Bratislava Medical Journal Vol.117, No.8, p.463-467, 2016

Published Monthly, in English
Founded: 1919
ISSN 0006-9248
(E)ISSN 1336-0345

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Bratislava Medical Journal Vol.117, No.8, p.463-467, 2016
Title: Dilemmas in autoimmune pancreatitis. Surgical resection or not?
Author: I. Hoffmanova, R. Gurlich, V. Janik, A. Szabo, Z. Vernerova

Abstract: Surgical treatment is not commonly recommended in the management of autoimmune pancreatitis. The article describes a dilemma in diagnostics and treatment of a 68-year old man with the mass in the head of the pancreas that mimicked pancreatic cancer and that was diagnosed as a type 1 autoimmune pancreatitis (IgG4-related pancreatitis) after a surgical resection. Diagnosis of the autoimmune pancreatitis is a real clinical challenge, as in the current diagnostic criteria exists some degree of overlap in the findings between autoimmune pancreatitis and pancreatic cancer (indicated by the similarity in radiologic findings, elevation of IgG4, sampling errors in pancreatic biopsy, and the possibility of synchronous autoimmune pancreatitis and pancreatic cancer). Despite the generally accepted corticosteroids as the primary treatment modality in autoimmune pancreatitis, we believe that surgical resection remains necessary in a specific subgroup of patients with autoimmune pancreatitis (Fig. 4, Ref. 37).

Keywords: autoimmune pancreatitis, IgG4-related pancreatitis, obstructive jaundice, resection of pancreas
	Published online: 10-Aug-2016
Year: 2016, Volume: 117, Issue: 8	Page From: 463, Page To: 467
doi:10.4149/BLL_2016_090
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