Clinical Characteristics of 327 Asian Patients With Autoimmune Pancreatitis Based on Asian Diagnostic Criteria

Pancreas ◽  
2011 ◽  
Vol 40 (2) ◽  
pp. 200-205 ◽  
Author(s):  
Terumi Kamisawa ◽  
Myung-Hwan Kim ◽  
Wei-Chih Liao ◽  
Quanda Liu ◽  
Vallath Balakrishnan ◽  
...  
2018 ◽  
Vol 128 (4) ◽  
pp. 286-292 ◽  
Author(s):  
Suming Shi ◽  
Ping Guo ◽  
Wenquan Li ◽  
Wuqing Wang

Objectives: The purpose of this study was to investigate the correlation between grades of endolymphatic hydrops (ELH) and clinical characteristics and determine the detailed clinical characteristics of Ménière’s disease (MD) patients with evidence of hydrops based on magnetic resonance imaging (MRI). Methods: One hundred ninety-eight MD patients (396 ears) with MRI evidence of hydrops were included. ELH grades were evaluated using the Nakashima grading standard. Correlations between the extent of ELH and clinical features were evaluated. Detailed clinical characteristics were analyzed to assess the clinical diagnostic criteria. Results: Of 198 patients, ELH was observed in 100% of cases on the clinically affected side and 8.6% of cases on the asymptomatic side. In addition, 98.5% of ELH was classified as moderate or significant grade. Low-frequency hearing loss was significantly correlated with the extent of both vestibular and cochlear hydrops, whereas the vertigo attack frequency showed no significant correlation with ELH grades. The disease duration of MD with bilateral ELH was longer than that with unilateral ELH. The clinical characteristics were variant and did not completely fit the proposed diagnostic criteria. Conclusions: MRI findings have relevance to the clinical severity, to a certain extent, but not vestibular symptoms. The proposed diagnostic criteria based on clinical characteristics may be partially effective; analysis of the detailed clinical characteristics of MD was meaningful. Diagnosis of MD based on both MRI and clinical symptoms could facilitate an early diagnosis.


Gut and Liver ◽  
2013 ◽  
Vol 7 (1) ◽  
pp. 96-99 ◽  
Author(s):  
Sawako Kuruma ◽  
Terumi Kamisawa ◽  
Taku Tabata ◽  
Seiichi Hara ◽  
Takashi Fujiwara ◽  
...  

Pancreas ◽  
2013 ◽  
Vol 42 (8) ◽  
pp. 1238-1244 ◽  
Author(s):  
Itaru Naitoh ◽  
Takahiro Nakazawa ◽  
Kazuki Hayashi ◽  
Katsuyuki Miyabe ◽  
Shuya Shimizu ◽  
...  

2014 ◽  
pp. 45-52
Author(s):  
Atsushi Kanno ◽  
Atsushi Masamune ◽  
Tooru Shimosegawa

HPB ◽  
2018 ◽  
Vol 20 (11) ◽  
pp. 1021-1027
Author(s):  
Hong Lv ◽  
Ailing Liu ◽  
Yixiao Zhao ◽  
Jiaming Qian

Suizo ◽  
2011 ◽  
Vol 26 (6) ◽  
pp. 684-698 ◽  
Author(s):  
Tooru SHIMOSEGAWA ◽  
Kazuichi OKAZAKI ◽  
Terumi KAMISAWA ◽  
Shigeyuki KAWA ◽  
Kenji NOTOHARA

Endoscopy ◽  
2020 ◽  
Vol 52 (11) ◽  
pp. 978-985 ◽  
Author(s):  
Takuya Ishikawa ◽  
Hiroki Kawashima ◽  
Eizaburo Ohno ◽  
Hiroki Suhara ◽  
Daijuro Hayashi ◽  
...  

Abstract Background Detailed histological evaluation is important in the diagnosis of autoimmune pancreatitis (AIP). However, it remains challenging to obtain adequate tissue from the pancreas. Recently, several reports have suggested the usefulness of endoscopic ultrasound-guided fine-needle biopsy (EUS-FNB) using the new “core” needles for acquiring pancreatic tissue. We aimed to investigate the usefulness of EUS-FNB for diagnosing AIP with one such needle, a 22-gauge Franseen needle. Methods Patients who met the imaging diagnostic criteria for AIP based on the International Consensus Diagnostic Criteria (ICDC) were enrolled in the study. All patients underwent EUS-FNB with a 22-gauge Franseen needle. Histological findings were evaluated based on the ICDC, and the detection rates of level 1 and level 1 or 2 histology were calculated. Results 56 patients from 11 different institutions were enrolled in the final analysis (55 suspected to have type 1 AIP and one with type 2 AIP). Lymphoplasmacytic infiltration, obliterative phlebitis, storiform fibrosis, and > 10 IgG4-positive cells per high-power field were detected in 55 (100 %), 24 (43.6 %), 40 (72.7 %), and 36 (65.5 %) of the 55 patients, respectively. The detection rates of level 1 and level 1 or 2 histology for AIP were 58.2 % (95 % confidence interval [CI] 44.1 % – 71.3 %) and 92.7 % (95 %CI 82.4 % – 98.0 %), respectively, which were apparently higher than our historical results (7.9 % [95 %CI 1.7 % – 21.4 %] and 62.2 % [95 %CI 46.5 % – 76.2 %], respectively) using a conventional needle. Conclusions EUS-FNB with a 22-gauge Franseen needle demonstrated favorable detection rates which would be clinically beneficial for the histological diagnosis of AIP.


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