Multicentric Italian survey on daily practice for autoimmune pancreatitis: Clinical data, diagnosis, treatment, and evolution toward pancreatic insufficiency

Published on May 12, 2020in United European gastroenterology journal3.549
· DOI :10.1177/2050640620924302
Luca Barresi22
Estimated H-index: 22
(ISMETT),
Matteo Tacelli5
Estimated H-index: 5
(ISMETT)
+ 26 AuthorsEndoscopists1
Estimated H-index: 1
Sources
Abstract
BackgroundAutoimmune pancreatitis (AIP) is a rare, and relatively new, form of chronic pancreatitis. The management of AIP can vary considerably among different centres in daily clinical practice.O...
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References40
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#1Sara Nikolic (KI: Karolinska Institutet)H-Index: 2
#2Katharina Brehmer (KI: Karolinska Institutet)H-Index: 2
Last. Miroslav Vujasinovic (KI: Karolinska Institutet)H-Index: 1
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Introduction: Immunoglobulin G4-related disease (IgG4-RD) is a systemic immune-mediated disease characterised pathologically by the infiltration of IgG4-bearing plasma cells into the involved organs. Autoimmune pancreatitis (AIP) is a form of chronic pancreatitis with a heavy lymphocytic infiltration and two distinct histopathological subtypes, namely: lymphoplasmacytic sclerosing pancreatitis (AIP type 1) and idiopathic duct-centric pancreatitis (AIP type 2). Lung involvement and aortic involve...
2 CitationsSource
#1Heithem Soliman (Paris Diderot University)H-Index: 1
#2Marie-Pierre Vullierme (Paris Diderot University)H-Index: 40
Last. Vinciane Rebours (Paris Diderot University)H-Index: 38
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Background and aimsSteroid therapy is the first-line treatment for autoimmune pancreatitis but relapses are frequent. The aims were to assess the efficacy and the safety of immunomodulator treatmen...
10 CitationsSource
#1Matteo Tacelli (University of Palermo)H-Index: 5
#2Ciro Celsa (University of Palermo)H-Index: 10
Last. Calogero Cammà (University of Palermo)H-Index: 76
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Background & Aims Risk for relapse after induction of remission with steroid therapy has been studied extensively in patients with autoimmune pancreatitis (AIP), but findings have been equivocal. We performed a systematic review and meta-analysis to estimate the relapse rate of AIP after initial remission after steroid treatment and to identify factors associated with relapse. Methods Three reviewers searched MEDLINE, SCOPUS, and EMBASE until July 2018 to identify studies on rate of relapse of A...
9 CitationsSource
#1Miroslav Vujasinovic (Karolinska University Hospital)H-Index: 13
#2Roberto Valente (Sapienza University of Rome)H-Index: 22
Last. J.-Matthias Löhr (KI: Karolinska Institutet)H-Index: 19
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Abstract Introduction Autoimmune pancreatitis (AIP) is a pancreatic inflammatory process characterized by a strong inflammatory cell infiltration and two histopathologically distinct subtypes: type 1 and type 2. Diagnosis is often challenging and requires a combination of clinical, laboratory and imaging data. AIP can mimic pancreatic tumours leading to unnecessary resections if not correctly diagnosed. Short- and long-term outcomes of AIP have been poorly investigated so far and no large series...
18 CitationsSource
#1Abhik Bhattacharya (Cleveland Clinic)H-Index: 7
#2Michael Cruise (Cleveland Clinic)H-Index: 12
Last. Prabhleen Chahal (Cleveland Clinic)H-Index: 13
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Abstract Background It is difficult to obtain adequate tissue sample for diagnosing autoimmune pancreatitis (AIP) with the help of traditional EUS-guided FNA. As per ICDC guidelines, EUS-guided FNA is not recommended for diagnosing AIP(1). We herein present a report of 2 cases of using a new flexible 22 gauge (G) core biopsy needle (SharkCore, Medtronic, Sunnydale, Calif) for diagnosing AIP. Methods This is a report of 2 cases reviewed retrospectively which had used 22G core biopsy needle for ob...
23 CitationsSource
#1Sönke Detlefsen (OUH: Odense University Hospital)H-Index: 21
#2Maiken Thyregod Joergensen (OUH: Odense University Hospital)H-Index: 10
Last. Michael Bau Mortensen (OUH: Odense University Hospital)H-Index: 20
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The International Consensus Diagnostic Criteria (ICDC) for the diagnosis of autoimmune pancreatitis (AIP) include the histological criterion that is based on either pancreatic core needle biopsies (CNBs) or surgical specimens. However, CNBs are difficult to obtain by endoscopic ultrasound (EUS). EUS fine-needle aspiration (EUS-FNA) cytology is usually not sufficient for the diagnosis of AIP, but may sometimes contain tissue microfragments. Another approach is EUS-guided histological fine-needle ...
14 CitationsSource
#1Alexander Schneider (Heidelberg University)H-Index: 32
#2Henrik J. Michaely (Heidelberg University)H-Index: 39
Last. J.-Matthias Löhr (KI: Karolinska Institutet)H-Index: 19
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Abstract Background/Objectives We had developed the Unifying-Autoimmune-Pancreatitis-Criteria (U-AIP) to diagnose autoimmune pancreatitis (AiP) within the M-ANNHEIM classification of chronic pancreatitis. In 2011, International-Consensus-Diagnostic-Criteria (ICDC) to diagnose AiP have been published. We had applied the U-AIP long before the ICDC were available. The aims of the study were, first, to describe patients with AiP diagnosed by the U-AIP; second, to compare diagnostic accuracies of the...
13 CitationsSource
#1Alexander Schneider (Heidelberg University)H-Index: 32
#2Michael HirthH-Index: 8
Last. Roland H. PfützerH-Index: 18
view all 7 authors...
Background/Aims: Autoimmune pancreatitis (AIP) has been associated with an increased risk of malignant diseases. We aimed to describe the incidence of malignant d
13 CitationsSource
#1Tomomasa Morishima (Nagoya University)H-Index: 6
#2Hiroki Kawashima (Nagoya University)H-Index: 27
Last. Yoshiki HirookaH-Index: 59
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Background and Aims In the International Consensus Diagnostic Criteria (ICDC), autoimmune pancreatitis (AIP) is classified into types 1 and 2, and its definite histopathology diagnosis can be made based only on surgical or core biopsy specimens. Although EUS-guided FNA (EUS-FNA) biopsy is a safe technique for the collection of pancreatic tissue, no consensus viewpoint has been reached with regard to the role of EUS-FNA biopsy in the diagnosis of AIP. This study investigated the utility of pancre...
44 CitationsSource
#1Sebastian Rasch (TUM: Technische Universität München)H-Index: 12
#2Veit Phillip (TUM: Technische Universität München)H-Index: 16
Last. Hana Algül (TUM: Technische Universität München)H-Index: 36
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Abstract Background Most of the data about epidemiology, clinical presentation and treatment of autoimmune pancreatitis (AIP) is based on case series or small study groups. We therefore analyzed all cases of AIP treated at our clinic retrospectively. Methods We searched our clinical database for the diagnosis pancreatitis between January 2007 and June 2014, selected patients with AIP and entered all relevant information in a database for statistical analysis. Results In total 53 patients with AI...
12 CitationsSource
Cited By3
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#1Seung Bae Yoon (Catholic University of Korea)H-Index: 10
#2Sung-Hoon Moon (Hallym University)H-Index: 8
Last. Myung-Hwan Kim (UOU: University of Ulsan)H-Index: 89
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Abstract null null Background null The indications for maintenance glucocorticoid therapy (MGT) and its duration after initial remission of type 1 autoimmune pancreatitis (AIP) remain controversial. In contrast to the Japanese treatment protocol, the Mayo protocol does not recommend MGT after initial remission. This study aimed to evaluate the relapse rate in patients with type 1 AIP according to the duration of glucocorticoid therapy. null null null Methods null We conducted a systematic litera...
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#1Antonio Facciorusso (University of Foggia)H-Index: 19
#2Luca Barresi (ISMETT)H-Index: 22
Last. Sachin Wani (Anschutz Medical Campus)H-Index: 68
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Background and study aims There is limited evidence on the diagnostic performance of endoscopic ultrasound (EUS)-guided tissue acquisition in autoimmune pancreatitis (AIP). The aim of this meta-analysis was to provide a pooled estimate of the diagnostic performance of EUS-guided fine-needle aspiration (FNA) and fine-needle biopsy (FNB) in patients with AIP. Patients and methods Computerized bibliographic search was performed through January 2020. Pooled effects were calculated using a random-eff...
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#1Kensaku Noguchi (UTokyo: University of Tokyo)H-Index: 4
#2Yousuke Nakai (UTokyo: University of Tokyo)H-Index: 51
Last. Kazunaga Ishigaki (UTokyo: University of Tokyo)H-Index: 10
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Type 1 autoimmune pancreatitis (AIP) is histologically characterized by lymphoplasmacytic sclerosing pancreatitis (LPSP). Recently, the diagnostic yield of endoscopic ultrasonography-guided fine needle aspiration/biopsy (EUS-FNA/B) for AIP has been reported. However, its role in the diagnostic flow of AIP is not fully elucidated. We retrospectively reviewed 53 consecutive patients who were suspected with AIP and underwent EUS-FNA/B. We evaluated the contribution of EUS-FNA/B to the diagnosis of ...
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#1I. M. HalabitskaH-Index: 2
#2L. S. BabinetsH-Index: 1
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