Autoimmune pancreatitis: a surgical dilemma.

Abstract:

:Autoimmune pancreatitis (AIP) is defined as a particular form of pancreatitis that often manifests as obstructive jaundice associated with a pancreatic mass or an obstructive bile duct lesion, and that has an excellent response to corticosteroid treatment. The prevalence of AIP worldwide is unknown, and it is considered as a rare entity. The clinical and radiological presentation of AIP can mimic bilio-pancreatic cancer, presenting difficulties for diagnosis and obliging the surgeon to balance decision-making between the potential risk presented by the misdiagnosis of a deadly disease against the desire to avoid unnecessary major surgery for a disease that responds effectively to corticosteroid treatment. In this review we detail the current and critical points for the diagnosis, classification and treatment for AIP, with a special emphasis on surgical series and the methods to differentiate between this pathology and bilio-pancreatic cancer.

journal_name

Cir Esp

journal_title

Cirugia espanola

authors

Saavedra-Perez D,Vaquero EC,Ayuso JR,Fernandez-Cruz L

doi

10.1016/j.ciresp.2014.01.013

subject

Has Abstract

pub_date

2014-12-01 00:00:00

pages

645-53

issue

10

eissn

0009-739X

issn

1578-147X

pii

S0009-739X(14)00076-1

journal_volume

92

pub_type

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