Korean J Gastrointest Endosc > Volume 37(4); 2008 > Article
Korean Journal of Gastrointestinal Endoscopy 2008;37(4): 237-242.
자가면역성 췌장염 진단에서의 내시경 검사의 역할
문성훈ㆍ김명환
울산대학교 의과대학 서울아산병원 소화기내과학교실
The Role of Endoscopic Examination for Making the Diagnosis of Autoimmune Pancreatitis
Sung-Hoon Moon, M.D. and Myung Hwan Kim, M.D., Ph.D.
Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea
Abstract
Autoimmune pancreatitis (AIP) is a peculiar type of chronic pancreatitis that responds rather dramatically to corticosteroid therapy. The most important point when diagnosing AIP is to distinguish it from pancreatobiliary malignancies. The typical imaging features of AIP are diffuse enlargement of the pancreas and a diffusely attenuated main pancreatic duct with an irregular wall. The atypical imaging features of AIP include a discrete pancreatic mass, focal pancreatic enlargement and focal narrowing of the main pancreatic duct. EUS and a histopathologic examination should be performed for patients with these atypical imaging features. Endobiliary biopsy and brush cytology are recommended at the time of ERCP in the case of obstructive jaundice associated with bile duct narrowing. This review discusses the role of endoscopic examination for making the diagnosis of autoimmune pancreatitis.(Korean J Gastrointest Endosc 2008;37: 237-242)
Key Words: Autoimmune pancreatitis, Endoscopic retrograde cholangiopancreatography, Endoscopic ultrasonography
주요어: 자가면역성 췌장염, 내시경적 역행성 담췌관조영술, 초음파내시경
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