Immunoglobulin G4-related sclerosing cholangitis in patients resected for presumed malignant bile duct strictures

The British Journal of Surgery
D ErdoganT M van Gulik

Abstract

Immunoglobulin (Ig) G(4)-related lymphoplasmacytic sclerosing pancreatitis has been described in the context of autoimmune pancreatitis mimicking distal cholangiocarcinoma. The aim of this study was to assess the occurrence of this entity in benign bile duct strictures in patients resected for presumed hilar cholangiocarcinoma. Of 185 patients who had undergone resection of proximal bile ducts on suspicion of hilar cholangiocarcinoma between January 1984 and June 2005, 32 (17.3 per cent) had a benign bile duct stricture on histopathological examination. After re-evaluation, further immunohistochemical analysis was performed on specimens from patients with features of autoimmune-like disease. The periductal stroma in 15 patients showed features of autoimmune-like disease (diffuse, moderate to severe lymphoplasmacytic infiltration with marked fibrosis). Abundant IgG(4)-positive plasma cell infiltration around the bile duct lesions was seen in two of these. Although not significant, patients with features of autoimmune-like disease on histological changes showed a higher incidence of recurrent biliary complications than those without (P = 0.250). Features of autoimmune-like bile duct disease were seen in almost half (15 of 32) of ...Continue Reading

References

Jan 1, 1988·New England and Regional Allergy Proceedings·J S Van der Zee, R C Aalberse
Aug 1, 1985·The British Journal of Surgery·N S HadjisL H Blumgart
Dec 1, 1971·Vox Sanguinis·A MorellM Kleemola
Apr 6, 1995·The New England Journal of Medicine·Y M Lee, M M Kaplan
Nov 1, 1993·Allergy·R C AalberseS O Stapel
Aug 1, 1997·Gut·N EctorsG Klöppel
Jul 16, 1999·Lancet·G W ErkelensS D van der Werf
Feb 17, 2000·Abdominal Imaging·P M VosJ W Reeders
Oct 29, 2000·The American Journal of Gastroenterology·K UchidaT Chiba
Jan 3, 2001·The British Journal of Surgery·M F GerhardsD J Gouma
Feb 19, 2002·Immunology·Rob C Aalberse, Janine Schuurman
Jun 22, 2002·Gut·K Okazaki, T Chiba
Aug 20, 2002·Digestive Diseases and Sciences·Takashi KuroiwaYutaka Aoyagi
Feb 1, 2003·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Sharon M WeberKevin Conlon
Jun 11, 2003·Annals of Surgery·Jeffrey M HardacreSteven D Leach
Sep 27, 2003·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·W T KnoefelJ R Izbicki
Nov 14, 2003·Journal of Gastroenterology·Terumi KamisawaHitoshi Nakajima
Apr 16, 2004·World Journal of Surgery·Jonathan KoeaJohn McCall
Apr 9, 2005·Current Opinion in Gastroenterology·Ann Marie Joyce, Michael L Kochman
Jan 24, 2006·Clinica Chimica Acta; International Journal of Clinical Chemistry·Kenji HiranoMasao Omata
Apr 15, 2006·Annals of Surgical Oncology·Sander DinantThomas M van Gulik
Oct 10, 2006·BMC Medicine·Guy H NeildJohn O Connolly
Dec 22, 2006·The New England Journal of Medicine·Dmitry L FinkelbergWilliam R Brugge
Apr 25, 2007·Annals of Surgical Oncology·Thomas M van Gulik, Dirk J Gouma

❮ Previous
Next ❯

Citations

Sep 25, 2012·Surgery Today·Hiroshi ShimadaKensuke Kubota
Oct 15, 2011·Annals of Surgery·Shefali AgrawalJasvir Khurana
Oct 5, 2012·Journal of Gastroenterology and Hepatology·Jun LiYuechun Shen
Oct 1, 2011·Journal of Medical Case Reports·Alexandra ShinginaBaljinder Salh
Sep 3, 2008·World Journal of Gastroenterology : WJG·Jaap Jacob KloekThomas Mathijs van Gulik
Sep 28, 2013·Gut and Liver·Yoon Suk LeeYoon Jin Lee
Jan 25, 2013·International Surgery·Norio KuboHiroyuki Kuwano
May 10, 2012·World Journal of Surgery·Anthony T RuysThomas M van Gulik
Jul 30, 2014·Cirugía española·David Saavedra-PerezLaureano Fernandez-Cruz
Jul 15, 2015·Clinics and Research in Hepatology and Gastroenterology·Ming-Jian LianShu-Ye Liu
Mar 23, 2011·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Anthony T RuysThomas M van Gulik
Jun 28, 2011·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Evangelos KalaitzakisGeorge J M Webster
Mar 23, 2011·The Surgical Clinics of North America·Jay Requarth
Oct 1, 2009·Gastrointestinal Endoscopy·George Webster, Stephen Pereira
Aug 4, 2015·Internal Medicine·Tadahisa InoueHitoshi Sano
Nov 26, 2015·Clinics in Liver Disease·Wouter L SmitRoger W Chapman
Jun 16, 2011·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Abdul M OseiniLewis R Roberts
Oct 1, 2010·Hepatology Research : the Official Journal of the Japan Society of Hepatology·Takeo FujitaTaira Kinoshita
Jan 10, 2013·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Lucas J Maillette de Buy WennigerUlrich Beuers
Sep 18, 2010·Liver International : Official Journal of the International Association for the Study of the Liver·Wolf-Rudiger MatullStephen P Pereira
Apr 3, 2014·Journal of Digestive Diseases·Hiroyuki MatsubayashiHiroyuki Ono
Jul 2, 2016·The Journal of Surgical Research·Xiaolei LiuYongliang Sun
Apr 13, 2015·Advances in Medical Sciences·Susumu IwasakiYoshinori Igarashi
Dec 1, 2010·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·T M van GulikD J Gouma
Jun 25, 2014·Clinical Reviews in Allergy & Immunology·Lowiek M HubersUlrich Beuers
Jan 31, 2015·Scandinavian Journal of Gastroenterology·Jingmei LinSarah A Reuss
Jun 14, 2016·Indian Journal of Dermatology·M Yousry Abdel-MawlaAmira Ahmed Elsayed
Sep 15, 2016·Nature Reviews. Gastroenterology & Hepatology·Emma L Culver, Roger W Chapman
Jul 27, 2018·The Korean Journal of Internal Medicine·George GoodchildGeorge Webster
Jul 11, 2014·Scandinavian Journal of Gastroenterology·Evangelos KalaitzakisGeorge J Webster
Feb 22, 2012·Current Opinion in Gastroenterology·Evangelos Kalaitzakis, George J Webster
Sep 23, 2020·Endoscopy·Hirokazu OkadaHiroshi Seno
Mar 22, 2012·European Journal of Gastroenterology & Hepatology·Evangelos KalaitzakisRichard Sturgess
Aug 7, 2019·The British Journal of Surgery·S OtsukaM Nagino

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