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Practice Guideline Journal of hepato-biliary-pancreatic sciences. 2019 Jan;26(1):9-42. doi: 10.1002/jhbp.596 Q12.82025

Clinical practice guidelines for IgG4-related sclerosing cholangitis

IgG4相关硬化性胆管炎临床实践指南 翻译改进

Terumi Kamisawa  1, Takahiro Nakazawa  2, Susumu Tazuma  3, Yoh Zen  4, Atsushi Tanaka  5, Hirotaka Ohara  6, Takashi Muraki  7, Kazuo Inui  8, Dai Inoue  9, Takayoshi Nishino  10, Itaru Naitoh  11, Takao Itoi  12, Kenji Notohara  13, Atsushi Kanno  14, Kensuke Kubota  15, Kenji Hirano  16, Hiroyuki Isayama  17, Kyoko Shimizu  18, Toshio Tsuyuguchi  19, Tooru Shimosegawa  20, Shigeyuki Kawa  21, Tsutomu Chiba  22, Kazuichi Okazaki  23, Hajime Takikawa  5, Wataru Kimura  24, Michiaki Unno  25, Masahiro Yoshida  26

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作者单位

  • 1 Department of Internal Medicine, Tokyo Metropolitan, Komagome Hospital, Tokyo, Japan.
  • 2 Department of Gastroenterology, Japanese Red Cross Nagoya Daini Hospital, Nagoya, Japan.
  • 3 Department of General Internal Medicine, Hiroshima University Graduate School of Biomedical & Health Science, Hiroshima, Japan.
  • 4 Department of Diagnostic Pathology, Kobe University, Kobe, Japan.
  • 5 Department of Medicine, Teikyo University School of Medicine, Tokyo, Japan.
  • 6 Department of Community-Based Medical Education, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.
  • 7 Department of Medicine, Gastroenterology, Shinshu University, Matsumoto, Nagano, Japan.
  • 8 Department of Gastroenterology, Second Teaching Hospital, Fujita Health University, Nagoya, Japan.
  • 9 Department of Radiology, Kanazawa University Graduate School of Medical Sciences, Kanazawa, Japan.
  • 10 Department of Gastroenterology, Tokyo Womens' Medical University Yachiyo Medical Center, Yachiyo, Japan.
  • 11 Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.
  • 12 Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan.
  • 13 Department of Anatomic Pathology, Kurashiki Central Hospital, Kurashiki, Japan.
  • 14 Division of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan.
  • 15 Department of Endoscopy, Yokohama City University Hospital, Yokohama, Japan.
  • 16 Department of Gastroenterology, Tokyo Takanawa Hospital, Tokyo, Japan.
  • 17 Department of Gastroenterology, Graduate School of Medicine, Juntendo University, Tokyo, Japan.
  • 18 Department of Gastroenterology, Tokyo Womens' Medical University, Tokyo, Japan.
  • 19 Endoscopy Center, Chiba University Hospital, Chiba, Japan.
  • 20 Division of Gastroenterology, South-Miyagi Medical Center, Ohgawara, Japan.
  • 21 Department of Internal Medicine, Matsumoto Dental University, Matsumoto, Japan.
  • 22 Kansai Electric Power Hospital, Osaka, Japan.
  • 23 The Third Department of Internal Medicine, Division of Gastroenterology and Hepatology, Kansai Medical University, Moriguchi, Japan.
  • 24 Faculty of Medicine, Departments of Gastroenterology and Gastroenterological, General, Breast, and Thyroid Surgery, Yamagata University, Yamagata, Japan.
  • 25 Division of Hepato-Biliary Pancreatic Surgery, Tohoku University Graduate School, of Medicine, Sendai, Japan.
  • 26 Department of Hepato-Biliary-Pancreatic and Gastrointestinal Surgery, School of Medicine, International University of Health and Welfare, Ichikawa, Japan.

    • DOI: 10.1002/jhbp.596 PMID: 30575336

    摘要 Ai翻译

    IgG4-related sclerosing cholangitis (IgG4-SC) 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-SC were established in 2012, differential diagnosis from primary sclerosing cholangitis and cholangiocarcinoma is sometimes difficult. Furthermore, no practical guidelines for IgG4-SC are available. Because the evidence level of most articles retrieved through searching the PubMed, Cochrane Library, and Igaku Chuo Zasshi databases was below C based on the systematic review evaluation system of clinical practice guidelines MINDS 2014, we developed consensus guidelines using the modified Delphi approach. 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 (CQs) with clinical statements were developed regarding diagnosis (14 CQs) and treatment (4 CQs). 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-SC.

    Keywords: Bile duct; Guideline; IgG4; Sclerosing cholangitis; Steroid.

    Keywords：clinical practice guidelines

    关键词：IgG4相关硬化性胆管炎; 临床实践指南

    Copyright © Journal of hepato-biliary-pancreatic sciences. 中文内容为AI机器翻译，仅供参考！

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    期刊名：Journal of hepato-biliary-pancreatic sciences

    缩写：J HEPATO-BIL-PAN SCI

    ISSN：1868-6974

    e-ISSN：1868-6982

    IF/分区：2.8/Q1

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