Prospective multicenter study on the usefulness of EUS-guided FNA biopsy for the diagnosis of autoimmune pancreatitis

Gastrointestinal Endoscopy
Tomomasa MorishimaYoshiki Hirooka

Abstract

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 pancreatic tissue collected by EUS-FNA biopsy by using a standard 22-gauge aspiration needle in the diagnosis of AIP. Patients with suspected AIP were prospectively enrolled in Nagoya University Hospital and Nagoya University-affiliated institutions. Pancreatic tissue was collected from each by EUS-FNA biopsy with a standard 22-gauge aspiration needle. Fifty patients were registered, including 45 with a final diagnosis of AIP. Lymphoplasmacytic infiltration and abundant immunoglobulin G4-positive plasmacyte infiltration (>10/high-power field) were detected in 36 (72%) and 27 (54%) patients, respectively. Obliterative phlebitis and storiform fibrosis were not detected in our study. Granulocytic epithelial lesions (GEL) were observed in 3 patients. The sensitivity,...Continue Reading

References

Mar 10, 2001·The New England Journal of Medicine·H HamanoK Kiyosawa
Jul 14, 2001·The New England Journal of Medicine·G P AithalB Gumustop
Mar 11, 2005·Gastrointestinal Endoscopy·Michael J LevyBret T Petersen
Jun 4, 2005·Gastrointestinal Endoscopy·Keith E VolmarH Bill Xie
Apr 22, 2008·Internal Medicine Journal·J L WilsonR Y M Chen
Oct 23, 2009·Gastrointestinal Endoscopy·Brian G TurnerWilliam R Brugge
Dec 10, 2009·Gastroenterology Research and Practice·Hiroo ImazuHisao Tajiri
Jun 22, 2010·Pancreas·Suresh T ChariUNKNOWN Autoimmune Pancreatitis International Cooperative Study Group (APICS)
Apr 29, 2011·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Michael J LevySuresh T Chari
Jul 8, 2011·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·Kenichiro ImaiHiroyuki Ono
Sep 2, 2011·Modern Rheumatology·Hisanori UmeharaUNKNOWN Research Program for Intractable Disease by Ministry of Health, Labor and Welfare (MHLW) Japan G4 team
Oct 25, 2011·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Takuji IwashitaHisataka Moriwaki
May 19, 2012·Modern Pathology : an Official Journal of the United States and Canadian Academy of Pathology, Inc·Vikram DeshpandeJohn H Stone
Aug 10, 2012·World Journal of Gastroenterology : WJG·Takuya IshikawaYoshiki Hirooka
May 7, 2013·Journal of Gastroenterology·Katsuyuki MiyabeTakashi Joh

❮ Previous
Next ❯

Citations

Jul 19, 2016·Gastrointestinal Endoscopy·Jeffrey M Adler, Timothy B Gardner
Oct 16, 2016·Gastrointestinal Endoscopy·Shounak Majumder, Suresh T Chari
Jul 4, 2017·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Mitsuru SugimotoHiromasa Ohira
Sep 29, 2017·Digestion·Golo PetzoldAlbrecht Neesse
Nov 23, 2017·The Korean Journal of Internal Medicine·Michael HockeChristoph F Dietrich
Aug 25, 2017·Endoscopic Ultrasound·Yi DongChristoph F Dietrich
Apr 4, 2017·Digestive Diseases and Sciences·Shounak MajumderSuresh T Chari
Jun 20, 2020·United European Gastroenterology Journal·J-Matthias LöhrUNKNOWN UEG guideline working group
Jun 11, 2020·Clinical Journal of Gastroenterology·Ankit Chhoda, Tarun Rustagi
Mar 12, 2019·Canadian Journal of Gastroenterology & Hepatology·Takuya IshikawaYoshiki Hirooka
Mar 1, 2019·World Journal of Surgery·L D DickersonV S Yip
May 14, 2020·United European Gastroenterology Journal·Luca BarresiUNKNOWN Italian Association of Hospital Gastroenterologists and Endoscopists (AIGO), Italian Association for the Study of the Pancre
Oct 9, 2020·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Seung Bae YoonMyung-Hwan Kim
Dec 2, 2020·Diagnostics·Atsushi KannoHironori Yamamoto
Jul 19, 2020·Journal of the American Society of Cytopathology : JASC·Amin K Soltani, Kumar Krishnan
Jun 18, 2021·Indian Journal of Pathology & Microbiology·Surbhi Goyal, Puja Sakhuja
Jul 8, 2021·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Atsushi KannoHironori Yamamoto

❮ Previous
Next ❯

Related Concepts

Related Feeds

Autoimmune Diseases

Autoimmune diseases occur as a result of an attack by the immune system on the body’s own tissues resulting in damage and dysfunction. There are different types of autoimmune diseases, in which there is a complex and unknown interaction between genetics and the environment. Discover the latest research on autoimmune diseases here.