Korean J Med.  2013 Jun;84(6):789-797.

Clinical Update on Autoimmune Pancreatitis

Affiliations
  • 1Department of Internal Medicine, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea.
  • 2Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. mhkim@amc.seoul.kr

Abstract

Autoimmune pancreatitis (AIP) is a unique type of chronic pancreatitis in which pathogenesis involves autoimmune mechanism. During the past decade, several different diagnostic criteria for AIP have been reported from various countries. A set of international consensus diagnostic criteria and algorithm for AIP has recently been proposed by a consensus of expert opinion. The goal of the international consensus diagnostic criteria and algorithm for AIP is to develop criteria that can be applied worldwide, taking into consideration the marked differences in clinical practice patterns between countries. They also aim at diagnosing AIP nonsurgically and avoiding misdiagnosis of pancreatobiliary malignancies as AIP. This review discusses the recent advances in the diagnosis and management of AIP based on the international consensus diagnostic criteria. We also suggest modified algorithm for diagnosing AIP for Korean practice.

Keyword

Autoimmune pancreatitis; Pancreatic cancer; IgG4-related systemic disease
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