Features of Autoimmune Pancreatitis Associated With Inflammatory Bowel Diseases

Serrero, Mélanie; Trang-Poisson, Caroline; Abitbol, Véred; Allez, Matthieu; Amiot, Aurélien; Barthet, Marc; Beaugerie, Laurent; Bellaïche, G.; Bouguen, Guillaume; Bouhnik, Yoram; Bourreille, Arnaud; Bournet, Barbara; Brillault, Gaëlle; Buscail, Louis; Cadiot, Guillaume; Carbonnel, Franck; Chaussade, Stanislas; Coffin, Benoït; Cosnes, Jacques; Delrieu, Violette; Détré, Patricia; Gornet, Jean–Marc; Grimaud, Jean–Charles; Jerber, Laure; Laharie, David; Lahmek, Pierre; Lévy, Philippe; Louis, Édouard; Lorenzo, Diane; Maire, Frédérique; Marteau, Philippe; Moreau, Jacques; Nahon, Stéphane; Paupard, Thierry; Pauwels, Arnaud; Pelletier, Anne-Laure; Chambrun, Guillaume Pineton de; Racine, Antoine; Rebours, Vinciane; Reenaers, Cathérine; Ruszniewski, Philippe; Savoye, Guillaume; Seksik, Philippe; Sererro, Mélanie; Simon, M.; Sokol, Harry; Stefănescu, Carmen; Tordjman, G.; Trang, Caroline; Viennot, Stéphanie

doi:10.1016/j.cgh.2017.07.033

Cited by 59 publications

(128 citation statements)

References 34 publications

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“…Ulcerative colitis (UC) is seen more commonly with AIP. The severity of bowel disease increases the risk of AIP development 8 . The incidence rate of AIP before development of IBD is 20%, while the rate of simultaneous onset of both diseases is 26%, and the rate of AIP after remission of IBD is 54%.…”

Section: Discussionmentioning

confidence: 99%

The Coexistence of Autoimmune Pancreatitis and Crohn’s Disease in an Adolescent Case

Doğan

Akgün

Özdemir

et al. 2020

MMJ

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Although autoimmune pancreatitis is not seen in children frequently, it is included in the etiology of chronic pancreatitis. A 16-year-old girl who was diagnosed with chronic pancreatitis 4 months previously, presented to the outpatient clinic with abdominal pain on the epigastric region, and left lower abdominal quadrant and bloody defecation. Remarkable laboratory test results were as follows: amylase: 109 U/L, lipase: 196 U/L, Ig G:13.70 g/L, IgG4:2.117 g/L, fecal calprotectin 573 µg/g. In the MRCP examination, revealed enlarged pancreas with a heterogeneous appearance, dilated main pancreatic duct. Colonoscopic and histopathological findings were consistent with inflammatory bowel disease. The case was diagnosed as Crohn's disease coursing with autoimmune pancreatitis. Clinical and laboratory findings regressed after steroid treatment. Autoimmune pancreatitis is important in that it is rarely seen in children and though less frequently it is associated with Crohn's disease. It should be kept in mind that inflammatory bowel disease may develop in the follow-up of autoimmune pancreatitis and autoimmune pancreatitis may be present in the etiology of chronic pancreatitis.

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Section: Discussionmentioning

confidence: 99%

The Coexistence of Autoimmune Pancreatitis and Crohn’s Disease in an Adolescent Case

Doğan

Akgün

Özdemir

et al. 2020

MMJ

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“…Diagnosis of AIP preceded IBD in 20%. Also, patients with UC and AIP had higher risk for colectomy (OR: 2.9) and rectal disease location (OR: 7.1); while CD patients had less perianal disease and less stricturing and less penetrating behavior, but higher risk for colectomy [ 51 ]. It is worth noting that gastroenterologists should be aware of the coexistence IgG4 colitis in AIP patients, because many patients with AIP have IgG4-related colitis mimicking IBD [ 52 ].…”

Section: Autoimmune Pancreatitismentioning

confidence: 99%

Pancreatic Involvement in Inflammatory Bowel Disease: A Review

et al. 2018

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Inflammatory bowel disease (IBD) is a multisystemic disease, and pancreatic manifestations of IBD are not uncommon. The incidence of several pancreatic diseases in Crohn’s disease and ulcerative colitis is more frequent compared to the general population. Pancreatic manifestations in IBD include a wide heterogenic group of disorders and abnormalities of the pancreas and range from mild self-limited diseases to severe disorders. Acute pancreatitis, chronic pancreatitis, autoimmune pancreatitis, pancreatic autoantibodies, exocrine pancreatic insufficiency and asymptomatic imaging and laboratory abnormalities are included in related-IBD pancreatic manifestations. Involvement of the pancreas in IBD may be the result of IBD itself or of medications used.

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“…highlighted that gallstones and drug-induced pancreatitis are the most common causes of AP in patients with IBD 33 . It is important to note that type II AIP has a higher association with IBD 34 and that IBD is associated with asymptomatic elevations in serum lipase and amylase 35 .…”

Section: Recent Advances In Epidemiology and Evaluation Of Acute Pancmentioning

confidence: 99%

Recent advances in understanding and managing acute pancreatitis

Mandalia¹,

Wamsteker²,

DiMagno³

2018

F1000Res

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This review highlights advances made in recent years in the diagnosis and management of acute pancreatitis (AP). We focus on epidemiological, clinical, and management aspects of AP. Additionally, we discuss the role of using risk stratification tools to guide clinical decision making. The majority of patients suffer from mild AP, and only a subset develop moderately severe AP, defined as a pancreatic local complication, or severe AP, defined as persistent organ failure. In mild AP, management typically involves diagnostic evaluation and supportive care resulting usually in a short hospital length of stay (LOS). In severe AP, a multidisciplinary approach is warranted to minimize morbidity and mortality over the course of a protracted hospital LOS. Based on evidence from guideline recommendations, we discuss five treatment interventions, including intravenous fluid resuscitation, feeding, prophylactic antibiotics, probiotics, and timing of endoscopic retrograde cholangiopancreatography (ERCP) in acute biliary pancreatitis. This review also highlights the importance of preventive interventions to reduce hospital readmission or prevent pancreatitis, including alcohol and smoking cessation, same-admission cholecystectomy for acute biliary pancreatitis, and chemoprevention and fluid administration for post-ERCP pancreatitis. Our review aims to consolidate guideline recommendations and high-quality studies published in recent years to guide the management of AP and highlight areas in need of research.

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Features of Autoimmune Pancreatitis Associated With Inflammatory Bowel Diseases

Cited by 59 publications

References 34 publications

The Coexistence of Autoimmune Pancreatitis and Crohn’s Disease in an Adolescent Case

The Coexistence of Autoimmune Pancreatitis and Crohn’s Disease in an Adolescent Case

Pancreatic Involvement in Inflammatory Bowel Disease: A Review

Recent advances in understanding and managing acute pancreatitis

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