Clinical diagnostic criteria of autoimmune pancreatitis: revised proposal

• DOI: 10.1007/s00535-006-1868-0
• Publication Date: 2006-08-25T15:34:19Z
• Authors: Kazuichi Okazaki; Shigeyuki Kawa; Terumi Kamisawa; Satoru Naruse; Shigeki Tanaka; Isao Nishimori; Hirotaka Ohara; Tetsuhide Ito; Seiki Kiriyama; Kazuro Inui; Tooru Shimosegawa; Masaru Koizumi; Koichi Suda; Keiko Shiratori; Koji Yamaguchi; Taketo Yamaguchi; Masanori Sugiyama; Makoto Otsuki
• Keywords: Autoimmune Pancreatitis; Surgical oncology; Colorectal Surgery

atic duct and diffuse enlargement of the entire pancreas due to lymphocyte infiltration.In 1995, Japanese investigators 3 firstly proposed a concept "autoimmune pancreatitis (AIP)", in which patients showed diffusely enlarged pancreas, narrowing pancreatogram, increased serum IgG, presence autoantibodies, fibrotic changes with lymphocytic infiltration steroidal efficacy.Thereafter, many AIP cases have been reported from Japan, has accepted as new clinical entity. 4,5The histopathological findings show massive lymphoplasmacytes fibrosis, is consistent lymphoplasmacytic sclerosing (LPSP). 6Many paid great attention AIP, especially regard its unique pancreatic images, 2 IgG4, 7 diseaseassociated 8 extrapancreatic lesions, 6,9-14 efficacy. 14,15urrently diagnosis based on "diagnostic criteria 2002 autoimmune pancreatitis" 16 by Japan Pancreas Society.However, accumulation shows that