Autoimmune pancreatitis and multiple bile duct strictures treated effectively with steroid

被引：71

作者：

Kojima, E ^{[1
]}

Kimura, K ^{[1
]}

Noda, Y ^{[1
]}

Kobayashi, G ^{[1
]}

Itoh, K ^{[1
]}

Fujita, N ^{[1
]}

机构：

[1] Sendai City Med Ctr, Dept Gastroenterol, Miyagino Ku, Sendai, Miyagi 9830824, Japan

来源：

JOURNAL OF GASTROENTEROLOGY | 2003年 / 38卷 / 06期

关键词：

autoimmune pancreatitis; steroid therapy; primary sclerosing cholangitis;

D O I：

10.1007/s00535-002-1108-1

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

We herein report a patient with strictures of the hepatic hilar and intrapancreatic bile duct associated with autoimmune pancreatitis, who responded well to corticosteroid therapy. Although this bile duct lesion resembled primary sclerosing cholangitis (PSC) morphologically, its dramatic response to corticosteroid therapy seems to indicate that it is a different entity. A review of the literature revealed 13 patients with multiple biliary strictures and chronic pancreatitis successfully treated with corticosteroid therapy. From the clinical point of view, knowledge of the existence of a patient group with autoimmune pancreatitis with morphology similar to that of PSC and which responds well to corticosteroid therapy is important.

引用

页码：603 / 607

页数：5