Role of Endoscopic Ultrasonography-Guided Fine Needle Aspiration/Biopsy in the Diagnosis of Autoimmune Pancreatitis
Abstract
:1. Introduction
2. Materials and Methods
3. Results
3.1. Patients Characteristics and Final Diagnosis
3.2. Contribution of EUS-FNA/B to Diagnosis of AIP
3.3. Comparison of the Diagnostic Yield of EUS-FNA/B
3.4. Adverse Events of EUS-FNA/B
4. Discussion
5. Conclusions
Author Contributions
Funding
Conflicts of Interest
References
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n = 53 | |
---|---|
Sex: male | 30 (56.6%) |
Age * (year) | 68 (17–83) |
Enlargement of the pancreas: diffuse/focal | 22/31 (41.5%/58.5%) |
Elevated levels of serum IgG4 (≥ 135 mg/dl) | 33 (62.3%) |
Other organ involvement | 21 (40.0%) |
Locus of the target of EUS-FNA/B | |
Head | 14 (26.4%) |
Body | 25 (47.2%) |
Tail | 14 (26.4%) |
Diameter of the lesion * (mm) | 25 (20–36) |
Needles: FNA/FNB | 21/32 (39.6%/60.4%) |
Final diagnosis | |
Definitive AIP | 32 (60.4%) |
Probable AIP | 2 (3.8%) |
Possible AIP | 1 (1.9%) |
Mass-forming focal pancreatitis | 18 (34.0%) |
Enlargement of the Pancreas | Needle | Adverse Event | Diagnosis without EUS-FNA/B | Diagnosis with EUS-FNA/B | |
---|---|---|---|---|---|
1 | Focal | FNB 22-gauge Franseen | Pancreatic fistula | Unspecified diagnosis | MFFP |
2 | Focal | FNB 22-gauge Franseen | Pancreatic fistula | Unspecified diagnosis | Probable AIP |
3 | Focal | FNB 20-gauge forward-bevel | Mild pancreatitis | Unspecified diagnosis | MFFP |
4 | Focal | FNB 20-gauge forward-bevel | Mild pancreatitis | Possible AIP | Definitive AIP |
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Noguchi, K.; Nakai, Y.; Mizuno, S.; Hirano, K.; Kanai, S.; Suzuki, Y.; Inokuma, A.; Sato, T.; Hakuta, R.; Ishigaki, K.; et al. Role of Endoscopic Ultrasonography-Guided Fine Needle Aspiration/Biopsy in the Diagnosis of Autoimmune Pancreatitis. Diagnostics 2020, 10, 954. https://doi.org/10.3390/diagnostics10110954
Noguchi K, Nakai Y, Mizuno S, Hirano K, Kanai S, Suzuki Y, Inokuma A, Sato T, Hakuta R, Ishigaki K, et al. Role of Endoscopic Ultrasonography-Guided Fine Needle Aspiration/Biopsy in the Diagnosis of Autoimmune Pancreatitis. Diagnostics. 2020; 10(11):954. https://doi.org/10.3390/diagnostics10110954
Chicago/Turabian StyleNoguchi, Kensaku, Yousuke Nakai, Suguru Mizuno, Kenji Hirano, Sachiko Kanai, Yukari Suzuki, Akiyuki Inokuma, Tatsuya Sato, Ryunosuke Hakuta, Kazunaga Ishigaki, and et al. 2020. "Role of Endoscopic Ultrasonography-Guided Fine Needle Aspiration/Biopsy in the Diagnosis of Autoimmune Pancreatitis" Diagnostics 10, no. 11: 954. https://doi.org/10.3390/diagnostics10110954