Shifeng Yang, Guangming Sun, F. Tian, Jisheng Hu, Hua Chen, X. Lyu, Bei Sun, R. Kong
{"title":"手术干预在自身免疫性胰腺炎诊断和治疗中的作用和意义","authors":"Shifeng Yang, Guangming Sun, F. Tian, Jisheng Hu, Hua Chen, X. Lyu, Bei Sun, R. Kong","doi":"10.3760/CMA.J.ISSN.1007-631X.2020.02.007","DOIUrl":null,"url":null,"abstract":"Objective \nTo summarize the clinical characteristics of autoimmune pancreatitis (AIP) and discuss the role and significance of surgical intervention in the treatment of AIP. \n \n \nMethods \nThe clinical data of 11 patients with preoperative confirmed AIP and 8 patients with preoperative suspected AIP receiving surgical intervention at the First Affiliated Hospital of Harbin Medical University from 2011 to 2017 were retrospectively analyzed. \n \n \nResults \nAmong 11 preoperatively confirmed AIP patients, 9(47.4%)underwent endoscopic retrograde cholangiopancreatography (ERCP)with nasal bile duct implantation or biliary stent drainage, and 2(10.5%)underwent choledochojejunostomy.Among 8 putative AIP patients in which a cancer was suspected 4 (21.1%)underwent choledochojejunostomy, 3(15.8%) did pancreaticoduodenectomy, and 1(5.3%) had distal pancreatectomy plus splenectomy.Postoperative pathology confirmed pancreatic cancer in 3 cases, IPMN in 1 case, AIP in 2 cases, and chronic pancreatitis in 2 cases. \n \n \nConclusion \nWhile autoimmune pancreatitis is IgG4 related disease, surgical intervention is indicated when there is poor response to drug treatment or when a cancer is to be ruled out. \n \n \nKey words: \nPancreatitis; Pathology, clinical; Surgical intervention","PeriodicalId":66425,"journal":{"name":"中华普通外科杂志","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2020-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The role and significance of surgical intervention in the diagnosis and treatment of autoimmune pancreatitis\",\"authors\":\"Shifeng Yang, Guangming Sun, F. Tian, Jisheng Hu, Hua Chen, X. Lyu, Bei Sun, R. Kong\",\"doi\":\"10.3760/CMA.J.ISSN.1007-631X.2020.02.007\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Objective \\nTo summarize the clinical characteristics of autoimmune pancreatitis (AIP) and discuss the role and significance of surgical intervention in the treatment of AIP. \\n \\n \\nMethods \\nThe clinical data of 11 patients with preoperative confirmed AIP and 8 patients with preoperative suspected AIP receiving surgical intervention at the First Affiliated Hospital of Harbin Medical University from 2011 to 2017 were retrospectively analyzed. \\n \\n \\nResults \\nAmong 11 preoperatively confirmed AIP patients, 9(47.4%)underwent endoscopic retrograde cholangiopancreatography (ERCP)with nasal bile duct implantation or biliary stent drainage, and 2(10.5%)underwent choledochojejunostomy.Among 8 putative AIP patients in which a cancer was suspected 4 (21.1%)underwent choledochojejunostomy, 3(15.8%) did pancreaticoduodenectomy, and 1(5.3%) had distal pancreatectomy plus splenectomy.Postoperative pathology confirmed pancreatic cancer in 3 cases, IPMN in 1 case, AIP in 2 cases, and chronic pancreatitis in 2 cases. \\n \\n \\nConclusion \\nWhile autoimmune pancreatitis is IgG4 related disease, surgical intervention is indicated when there is poor response to drug treatment or when a cancer is to be ruled out. \\n \\n \\nKey words: \\nPancreatitis; Pathology, clinical; Surgical intervention\",\"PeriodicalId\":66425,\"journal\":{\"name\":\"中华普通外科杂志\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2020-02-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"中华普通外科杂志\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.3760/CMA.J.ISSN.1007-631X.2020.02.007\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"中华普通外科杂志","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3760/CMA.J.ISSN.1007-631X.2020.02.007","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
The role and significance of surgical intervention in the diagnosis and treatment of autoimmune pancreatitis
Objective
To summarize the clinical characteristics of autoimmune pancreatitis (AIP) and discuss the role and significance of surgical intervention in the treatment of AIP.
Methods
The clinical data of 11 patients with preoperative confirmed AIP and 8 patients with preoperative suspected AIP receiving surgical intervention at the First Affiliated Hospital of Harbin Medical University from 2011 to 2017 were retrospectively analyzed.
Results
Among 11 preoperatively confirmed AIP patients, 9(47.4%)underwent endoscopic retrograde cholangiopancreatography (ERCP)with nasal bile duct implantation or biliary stent drainage, and 2(10.5%)underwent choledochojejunostomy.Among 8 putative AIP patients in which a cancer was suspected 4 (21.1%)underwent choledochojejunostomy, 3(15.8%) did pancreaticoduodenectomy, and 1(5.3%) had distal pancreatectomy plus splenectomy.Postoperative pathology confirmed pancreatic cancer in 3 cases, IPMN in 1 case, AIP in 2 cases, and chronic pancreatitis in 2 cases.
Conclusion
While autoimmune pancreatitis is IgG4 related disease, surgical intervention is indicated when there is poor response to drug treatment or when a cancer is to be ruled out.
Key words:
Pancreatitis; Pathology, clinical; Surgical intervention
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