Clinical practice guidelines for IgG4-related sclerosing cholangitis

DOI
  • Kamisawa Terumi
    Department of Internal Medicine, Tokyo Metropolitan, Komagome Hospital
  • Nakazawa Takahiro
    Department of Gastroenterology, Japanese Red Cross Nagoya Daini Hospital
  • Tazuma Susumu
    Department of General Internal Medicine, Hiroshima University Graduate School of Biomedical & Health Science
  • Zen Yoh
    Department of Diagnostic Pathology, Kobe University
  • Tanaka Atsushi
    Department of Medicine, Teikyo University School of Medicine
  • Ohara Hirotaka
    Department of Community-Based Medical Education, Nagoya City University Graduate School of Medical Sciences
  • Muraki Takashi
    Department of Medicine, Gastroenterology, Shinshu University
  • Inui Kazuo
    Department of Gastroenterology, Second Teaching Hospital, Fujita Health University
  • Inoue Dai
    Department of Radiology, Kanazawa University Graduate School of Medical Sciences
  • Nishino Takayoshi
    Department of Gastroenterology, Tokyo Womens' Medical University Yachiyo Medical Center
  • Naitoh Itaru
    Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences
  • Itoi Takao
    Department of Gastroenterology and Hepatology, Tokyo Medical University
  • Notohara Kenji
    Department of Anatomic Pathology, Kurashiki Central Hospital
  • Kanno Atsushi
    Division of Gastroenterology, Tohoku University Graduate School of Medicine
  • Kubota Kensuke
    Department of Endoscopy, Yokohama City University Hospital
  • Hirano Kenji
    Department of Gastroenterology, Tokyo Takanawa Hospital
  • Isayama Hiroyuki
    Department of Gastroenterology, Graduate School of Medicine, Juntendo University
  • Shimizu Kyoko
    Department of Gastroenterology, Tokyo Womens' Medical University
  • Tsuyuguchi Toshio
    Endoscopy Center, Chiba University Hospital
  • Shimosegawa Tooru
    Division of Gastroenterology, South-Miyagi Medical Center
  • Chiba Tsutomu
    Kansai Electric Power Hospital
  • Okazaki Kazuichi
    The Third Department of Internal Medicine, Division of Gastroenterology and Hepatology, Kansai Medical University
  • Takikawa Hajime
    Department of Medicine, Teikyo University School of Medicine
  • Kimura Wataru
    Departments of Gastroenterology and Gastroenterological, General, Breast, and Thyroid Surgery, Yamagata University Faculty of Medicine
  • Unno Toshiaki
    Division of Hepato-Biliary Pancreatic Surgery, Tohoku University Graduate School, of Medicine
  • Yoshida Masahiro
    Department of Hepato-Biliary-Pancreatic and Gastrointestinal Surgery, International University of Health and Welfare, School of Medicine

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Other Title
  • IgG4関連硬化性胆管炎診療ガイドライン

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Abstract

<p>IgG4-related sclerosing cholangitis is a distinct type of cholangitis frequently associated with autoimmune pancreatitis and currently recognized as a biliary manifestation of IgG4-related disease. Although clinical diagnostic criteria of IgG4-related sclerosing cholangitis were established in 2012, differential diagnosis from primary sclerosing cholangitis and cholangiocarcinoma is sometimes difficult. Because the evidence level of most retrived articles was low (below C), we developed consensus guidelines. Three committees (a guideline creating committee, an expert panelist committee for rating statements according to the modified Delphi method, and an evaluating committee) were organized. Eighteen clinical questions with clinical statements were developed regarding diagnosis and treatment. Recommendation levels for clinical statements were set using the modified Delphi approach. The guidelines explain methods for accurate diagnosis, and safe and appropriate treatment of IgG4-related sclerosing cholangitis.</p>

Journal

  • Tando

    Tando 33 (2), 169-210, 2019-05-31

    Japan Biliary Association

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