Diagnosis of autoimmune pancreatitis by EUS-guided FNA using a 22-gauge needle: a prospective multicenter study Atsushi Kanno, MD, PhD, Atsushi Masamune,

Slides:

Advertisements

Similar presentations

Salivary gland swelling developing after endoscopy: “anesthesia mumps”

Advertisements

CA11-19: a tumor marker for the detection of colorectal cancer

Extensive GI tract involvement of Ewing's sarcoma/peripheral primitive neuroectodermal tumor in an octogenarian Pei-Ying Lin, MD, Jin-Yuan Shih, MD,

Volume 139, Issue 1, Pages (July 2010)

Rami Y. Reddy, MD, DM, Arunachalam C. Arun, MD, Pradeep K

Microforceps-assisted diagnosis of a cystic GI stromal tumor lesion

Use of Samples From Endoscopic Ultrasound–Guided 19-Gauge Fine-Needle Aspiration in Diagnosis of Autoimmune Pancreatitis Takuji Iwashita, Ichiro Yasuda,

Volume 2, Issue 11, Pages (November 2017)

Kulwinder S. Dua, MD, Joseph Merrill, MD Gastrointestinal Endoscopy

Pleural metastases from pancreatic cancer diagnosed by EUS-guided FNA

Gastric duplication cyst presenting as acquired pyloric stenosis

Volume 2, Issue 11, Pages (November 2017)

Public health impact of colonoscopy use on colorectal cancer mortality in Germany and the United States Chen Chen, MSPH, Christian Stock, PhD, Michael.

Optical biopsy for colorectal polyps: moving along the S-shaped curve

Comparison of EUS with MRCP in idiopathic acute pancreatitis: a systematic review and meta-analysis Jianhua Wan, MD, Yaobin Ouyang, MD, Chen Yu, MD,

Terry L. Jue, MD Gastrointestinal Endoscopy

EUS diagnosis of cystic pancreatic neuroendocrine tumors

Volume 3, Issue 5, Pages (May 2018)

Rayburn Rego, MD, Shyam Dang, MD, Catherine Lewis, MD

Yoji Ishizu, MD, PhD, Masatoshi Ishigami, MD, PhD

Prophylaxis of Post–Endoscopic Retrograde Cholangiopancreatography Pancreatitis by an Endoscopic Pancreatic Spontaneous Dislodgement Stent Atsushi Sofuni,

EUS-guided pancreatic cyst ablation: a critical review (with video)

Volume 138, Issue 5, Pages e3 (May 2010)

Adherence to biopsy guidelines increases celiac disease diagnosis

Recent Advances in Autoimmune Pancreatitis

Autoimmune pancreatitis presenting with gastric outlet obstruction

Volume 3, Issue 9, Pages (September 2018)

Thomas M. Runge, MD, MPH Gastrointestinal Endoscopy

Barriers to colonoscopy among New York City homeless

Reem Z. Sharaiha, MD, Anthony N. Kalloo, MD, Mouen A. Khashab, MD

Gastrointestinal Endoscopy

Quality improvement for the gastroenterology fellow

Roxana M. Coman, MD, PhD Gastrointestinal Endoscopy

Erratum Gastrointestinal Endoscopy Volume 76, Issue 5, (November 2012)

Volume 3, Issue 11, Pages (November 2018)

Sergey V. Kantsevoy, MD, PhD Gastrointestinal Endoscopy

Successful obliteration of bleeding duodenal varices by EUS-guided injection of N-butyl- 2-cyanoacrylate Gen Kimura, MD, Yusuke Hashimoto, MD, Masafumi.

Ji Young Bang, MD, MPH Gastrointestinal Endoscopy

Mohamad A. Eloubeidi, MD, MHS, FACP, FACG, FASGE

Mo1382 EUS-Guided Needle-Based Confocal Laser Induced Endomicroscopy (nCLE): A Correlation Study of “Through the Needle” Imaging With Normal Histology.

Gastrointestinal Endoscopy

Ihab I. El Hajj, MD, MPH, Mohammad Al-Haddad, MD, MSc

Protein-losing enteropathy

Volume 3, Issue 5, Pages (May 2018)

Eosinophilic esophagitis in adults: clinical, endoscopic, histologic findings, and response to treatment with fluticasone propionate Matthew Remedios,

Diagnosing pancreatic malignancy in the setting of chronic pancreatitis: is there room for improvement? James J. Farrell, MD Gastrointestinal Endoscopy

Postcolonoscopy mortality: Bowel preparation to blame?

Removal of buried gastroduodenal stents after drainage of pancreatic fluid collections: Silence of the LAMS (with video) Eduardo Rodrigues-Pinto, MD

Sergey V. Kantsevoy, MD, PhD Gastrointestinal Endoscopy

An unusual presentation of anisakiasis in the colon (with video)

Yield of tissue sampling for submucosal lesions evaluated by EUS

David L. Diehl, MD, FACP, FASGE, Jay P. Babich, MD

What is the optimal treatment for hepatic abscess and infected biloma?

Gregory G. Ginsberg, MD Gastrointestinal Endoscopy

Amebic colitis simulating ulcerative colitis

Volume 139, Issue 1, Pages (July 2010)

Gavin C. Harewood, MD, FRCPI, MSc Gastrointestinal Endoscopy

Confocal microscopy from the bench to the bedside

Inadequate colonoscopy preparation: Is it time to send out an SMS?

Mucosal scars in collagenous colitis

Clostridial aortitis and colon cancer

Endoscopic resection is the criterion standard of treatment for patients with early squamous cell neoplasia of the esophagus Yuichi Shimizu, MD, Masakazu.

EUS-FNA of 2 right atrial masses

EUS-guided Tru-cut biopsy for serous cystadenomas of the pancreas

Muhammad K. Hasan, MD, Robert Hawes, MD, Shyam Varadarajulu, MD

William Berquist, MD Gastrointestinal Endoscopy

EUS-guided gold fiducial placement and migration rate

Public health impact of colonoscopy use on colorectal cancer mortality in Germany and the United States Chen Chen, MSPH, Christian Stock, PhD, Michael.

Hard to swallow: colonic adenocarcinoma in esophagus

Rapid intraluminal growth of a colorectal cancer observed by endoscopy

Presentation transcript:

Diagnosis of autoimmune pancreatitis by EUS-guided FNA using a 22-gauge needle: a prospective multicenter study Atsushi Kanno, MD, PhD, Atsushi Masamune, MD, PhD, Fumiyoshi Fujishima, MD, PhD, Takuji Iwashita, MD, PhD, Yuzo Kodama, MD, PhD, Akio Katanuma, MD, Hirotaka Ohara, MD, PhD, Masayuki Kitano, MD, PhD, Hiroyuki Inoue, MD, PhD, Takao Itoi, MD, PhD, Nobumasa Mizuno, MD, PhD, Hiroyuki Miyakawa, MD, PhD, Rintaro Mikata, MD, PhD, Atsushi Irisawa, MD, PhD, Satoko Sato, MD, PhD, Kenji Notohara, MD, PhD, Tooru Shimosegawa, MD, PhD Gastrointestinal Endoscopy Volume 84, Issue 5, Pages 797-804.e1 (November 2016) DOI: 10.1016/j.gie.2016.03.1511 Copyright © 2016 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 1 Macroscopic findings of the specimens obtained by EUS-FNA with a 22G needle demonstrated adequate specimens for histopathologic diagnosis (H&E, orig. mag. ×10). Gastrointestinal Endoscopy 2016 84, 797-804.e1DOI: (10.1016/j.gie.2016.03.1511) Copyright © 2016 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 2 The findings in high-power fields (H&E, orig. mag. ×400) reveal abundant lymphoplasmacytic infiltration. Gastrointestinal Endoscopy 2016 84, 797-804.e1DOI: (10.1016/j.gie.2016.03.1511) Copyright © 2016 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 3 IgG4 immunostaining in the specimens obtained by EUS-FNA shows markedly increased numbers of IgG4-positive plasma cells (orig. mag. ×400). Gastrointestinal Endoscopy 2016 84, 797-804.e1DOI: (10.1016/j.gie.2016.03.1511) Copyright © 2016 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 4 Immunohistochemical staining of CD38. Abundant CD38-positive plasma cells were found in the high-power field (orig. mag. ×400). Gastrointestinal Endoscopy 2016 84, 797-804.e1DOI: (10.1016/j.gie.2016.03.1511) Copyright © 2016 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 5 A specimen showing storiform fibrosis in high-power fields (H&E, orig. mag. ×400). Gastrointestinal Endoscopy 2016 84, 797-804.e1DOI: (10.1016/j.gie.2016.03.1511) Copyright © 2016 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 6 Obstructive phlebitis revealed by (A) H&E and (B) Elastica-Masson staining (orig. mag. ×200) shows that the infiltration of inflammatory cells obstructed the vein. Gastrointestinal Endoscopy 2016 84, 797-804.e1DOI: (10.1016/j.gie.2016.03.1511) Copyright © 2016 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 7 Flowchart illustrating the summary of this study focusing on the diagnosis according to the ICDC. AIP, autoimmune pancreatitis; OOI, other organ involvement; ICDC, International consensus diagnostic criteria. Gastrointestinal Endoscopy 2016 84, 797-804.e1DOI: (10.1016/j.gie.2016.03.1511) Copyright © 2016 American Society for Gastrointestinal Endoscopy Terms and Conditions