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Endoscopic ultrasound-guided tissue acquisition for the histopathological diagnosis of autoimmune pancreatitis

  • Special Feature: Review Article
  • Role of ultrasonography in the evaluation of autoimmune pancreatitis
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A Correction to this article was published on 21 January 2023

This article has been updated

Abstract

Autoimmune pancreatitis (AIP) is a disease concept that originated in Japan. It is characterized by diffuse pancreatic enlargement and irregular narrowing of the main pancreatic duct. Although the usefulness of the histological diagnosis of AIP using endoscopic ultrasound (EUS)-guided fine-needle aspiration (FNA) and EUS-guided fine-needle biopsy (FNB) has been reported, enhanced diagnostic performance is expected with improvements in tissue collection methods and fine-needle techniques. Guidance for establishing the tissue diagnosis of AIP has been developed and is useful for histological evaluation. Histopathological diagnosis by EUS-FNA/FNB is expected to play a central role in AIP diagnosis in the future.

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Abbreviations

AIP:

Autoimmune pancreatitis

EUS-FNA:

Endoscopic ultrasound-guided fine-needle aspiration

EUS-FNB:

Endoscopic ultrasound-guided fine-needle biopsy

EVG:

Elastica van Gieson

G:

Gauge

ICDC:

International Consensus Diagnostic Criteria

IgG:

Immunoglobulin G

JPS:

Japan Pancreas Society

LPSP:

Lymphoplasmacytic sclerosing pancreatitis

MOSE:

Macroscopic on-site quality evaluation

PDAC:

Pancreatic ductal adenocarcinoma

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Acknowledgements

We express our deepest appreciation for the technicians in the Department of Pathology, Jichi Medical University Hospital, Dr. Konishi in the Department of Gastroenterology, Tochigi Cancer Center, and the technicians in the Department of Pathology, Tochigi Cancer Center.

Funding

This work was supported by MHLW Research Program on Rare and Intractable Diseases (grant number: JPMH20FC1040).

Author information

Authors and Affiliations

  1. Division of Gastroenterology, Department of Medicine, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, Tochigi, 329-0498, Japan

    Atsushi Kanno, Kiichi Tamada & Hironori Yamamoto

  2. Department of Pathology, Jichi Medical University, Shimotsuke, Japan

    Noriyoshi Fukushima

  3. Department of Surgery, Jichi Medical University, Shimotsuke, Japan

    Alan Kawarai Lefor

Authors
  1. Atsushi Kanno
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  2. Kiichi Tamada
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  3. Noriyoshi Fukushima
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  4. Alan Kawarai Lefor
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  5. Hironori Yamamoto
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Contributions

AK designed the study and wrote the manuscript; AK, KT, NF, AKL, and HY performed data analysis. All authors approved the final version of the article.

Corresponding author

Correspondence to Atsushi Kanno.

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All the authors have no conflicts of interest to disclose.

Ethical statements

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1964 and later versions. Informed consent was obtained from all patients for being included in the study.

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The original online version of this article was revised due to the Fig. 4d was missing from this article and the Fig. 4d has been included.

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Kanno, A., Tamada, K., Fukushima, N. et al. Endoscopic ultrasound-guided tissue acquisition for the histopathological diagnosis of autoimmune pancreatitis. J Med Ultrasonics 48, 555–563 (2021). https://doi.org/10.1007/s10396-021-01144-9

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  • DOI: https://doi.org/10.1007/s10396-021-01144-9

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