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Development to Chronic Pancreatitis

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Autoimmune Pancreatitis

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Abstract

The long-term prognosis and outcomes of autoimmune pancreatitis (AIP) remain unclear. Because patients with AIP respond favorably to prednisolone (PSL) therapy in clinical, serological, imaging, and pathological settings [1–5], the disease was previously believed to be an acute condition that did not progress to an advanced stage of chronic pancreatitis. However, over the last decade, it has been revealed that some patients with AIP could progress to pancreatic stone formation, pancreatic atrophy, and/or irregular dilatation of the main pancreatic duct (MPD), which may raise new questions about whether AIP can progress to confirmed chronic pancreatitis or not.

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Authors and Affiliations

  1. Department of Gastroenterology, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, 390-8621, Japan

    Masahiro Maruyama MD, PhD

  2. Endoscopic Examination Center, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, 390-8621, Japan

    Norikazu Arakura MD, PhD

  3. Center for Health, Safety, and Environmental Management, Shinshu University, 3-1-1 Asahi, Matsumoto, 390-8621, Japan

    Shigeyuki Kawa MD, PhD

Authors
  1. Masahiro Maruyama MD, PhD
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  2. Norikazu Arakura MD, PhD
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  3. Shigeyuki Kawa MD, PhD
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Correspondence to Masahiro Maruyama MD, PhD .

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Editors and Affiliations

  1. Department of Internal Medicine, Department of Internal Medicine, Tokyo Metropolitan Komagome Hospital, Tokyo, Japan

    Terumi Kamisawa

  2. Department of Internal Medicine, Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea, Republic of (South Korea)

    Jae Bock Chung

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© 2015 Springer-Verlag Berlin Heidelberg

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Maruyama, M., Arakura, N., Kawa, S. (2015). Development to Chronic Pancreatitis. In: Kamisawa, T., Chung, J. (eds) Autoimmune Pancreatitis. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-55086-7_25

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  • DOI: https://doi.org/10.1007/978-3-642-55086-7_25

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-55085-0

  • Online ISBN: 978-3-642-55086-7

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