Aralik 2008
Otoimmun pankreatit: 9 hastanin irdelenmesi
Autoimmune pancreatitis: evaluation of 9 patients
- Ana Sayfa
- Sayılar
- Aralik 2008
- Otoimmun pankreatit: 9 hastanin irdelenmesi...
Özet
Giris ve Amaç: Ülkemizde otoimmun pankreatit hastalari ile ilgili yeterli bilgi yoktur. Bu çalismanin amaci otoimmun pankreatit tanisi alan hastalarimizin retrospektif olarak degerlendirilmesidir. Gereç ve Yöntem: Haziran 2001-Eylül 2007 tarihleri arasinda histopatolojik olarak otoimmun pankreatit tanisi alan hastalarin dosyalari degerlendirilmistir. Bulgular: Toplam 9 hasta (6 erkek, 3 kadin, yas ortalamasi: 53.5 (30-71) yil) irdelenmistir. Hastalarin 7’si sarilik, 1’i karaciger enzim yüksekligi, 1’i de karin agrisi ile basvurmustur. Hastalarin tamaminda radyolojik olarak pankreasta kitle saptanmis ve pankreas kanseri düsünülmüstür. Sekiz hastaya Whipple ameliyati uygulanmis, 1 hasta ise intraoperatif biyopsi ile tani almistir. Sonuç: Pankreatik kitlelerin ayirici tanisinda otoimmun pankreatit akilda tutulmalidir.
Abstract
Background and Aims: Little is known in our country about patients with autoimmune pancreatitis. The aim of this study was to retrospectively evaluate our patients with autoimmune pancreatitis. Materials and Methods: Medical records of the patients who were histopathologically diagnosed as autoimmune pancreatitis between June 2001 and September 2007 were evaluated. Results: A total of 9 patients (6 male, 3 female; mean age: 30-71 years) were analyzed. Patients were admitted with jaundice (n=7), elevated liver enzymes (n=1), and abdominal pain (n=1). Radiological investigations revealed pancreatic mass suggesting pancreatic cancer in all patients. Eight patients underwent Whipple operation, one patient was diagnosed by intraoperative biopsy. Conclusions: Autoimmune pancreatitis has to be kept in mind in the differential diagnosis of pancreatic masses.
