Moon Sung-Hoon, Kim Myung-Hwan
Department of Internal Medicine, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, 896 Pyeongchon-dong, Dongan-gu, Anyang 431-070, South Korea.
Gastrointest Endosc Clin N Am. 2013 Oct;23(4):893-915. doi: 10.1016/j.giec.2013.06.005. Epub 2013 Jul 5.
This review addresses the role of endoscopy in the diagnosis and treatment of autoimmune pancreatitis (AIP) and provides a diagnostic process for patients with suspected AIP. When should AIP be suspected? When can it be diagnosed without endoscopic examination? Which endoscopic approaches are appropriate in suspected AIP, and when? What are the roles of diagnostic endoscopic retrograde pancreatography, endoscopic biopsies, and IgG4 immunostaining? What is the proper use of the steroid trial in the diagnosis of AIP in patients with indeterminate computed tomography imaging? Should biliary stenting be performed in patients with AIP with obstructive jaundice?
本综述探讨了内镜检查在自身免疫性胰腺炎（AIP）诊断和治疗中的作用，并为疑似AIP患者提供了诊断流程。何时应怀疑AIP？何时无需内镜检查即可诊断？在疑似AIP时，哪些内镜检查方法合适，何时进行？诊断性内镜逆行胰胆管造影、内镜活检和IgG4免疫染色的作用是什么？在计算机断层扫描成像结果不确定的患者中，类固醇试验在AIP诊断中的正确应用是什么？AIP合并梗阻性黄疸的患者是否应行胆道支架置入术？
