Year 2020 / Volume 112 / Number 9
Original
Association between autoimmune pancreatitis and ulcerative colitis: a report of 12 patients

682-687

DOI: 10.17235/reed.2020.6677/2019

Paula Almeida, Carla Almeida, Macarena Gompertz, Zoltán Berger,

Abstract
Introduction: pancreatic manifestations in inflammatory bowel disease (IBD) mainly include acute pancreatitis secondary to drugs and, less frequently, autoimmune pancreatitis, in particular type 2 autoimmune pancreatitis. Methods: retrospective study of patients diagnosed with ulcerative colitis (UC) and autoimmune pancreatitis (AIP) in control at two centers in Santiago, Chile, between 2007 and 2018. Clinical data, laboratory results, images and response to treatment were recorded. Results: twelve patients were identified with both diseases, the average age was 34 years and 42 % were male. In all cases, a likely diagnosis with type-2 AIP was established based on pancreatic magnetic resonance imaging (MRI), association with IBD and a rapid response to therapy with corticosteroids. Samples for histology were obtained from two patients, which showed inconclusive results. AIP recurrence was reported in only one case. A total of 58 % of patients had extensive UC, 100 % received 5-ASA therapy and 33 % were treated with azathioprine. Only one patient had a serious flare-up, none developed complications and none required biologics or surgery. Conclusion: an association between UC and type-2 AIP was confirmed in our cases. No increase in IBD severity was observed in this group of patients.
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09/03/2022 2:00:54
El estaba bien de salud i con i años empezó nuestra pesadilla ahora tiene 12 px cada día le salen más cosas


09/03/2022 1:58:25
Buenas noches ,mi hijo le detectaron después de 4 años de estar muy enfermo colitis ulcerosa k pancreas autonmune i malformación de conductos biliares i besicos von paredes finas ,me gustaría saber o conocer personas k padecen la.misma enfermedad gracias


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Almeida P, Almeida C, Gompertz M, Berger Z. Association between autoimmune pancreatitis and ulcerative colitis: a report of 12 patients. 6677/2019


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Publication history

Received: 11/10/2019

Accepted: 16/01/2020

Online First: 24/06/2020

Published: 10/09/2020

Article revision time: 72 days

Article Online First time: 257 days

Article editing time: 335 days


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