A Spy took a bite to get the diagnosis right: the benefit of SpyGlass technology in the diagnosis of autoimmune pancreatitis evading traditional diagnostic methods
Autoimmune pancreatitis (AIP) is a rare form of chronic pancreatitis that is often overlooked and is usually characterised clinically by frequent presentations with obstructive jaundice. Serum IgG4 testing as a means to ‘rule out’ IgG4-related disease may not be as helpful as initially thought and m...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2021-10-01
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| Series: | BMJ Open Gastroenterology |
| Online Access: | https://bmjopengastro.bmj.com/content/8/1/e000694.full |
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| author | Dianne Grunes Adam Matthew Parker David Schaefer Amor Royer Hardik Sonani Sarah Camille Glover |
| author_facet | Dianne Grunes Adam Matthew Parker David Schaefer Amor Royer Hardik Sonani Sarah Camille Glover |
| author_sort | Dianne Grunes |
| collection | DOAJ |
| description | Autoimmune pancreatitis (AIP) is a rare form of chronic pancreatitis that is often overlooked and is usually characterised clinically by frequent presentations with obstructive jaundice. Serum IgG4 testing as a means to ‘rule out’ IgG4-related disease may not be as helpful as initially thought and may lead to a missed diagnosis if suspicion is low. We present a patient with a years long history of recurrent pancreatitis ultimately found to have AIP after undergoing evaluation with a relatively new technology, SpyGlass, which allows for direct cholangioscopy and enabled us to make the correct diagnosis. |
| format | Article |
| id | doaj-art-265c9db7803e404884bc335cdc089250 |
| institution | OA Journals |
| issn | 2054-4774 |
| language | English |
| publishDate | 2021-10-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open Gastroenterology |
| spelling | doaj-art-265c9db7803e404884bc335cdc0892502025-08-20T02:31:12ZengBMJ Publishing GroupBMJ Open Gastroenterology2054-47742021-10-018110.1136/bmjgast-2021-000694A Spy took a bite to get the diagnosis right: the benefit of SpyGlass technology in the diagnosis of autoimmune pancreatitis evading traditional diagnostic methodsDianne Grunes0Adam Matthew Parker1David Schaefer2Amor Royer3Hardik Sonani4Sarah Camille Glover5Department of Pathology, University of Mississippi Department of Medicine, Jackson, Mississippi, USADigestive Diseases, University of Mississippi Medical Center, Jackson, Mississippi, USADigestive Diseases, University of Mississippi Medical Center, Jackson, Mississippi, USADepartment of Medicine, University of Mississippi Medical Center, Jackson, Mississippi, USADepartment of Pathology, University of Mississippi Department of Medicine, Jackson, Mississippi, USA6University of Mississippi Medical Center, USAAutoimmune pancreatitis (AIP) is a rare form of chronic pancreatitis that is often overlooked and is usually characterised clinically by frequent presentations with obstructive jaundice. Serum IgG4 testing as a means to ‘rule out’ IgG4-related disease may not be as helpful as initially thought and may lead to a missed diagnosis if suspicion is low. We present a patient with a years long history of recurrent pancreatitis ultimately found to have AIP after undergoing evaluation with a relatively new technology, SpyGlass, which allows for direct cholangioscopy and enabled us to make the correct diagnosis.https://bmjopengastro.bmj.com/content/8/1/e000694.full |
| spellingShingle | Dianne Grunes Adam Matthew Parker David Schaefer Amor Royer Hardik Sonani Sarah Camille Glover A Spy took a bite to get the diagnosis right: the benefit of SpyGlass technology in the diagnosis of autoimmune pancreatitis evading traditional diagnostic methods BMJ Open Gastroenterology |
| title | A Spy took a bite to get the diagnosis right: the benefit of SpyGlass technology in the diagnosis of autoimmune pancreatitis evading traditional diagnostic methods |
| title_full | A Spy took a bite to get the diagnosis right: the benefit of SpyGlass technology in the diagnosis of autoimmune pancreatitis evading traditional diagnostic methods |
| title_fullStr | A Spy took a bite to get the diagnosis right: the benefit of SpyGlass technology in the diagnosis of autoimmune pancreatitis evading traditional diagnostic methods |
| title_full_unstemmed | A Spy took a bite to get the diagnosis right: the benefit of SpyGlass technology in the diagnosis of autoimmune pancreatitis evading traditional diagnostic methods |
| title_short | A Spy took a bite to get the diagnosis right: the benefit of SpyGlass technology in the diagnosis of autoimmune pancreatitis evading traditional diagnostic methods |
| title_sort | spy took a bite to get the diagnosis right the benefit of spyglass technology in the diagnosis of autoimmune pancreatitis evading traditional diagnostic methods |
| url | https://bmjopengastro.bmj.com/content/8/1/e000694.full |
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