiology, Affiliated Hospital of Medical School of Ningbo University, Ningbo 315020, Zhejiang Province, China.

 

 

Reference Type:  Journal Article

Record Number: 4935Author: Wang, J. L., Yang, Y. S., Liang, H., Huang, Q. Y., Cai, F. C., Dou, Y., Chai, G. J. and Liu, Q. S.

Year: 2013

Title: [The difference in diagnosis rate of different diagnostic criteria of autoimmune pancreatitis and its major influential factors]

Journal: Zhonghua Nei Ke Za Zhi

Volume: 52

Issue: 6

Pages: 498-502

Date: Jun

Short Title: [The difference in diagnosis rate of different diagnostic criteria of autoimmune pancreatitis and its major influential factors]

Alternate Journal: Zhonghua nei ke za zhi

ISSN: 0578-1426 (Print)

0578-1426 (Linking)

Accession Number: 24059998

Abstract: OBJECTIVE: To discuss the difference in diagnostic criteria of autoimmune pancreatitis(AIP) and its major influential factors, so as to provide guidance for AIP diagnosis and treatment. METHODS: The clinical data of 561 cases of chronic pancreatitis admitted to PLA General Hospital from June, 2008 to January, 2013 were retrospectively reviewed and analyzed. Data were extracted and analyzed to summarize the reasons of the differences in AIP diagnosis rate diagnosed by different diagnostic criteria. RESULTS: A total of 34 cases were eligible for the 2006 American HISORt criteria of AIP of whom, 5, 10 and 26 met the criteria of histology, pancreatic imaging findings and increasing serum IgG4 levels, and response to steroids and increasing serum IgG4 levels, respectively. Seven AIP patients met the latter two criteria. Fifteen patients were eligible for the 2008 Asian diagnostic criteria for AIP, of which, 10 met the two necessary imaging findings and 5 met the criteria of pathology of lymphoplasmacytic sclerosing pancreatitis (LPSP) after surgical resection. CONCLUSIONS: AIP is characterized by autoimmune inflammatory process, and is easy to be misdiagnosed as pancreatic cancer or cholangiocarcinoma etc. As a few sets of criteria issued from different countries, the 2008 Asian diagnostic criterion is more suitable with Chinese population. We should pay full attention to the importance of imaging examination of the diagnosis of AIP on the base of the detection of immune parameters, pathological examination and response to steroids.

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