Document Detail


International Consensus Diagnostic Criteria for Autoimmune Pancreatitis: Guidelines of the International Association of Pancreatology.
MedLine Citation:
PMID:  21412117     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVES:: To achieve the goal of developing international consensus diagnostic criteria (ICDC) for autoimmune pancreatitis (AIP). METHODS:: An international panel of experts met during the 14th Congress of the International Association of Pancreatology held in Fukuoka, Japan, from July 11 through 13, 2010. The proposed criteria represent a consensus opinion of the working group. RESULTS:: Autoimmune pancreatitis was classified into types 1 and 2. The ICDC used 5 cardinal features of AIP, namely, imaging of pancreatic parenchyma and duct, serology, other organ involvement, pancreatic histology, and an optional criterion of response to steroid therapy. Each feature was categorized as level 1 and 2 findings depending on the diagnostic reliability. The diagnosis of type 1 and type 2 AIP can be definitive or probable, and in some cases, the distinction between the subtypes may not be possible (AIP-not otherwise specified). CONCLUSIONS:: The ICDC for AIP were developed based on the agreement of an international panel of experts in the hope that they will promote worldwide recognition of AIP. The categorization of AIP into types 1 and 2 should be helpful for further clarification of the clinical features, pathogenesis, and natural history of these diseases.
Authors:
Tooru Shimosegawa; Suresh T Chari; Luca Frulloni; Terumi Kamisawa; Shigeyuki Kawa; Mari Mino-Kenudson; Myung-Hwan Kim; Günter Klöppel; Markus M Lerch; Matthias Löhr; Kenji Notohara; Kazuichi Okazaki; Alexander Schneider; Lizhi Zhang
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Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  Pancreas     Volume:  40     ISSN:  1536-4828     ISO Abbreviation:  -     Publication Date:  2011 Apr 
Date Detail:
Created Date:  2011-3-17     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8608542     Medline TA:  Pancreas     Country:  -    
Other Details:
Languages:  ENG     Pagination:  352-358     Citation Subset:  -    
Affiliation:
From the *Division of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan; †Division of Gastroenterology and Hepatology,Mayo Clinic, Rochester, MN; ‡Department of Medicine, University of Verona, Verona, Italy; §Department of Internal Medicine, Tokyo Metropolitan Komagome Hospital, Tokyo; ∥Center for Health, Safety and Environmental Management, Shinshu University, Matsumoto, Nagano, Japan; ¶Department of Pathology, Harvard Medical School, Massachusetts General Hospital, Boston,MA; #Department of Gastroenterology, University of Ulsan College of Medicine, Asan Medical Center, Songpa-gu, Seoul, Korea; **Department of Pathology, Technical University of Munich, Munich; ††Department of Internal Medicine A, Ernst-Moritz-Arndt-University, Greifswald, Germany; ‡‡Department of Surgical Gastroenterology, Karolinska Institute, Stockholm, Sweden; §§Department of Pathology, Kurashiki Central Hospital, Miwa, Kurashiki;∥∥Division of Gastroenterology and Hepatology, Kansai Medical University, Moriguchi, Osaka, Japan; ¶¶Department of Medicine II (Gastroenterology, Hepatology, Infectious Diseases), University of Heidelberg at Mannheim, Mannheim, Germany; and ##Division of Anatomic Pathology, Mayo Clinic, Rochester, MN.
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