Application of endoscopic ultrasound in the diagnosis of autoimmune pancreatitis
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摘要: 目前,自身免疫性胰腺炎(AIP)的诊断主要依靠影像学,虽然超声内镜(EUS)尚未纳入AIP的诊断标准,但随着研究的深入,其在AIP诊断中的价值越来越明显。EUS引导的穿刺活组织检查可以微创精准地取得组织学标本,而避免开腹活组织检查或不必要的外科手术,对于明确病理诊断具有独特优势。主要就EUS在AIP的诊断方面,包括常规EUS的图像特征、新的图像增强模式以及EUS引导的活组织检查技术进行了综述和评价。Abstract: At present, the diagnostic criteria for autoimmune pancreatitis ( AIP) mainly rely on imaging findings. As a type of imaging examination, endoscopic ultrasound ( EUS) has not been included in the diagnostic criteria for AIP. More and more studies have shown the value of EUS in the diagnosis of AIP. As an minimally invasive procedure, EUS-guided biopsy can accurately obtain histological samples and thus avoid open biopsy or unnecessary surgeries, and therefore, it shows unique advantages in clarifying pathological diagnosis. This article reviews the role of EUS in the diagnosis of AIP, including the features of EUS images, new image enhancement pattern, and EUS-guided biopsy.
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Key words:
- pancreatitis /
- endoscopic ultrasonography /
- biopsy, fine-needle /
- diagnosis
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[1]SHIMOSEGAWA T, CHARI ST, FRULLONI L, et al.International consensus diagnostic criteria for autoimmune pancreatitis:Guidelines of the International Association of Pancreatology[J].Pancreas, 2011, 40 (3) :352-358. [2]SHIMOSEGAWA T, Working Group Members of the Japan Pancreas S, Research Committee for Intractable Pancreatic Disease by the Ministry of Labor H.The amendment of the Clinical Diagnostic Criteria in Japan (JPS2011) in response to the proposal of the International Consensus of Diagnostic Criteria (ICDC) for autoimmune pancreatitis[J].Pancreas, 2012, 41 (8) :1341-1342. [3]NAITOH I, NAKAZAWA T, HAYASHI K, et al.Clinical evaluation of international consensus diagnostic criteria for type 1 autoimmune pancreatitis in comparison with Japanese diagnostic criteria[J].2011, Pancreas, 2013, 42 (8) :1238-1244. [4]KIM KP, KIM MH, KIM JC, et al.Diagnostic criteria for autoimmune chronic pancreatitis revisited[J].World J Gastroenterol, 2006, 12 (16) :2487-2496. [5]OTSUKI M, CHUNG JB, OKAZAKI K, et al.Asian diagnostic criteria for autoimmune pancreatitis:Consensus of the Japan-Korea Symposium on Autoimmune Pancreatitis[J].J Gastroenterol, 2008, 43 (6) :403-408. [6]CHARI ST, SMYRK TC, LEVY MJ, et al.Diagnosis of autoimmune pancreatitis:The Mayo Clinic experience[J].Clin Gastroenterol Hepatol, 2006, 4 (8) :1010-1016;quiz 934. [7]CHARI ST, TAKAHASHI N, LEVY MJ, et al.A diagnostic strategy to distinguish autoimmune pancreatitis from pancreatic cancer[J].Clin Gastroenterol Hepatol, 2009, 7 (10) :1097-1103. [8]SCHNEIDER A, MICHAELY H, RUCKERT F, et al.Diagnosing autoimmune pancreatitis with the Unifying-Autoimmune-Pancreatitis-Criteria[J].Pancreatology, 2017, 17 (3) :381-394. [9]KAMISAWA T, CHARI ST, GIDAY SA, et al.Clinical profile of autoimmune pancreatitis and its histological subtypes:An international multicenter survey[J].Pancreas, 2011, 40 (6) :809-814. [10]SAH RP, CHARI ST, PANNALA R, et al.Differences in clinical profile and relapse rate of type 1 versus type 2 autoimmune pancreatitis[J].Gastroenterology, 2010, 139 (1) :140-148;quiz e12-e13. [11]LIAN MJ, LIU S, WU GY, et al.Serum Ig G4 and Ig G for the diagnosis of autoimmune pancreatitis:A systematic review with meta-analysis[J].Clin Res Hepatol Gastroenterol, 2016, 40 (1) :99-109. [12]SAH RP, CHARI ST.Autoimmune pancreatitis:An update on classification, diagnosis, natural history and management[J].Curr Gastroenterol Rep, 2012, 14 (2) :95-105. [13]FARRELL JJ, GARBER J, SAHANI D, et al.EUS findings in patients with autoimmune pancreatitis[J].Gastrointest Endosc, 2004, 60 (6) :927-936. [14]BUSCARINI E, de LISI S, ARCIDIACONO PG, et al.Endoscopic ultrasonography findings in autoimmune pancreatitis[J].World J Gastroenterol, 2011, 17 (16) :2080-2085. [15]HOKI N, MIZUNO N, SAWAKI A, et al.Diagnosis of autoimmune pancreatitis using endoscopic ultrasonography[J].J Gastroenterol, 2009, 44 (2) :154-159. [16]KUBOTA K, KATO S, AKIYAMA T, et al.A proposal for differentiation between early-and advanced-stage autoimmune pancreatitis by endoscopic ultrasonography[J].Dig Endosc, 2009, 21 (3) :162-169. [17]OKABE Y, ISHIDA Y, KAJI R, et al.Endoscopic ultrasonographic study of autoimmune pancreatitis and the effect of steroid therapy[J].J Hepatobiliary Pancreat Sci, 2012, 19 (3) :266-273. [18]KOYAMA R, IMAMURA T, OKUDA C, et al.Ultrasonographic imaging of bile duct lesions in autoimmune pancreatitis[J].Pancreas, 2008, 37 (3) :259-264. [19]de LISI S, BUSCARINI E, ARCIDIACONO PG, et al.Endoscopic ultrasonography findings in autoimmune pancreatitis:Be aware of the ambiguous features and look for the pivotal ones[J].JOP, 2010, 11 (1) :78-84. [20]KUBOTA K, KATO S, UCHIYAMA T, et al.Discrimination between sclerosing cholangitis-associated autoimmune pancreatitis and primary sclerosing cholangitis, cancer using intraductal ultrasonography[J].Dig Endosc, 2011, 23 (1) :10-16. [21]FUSAROLI P, SAFTOIU A, MANCINO MG, et al.Techniques of image enhancement in EUS (with videos) [J].Gastrointest Endosc, 2011, 74 (3) :645-655. [22]DIETRICH CF, HIRCHE TO, OTT M, et al.Real-time tissue elastography in the diagnosis of autoimmune pancreatitis[J].Endoscopy, 2009, 41 (8) :718-720. [23]HOCKE M, IGNEE A, DIETRICH CF.Contrast-enhanced endoscopic ultrasound in the diagnosis of autoimmune pancreatitis[J].Endoscopy, 2011, 43 (2) :163-165. [24]KOBAYASHI G, FUJITA N, NODA Y, et al.Vascular image in autoimmune pancreatitis by contrast-enhanced color-Doppler endoscopic ultrasonography:Comparison with pancreatic cancer[J].Endosc Ultrasound, 2014, 3 (Suppl 1) :s13. [25]IMAZU H, KANAZAWA K, MORI N, et al.Novel quantitative perfusion analysis with contrast-enhanced harmonic EUS for differentiation of autoimmune pancreatitis from pancreatic carcinoma[J].Scand J Gastroenterol, 2012, 47 (7) :853-860. [26]MATSUBARA H, ITOH A, KAWASHIMA H, et al.Dynamic quantitative evaluation of contrast-enhanced endoscopic ultrasonography in the diagnosis of pancreatic diseases[J].Pancreas, 2011, 40 (7) :1073-1079. [27]ZHU J, WANG L, CHU Y, et al.A new descriptor for computeraided diagnosis of EUS imaging to distinguish autoimmune pancreatitis from chronic pancreatitis[J].Gastrointest Endosc, 2015, 82 (5) :831-836.e1. [28]CHARI ST, KLOEPPEL G, ZHANG L, et al.Histopathologic and clinical subtypes of autoimmune pancreatitis:The Honolulu consensus document[J].Pancreas, 2010, 39 (5) :549-554. [29]DESHPANDE V, MINO-KENUDSON M, BRUGGE WR, et al.Endoscopic ultrasound guided fine needle aspiration biopsy of autoimmune pancreatitis:Diagnostic criteria and pitfalls[J].Am J Surg Pathol, 2005, 29 (11) :1464-1471. [30]KANNO A, ISHIDA K, HAMADA S, et al.Diagnosis of autoimmune pancreatitis by EUS-FNA by using a 22-gauge needle based on the International Consensus Diagnostic Criteria[J].Gastrointest Endosc, 2012, 76 (3) :594-602. [31]ISHIKAWA T, ITOH A, KAWASHIMA H, et al.Endoscopic ultrasound-guided fine needle aspiration in the differentiation of type1 and type 2 autoimmune pancreatitis[J].World J Gastroenterol, 2012, 18 (29) :3883-3888. [32]IWASHITA T, YASUDA I, DOI S, et al.Use of samples from endoscopic ultrasound-guided 19-gauge fine-needle aspiration in diagnosis of autoimmune pancreatitis[J].Clin Gastroenterol Hepatol, 2012, 10 (3) :316-322. [33]KANNO A, MASAMUNE A, FUJISHIMA F, et al.Diagnosis of autoimmune pancreatitis by EUS-guided FNA using a 22-gauge needle:A prospective multicenter study[J].Gastrointest Endosc, 2016, 84 (5) :797-804.e1. [34]MORISHIMA T, KAWASHIMA H, OHNO E, et al.Prospective multicenter study on the usefulness of EUS-guided FNA biopsy for the diagnosis of autoimmune pancreatitis[J].Gastrointest Endosc, 2016, 84 (2) :241-248. [35]IMAI K, MATSUBAYASHI H, FUKUTOMI A, et al.Endoscopic ultrasonography-guided fine needle aspiration biopsy using 22-gauge needle in diagnosis of autoimmune pancreatitis[J].Dig Liver Dis, 2011, 43 (11) :869-874. [36]MOON SH, KIM MH.The role of endoscopy in the diagnosis of autoimmune pancreatitis[J].Gastrointest Endosc, 2012, 76 (3) :645-656. [37]TAKUMA K, KAMISAWA T, GOPALAKRISHNA R, et al.Strategy to differentiate autoimmune pancreatitis from pancreas cancer[J].World J Gastroenterol, 2012, 18 (10) :1015-1020. [38]SUGIMOTO M, TAKAGI T, SUZUKI R, et al.Endoscopic ultrasonography-guided fine needle aspiration can be used to rule out malignancy in autoimmune pancreatitis patients[J].J Ultrasound Med, 2017, 36 (11) :2237-2244. [39]CHEN J, YANG R, LU Y, et al.Diagnostic accuracy of endoscopic ultrasound-guided fine-needle aspiration for solid pancreatic lesion:A systematic review[J].J Cancer Res Clin Oncol, 2012, 138 (9) :1433-1441. [40]ELOUBEIDI MA, TAMHANE A.EUS-guided FNA of solid pancreatic masses:A learning curve with 300 consecutive procedures[J].Gastrointest Endosc, 2005, 61 (6) :700-708. [41]TURNER BG, CIZGINER S, AGARWAL D, et al.Diagnosis of pancreatic neoplasia with EUS and FNA:A report of accuracy[J].Gastrointest Endosc, 2010, 71 (1) :91-98. [42]VOSS M, HAMMEL P, MOLAS G, et al.Value of endoscopic ultrasound guided fine needle aspiration biopsy in the diagnosis of solid pancreatic masses[J].Gut, 2000, 46 (2) :244-249. [43]SUDA K, TAKASE M, FUKUMURA Y, et al.Histopathologic characteristics of autoimmune pancreatitis based on comparison with chronic pancreatitis[J].Pancreas, 2005, 30 (4) :355-358. [44]YADAV D, NOTAHARA K, SMYRK TC, et al.Idiopathic tumefactive chronic pancreatitis:Clinical profile, histology, and natural history after resection[J].Clin Gastroenterol Hepatol, 2003, 1 (2) :129-135. [45]FUJII LL, CHARI ST, EL-YOUSSEF M, et al.Pediatric pancreatic EUS-guided trucut biopsy for evaluation of autoimmune pancreatitis[J].Gastrointest Endosc, 2013, 77 (5) :824-828. [46]KERDSIRICHAIRAT T, SAINI SD, CHAMBERLAIN PR, et al.Autoimmune pancreatitis diagnosed with core biopsy obtained from a novel fork-tip EUS needle[J].ACG Case Rep J, 2017, 4:e7. [47]BANG JY, HEBERT-MAGEE S, HASAN MK, et al.Endoscopic ultrasonography-guided biopsy using a Franseen needle design:Initial assessment[J].Dig Endosc, 2017, 29 (3) :338-346. [48]BHATTACHARYA A, CRUISE M, CHAHAL P.Endoscopic ultrasound guided 22 gauge core needle biopsy for the diagnosis of autoimmune pancreatitis[J].Pancreatology, 2018, 18 (2) :168-169. [49]DETLEFSEN S, JOERGENSEN MT, MORTENSEN MB.Microscopic findings in EUS-guided fine needle (Shark Core) biopsies with type 1 and type 2 autoimmune pancreatitis[J].Pathol Int, 2017, 67 (10) :514-520. [50]NAKAI Y, ISAYAMA H, CHANG KJ, et al.A pilot study of EUS-guided through-the-needle forceps biopsy (with video) [J].Gastrointest Endosc, 2016, 84 (1) :158-162
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