Diagnosis of autoimmune pancreatitis by EUS-FNA by using a 22-gauge needle based on the International Consensus Diagnostic Criteria

Kanno, Atsushi; Ishida, Kazuyuki; Hamada, Shin; Fujishima, Fumiyoshi; Unno, Jun; Kaneda, Kiyoshi; Kikuta, Kazuhiro; Hirota, Morihisa; Masamune, Atsushi; Satoh, Kennichi; Notohara, Kenji; Shimosegawa, Tooru

doi:10.1016/j.gie.2012.05.014

Cited by 140 publications

(100 citation statements)

References 29 publications

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“…Although many investigators reported that diagnostic values by cytological or histological diagnosis using EUS-FNA are low, those by histological diagnosis using EUS-trucut biopsy are high [90][91][92]. However, a recent study suggested that histological diagnosis by EUS-FNA using 22G needles was useful [93].…”

Section: Cq-i-mentioning

confidence: 99%

Amendment of the Japanese Consensus Guidelines for Autoimmune Pancreatitis, 2013 I. Concept and diagnosis of autoimmune pancreatitis

et al. 2014

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Background In response to the proposal of the international consensus diagnostic criteria (ICDC) for autoimmune pancreatitis (AIP) and the Japanese diagnostic criteria in 2011, the 2009 Japanese consensus guidelines for managing AIP required revision. Methods Three committees [the professional committee for making clinical questions (CQs) and statements by Japanese specialists, the expert panelist committee for rating statements by the modified Delphi method, and the evaluating committee by moderators] were organized.

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Section: Cq-i-mentioning

confidence: 99%

Amendment of the Japanese Consensus Guidelines for Autoimmune Pancreatitis, 2013 I. Concept and diagnosis of autoimmune pancreatitis

et al. 2014

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“…Endoszkópos UH-vezérelt fi nomtű-aspiráció (EUH-FNA) során nyert citológiai mintákból nehéz az AIP diagnózisa, Trucut biopszia során azonban lehetsé-ges kisebb szövetminta nyerése is, emelve a diagnosztikus pontosságot. Egy közelmúltban megjelent retrospektív, egyközpontú tanulmányban azonban 25 AIP-betegnél 22 G-s tűvel elvégzett EUH-FNA-ból is 80%-os pontossággal igazolták a megbetegedést [38].…”

Section: Melyek Az Aip Jellemző Szövettani Jelei?unclassified

Autoimmune pancreatitis.Evidence based management guidelines of the Hungarian Pancreatic Study Group

et al. 2015

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Az autoimmun pancreatitis ritka megbetegedés, amely megjelenésében akár hasnyálmirigy-daganatot utánozhat, azonban ez utóbbival ellentétben nem műtéti, hanem gyógyszeres kezelést igényel. A betegség korrekt diagnózisa, differenciáldiagnosztikája és a betegek megfelelő kezelése korszerű és bizonyítékokon alapuló kezelési útmutatót igényel. A Magyar Hasnyálmirigy Munkacsoport célul tűzte ki, hogy a jelenleg elérhető nemzetközi irányvonalakat, illetve evidenciákat alapul véve az autoimmun pancreatitis kezelésének kulcskérdései vonatkozásában bizonyítékalapú irány-elveket fogalmazzon meg. A Magyar Hasnyálmirigy Munkacsoport által kijelölt előkészítő és konzulens munkacsoport lefordította, és ahol szükségesnek találta, kiegészítette és/vagy módosította a nemzetközi irányelveket. Összesen 4 témakörben (Alapok, Diagnózis, Differenciáldiagnosztika, Terápia) 29 releváns kérdést állított össze. Az evidencia osztályozását az UpToDate ® rendszere alapján határozta meg. Az összeállított irányelvek a 2014. szeptember 12-ei konszenzustalálkozón kerültek bemutatásra és megvitatásra. A résztvevők minden kérdést csaknem teljes (95% feletti) egyetértéssel fogadtak el. A Magyar Hasnyálmirigy Munkacsoport kezelési irányelvei az első, bizonyíték alapján ké-szült autoimmun pancreatitis kezelési útmutató hazánkban. Az irányelv komoly segítséget nyújthat az autoimmun pancreatitis oktatásához, a mindennapi betegellátáshoz és a megfelelő fi nanszírozás kialakításához. Ezért a szerzők bíznak abban, hogy ezen irányelvek minél szélesebb körben alapreferenciaként fognak szolgálni Magyarországon. Orv. Hetil., 2015, 156(8), 292-307.Kulcsszavak: bizonyítékon alapuló orvoslás, kezelési irányelvek, autoimmun pancreatitis Autoimmune pancreatitis Evidence based management guidelines of the Hungarian Pancreatic Study GroupAutoimmune pancreatitis is a rare disease which can even mimic pancreatic tumor, however, unlike the latter, it requires not surgical but conservative management. Correct diagnosis and differential diagnosis of autoimmune pancreatitis and treatment of these patients requires up-to-date and evidence based management guidelines. The Hun-

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“…This unique histological subtype could be distinguished from type 1 AIP by expert pathologists with high diagnostic ratio (concordances: 60%-100%, multirater kappa: 0.54) using the international consensus histopathological diagnostic criteria [28] . The feasibility of arriving at a histological diagnosis for AIP using endoscopically obtained tissue samples has been argued [59][60][61][62] . Several studies demonstrated that tissue samples obtained by endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) enabled histological diagnosis of both type 1 [60][61][62] and type 2 [63,64] AIP.…”

Section: Histology Of the Pancreatic Lesionmentioning

confidence: 99%

“…The feasibility of arriving at a histological diagnosis for AIP using endoscopically obtained tissue samples has been argued [59][60][61][62] . Several studies demonstrated that tissue samples obtained by endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) enabled histological diagnosis of both type 1 [60][61][62] and type 2 [63,64] AIP. Figure 2 Algorithm of international consensus diagnostic criteria to diagnose type 1 autoimmune pancreatitis in subjects presenting with obstructive jaundice and/or pancreatic mass.…”

Section: Histology Of the Pancreatic Lesionmentioning

confidence: 99%

Diagnosis Autoimmune Pancreatitis

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Chari²

The Pancreapedia: Exocrine Pancreas Knowledge Base

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Autoimmune pancreatitis (AIP) is a distinct form of chronic pancreatitis that is increasingly being reported. The presentation and clinical image findings of AIP sometimes resemble those of several pancreatic malignancies, but the therapeutic strategy differs appreciably. Therefore, accurate diagnosis is necessary for cases of AIP. To date, AIP is classified into two distinct subtypes from the viewpoints of etiology, serum markers, histology, other organ involvements, and frequency of relapse: type 1 is related to IgG4 (lymphoplasmacytic sclerosing pancreatitis) and type 2 is related to a granulocytic epithelial lesion (idiopathic duct-centric chronic pancreatitis). Both types of AIP are characterized by focal or diffuse pancreatic enlargement accompanied with a narrowing of the main pancreatic duct, and both show dramatic responses to corticosteroid. Unlike type 2, type 1 is characteristically associated with increasing levels of serum IgG4 and positive serum autoantibodies, abundant infiltration of IgG4-positive plasmacytes, frequent extrapancreatic lesions, and relapse. These findings have led several countries to propose diagnostic criteria for AIP, which consist of essentially similar diagnostic items; however, several differences exist for each country, mainly due to differences in the definition of AIP and the modalities used to diagnose this disease. An attempt to unite the diagnostic criteria worldwide was made with the publication in 2011 of the international consensus diagnostic criteria for AIP, established at the 2010 Congress of the International Association of Pancreatology (IAP).

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Diagnosis of autoimmune pancreatitis by EUS-FNA by using a 22-gauge needle based on the International Consensus Diagnostic Criteria

Cited by 140 publications

References 29 publications

Amendment of the Japanese Consensus Guidelines for Autoimmune Pancreatitis, 2013 I. Concept and diagnosis of autoimmune pancreatitis

Amendment of the Japanese Consensus Guidelines for Autoimmune Pancreatitis, 2013 I. Concept and diagnosis of autoimmune pancreatitis

Autoimmune pancreatitis.Evidence based management guidelines of the Hungarian Pancreatic Study Group

Diagnosis Autoimmune Pancreatitis

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