{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T21:39:06Z","timestamp":1780695546560,"version":"3.54.1"},"reference-count":88,"publisher":"MDPI AG","issue":"16","license":[{"start":{"date-parts":[[2025,8,8]],"date-time":"2025-08-08T00:00:00Z","timestamp":1754611200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001691","name":"JSPS KAKENHI","doi-asserted-by":"publisher","award":["JP25K11258"],"award-info":[{"award-number":["JP25K11258"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Type 1 autoimmune pancreatitis (AIP), IgG4-related sclerosing cholangitis (IgG4-SC), and IgG4-related cholecystitis are recognized as IgG4-related pancreatobiliary diseases. Endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasonography (EUS) are crucial diagnostic modalities for these conditions. In the diagnosis of AIP, EUS-guided tissue acquisition plays an important role in obtaining histological confirmation and excluding pancreatic cancer (PC). EUS, including contrast-enhanced harmonic imaging and elastography, is used to differentiate focal-type AIP from PC. Endoscopic retrograde pancreatography (ERP) is utilized to obtain a pancreatogram when it is challenging to distinguish AIP from pancreatic cancer. Duodenal papilla biopsy may serve as a supplementary tool, particularly in cases involving the pancreatic head. Cholangiographic classification is essential for differentiating IgG4-SC from PC, primary sclerosing cholangitis (PSC), and cholangiocarcinoma (CCA). ERCP is commonly performed for additional ERCP-related procedures. Intraductal ultrasonography (IDUS) is useful for distinguishing IgG4-SC from CCA or PSC. The primary role of bile duct biopsy is exclusion of malignant biliary strictures; EUS-guided tissue acquisition may also provide histological evidence of IgG4-SC. In the diagnosis of IgG4-related cholecystitis, EUS is helpful to differentiate it from gallbladder cancer. EUS-guided tissue acquisition can aid in confirming IgG4-related cholecystitis and excluding gallbladder cancer or xanthogranulomatous cholecystitis. Transpapillary gallbladder cytology or biopsy may also be considered. Overall, endoscopic modalities play a critical role in diagnosing IgG4-related pancreatobiliary diseases.<\/jats:p>","DOI":"10.3390\/diagnostics15161990","type":"journal-article","created":{"date-parts":[[2025,8,8]],"date-time":"2025-08-08T15:30:52Z","timestamp":1754667052000},"page":"1990","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Endoscopic Diagnostics for IgG4-Related Pancreatobiliary Diseases: Current Modalities and Clinical Perspectives"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8342-886X","authenticated-orcid":false,"given":"Itaru","family":"Naitoh","sequence":"first","affiliation":[{"name":"Department of Gastroenterology, Nagoya City University Midori Municipal Hospital, Nagoya 458-0037, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4167-2781","authenticated-orcid":false,"given":"Michihiro","family":"Yoshida","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Nagoya City University Graduate School of Medical Sciences, Nagoya 458-0037, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takahiro","family":"Nakazawa","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Nagoya City University Graduate School of Medical Sciences, Nagoya 458-0037, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,8,8]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"982","DOI":"10.1007\/s00535-003-1175-y","article-title":"A new clinicopathological entity of IgG4-related autoimmune disease","volume":"38","author":"Kamisawa","year":"2003","journal-title":"J. Gastroenterol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1460","DOI":"10.1016\/S0140-6736(14)60720-0","article-title":"IgG4-related disease","volume":"385","author":"Kamisawa","year":"2015","journal-title":"Lancet"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1002\/jhbp.596","article-title":"Clinical practice guidelines for IgG4-related sclerosing cholangitis","volume":"26","author":"Kamisawa","year":"2019","journal-title":"J. Hepato-Biliary-Pancreat. Sci."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"536","DOI":"10.1007\/s00534-012-0521-y","article-title":"Clinical diagnostic criteria of IgG4-related sclerosing cholangitis 2012","volume":"19","author":"Ohara","year":"2012","journal-title":"J. Hepato-Biliary-Pancreat. Sci."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"e13","DOI":"10.1097\/MPA.0000000000001443","article-title":"Japanese Clinical Diagnostic Criteria for Autoimmune Pancreatitis, 2018: Revision of Japanese Clinical Diagnostic Criteria for Autoimmune Pancreatitis, 2011","volume":"49","author":"Kawa","year":"2020","journal-title":"Pancreas"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1002\/jhbp.913","article-title":"Clinical diagnostic criteria for IgG4-related sclerosing cholangitis 2020: (Revision of the clinical diagnostic criteria for IgG4-related sclerosing cholangitis 2012)","volume":"28","author":"Nakazawa","year":"2021","journal-title":"J. Hepato-Biliary-Pancreat. Sci."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1007\/s00535-022-01857-9","article-title":"Amendment of the Japanese consensus guidelines for autoimmune pancreatitis, 2020","volume":"57","author":"Okazaki","year":"2022","journal-title":"J. Gastroenterol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"543","DOI":"10.1007\/s10396-021-01143-w","article-title":"Imaging diagnosis of autoimmune pancreatitis using endoscopic ultrasonography","volume":"48","author":"Ishikawa","year":"2021","journal-title":"J. Med. Ultrason."},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"de Pretis, N., Crin\u00f2, S.F., and Frulloni, L. (2021). The Role of EUS-Guided FNA and FNB in Autoimmune Pancreatitis. Diagnostics, 11.","DOI":"10.3390\/diagnostics11091653"},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"Ishii, Y., Serikawa, M., Tsuboi, T., Kawamura, R., Tsushima, K., Nakamura, S., Hirano, T., Fukiage, A., Mori, T., and Ikemoto, J. (2021). Role of Endoscopic Ultrasonography and Endoscopic Retrograde Cholangiopancreatography in the Diagnosis of Pancreatic Cancer. Diagnostics, 11.","DOI":"10.3390\/diagnostics11020238"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1111\/den.14076","article-title":"Endoscopic ultrasound-guided pancreatic sampling for the histopathological diagnosis of autoimmune pancreatitis","volume":"34","author":"Kanno","year":"2022","journal-title":"Dig. Endosc."},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Furukawa, M., Ishii, Y., Tatsukawa, Y., Nakamura, S., Ikemoto, J., Miyamoto, S., Nakamura, K., Yamashita, Y., Iijima, N., and Okuda, Y. (2024). Endoscopic Retrograde Cholangiopancreatography-Related Procedures for the Differential Diagnosis of Isolated Immunoglobin G4-Related Sclerosing Cholangitis and Perihilar Cholangiocarcinoma. Diagnostics, 14.","DOI":"10.3390\/diagnostics14151621"},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Metelli, F., Manfredi, G., Pagano, N., Buscarini, E., Crin\u00f2, S.F., and Armellini, E. (2024). The Role of Endoscopic Ultrasound and Ancillary Techniques in the Diagnosis of Autoimmune Pancreatitis: A Comprehensive Review. Diagnostics, 14.","DOI":"10.3390\/diagnostics14121233"},{"key":"ref_14","first-page":"2050640620934911","article-title":"European Guideline on IgG4-related digestive disease-UEG and SGF evidence-based recommendations","volume":"8","author":"Beuers","year":"2020","journal-title":"United Eur. Gastroenterol. J."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"352","DOI":"10.1097\/MPA.0b013e3182142fd2","article-title":"International Consensus Diagnostic Criteria for Autoimmune Pancreatitis: Guidelines of the International Association of Pancreatology","volume":"40","author":"Shimosegawa","year":"2011","journal-title":"Pancreas"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"695","DOI":"10.1007\/s00535-022-01891-7","article-title":"Current status of type 1 (IgG4-related) autoimmune pancreatitis","volume":"57","author":"Uchida","year":"2022","journal-title":"J. Gastroenterol."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1002\/ueg2.12738","article-title":"Update on Autoimmune Pancreatitis and IgG4-Related Disease","volume":"13","author":"Lanzillotta","year":"2025","journal-title":"United Eur. Gastroenterol. J."},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Vemulapalli, V., Natha, C., and Shirwaikar Thomas, A. (2025). Autoimmune Pancreatitis: A Review. J. Clin. Med., 14.","DOI":"10.3390\/jcm14093076"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1301","DOI":"10.1038\/s41395-018-0146-0","article-title":"Autoimmune Pancreatitis","volume":"113","author":"Nagpal","year":"2018","journal-title":"Am. J. Gastroenterol."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"357","DOI":"10.5009\/gnl210241","article-title":"Type 2 Autoimmune Pancreatitis: Consensus and Controversies","volume":"16","author":"Zen","year":"2022","journal-title":"Gut Liver"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1002\/ueg2.12504","article-title":"Clinical features and long-term outcomes of patients with type 2 autoimmune pancreatitis","volume":"12","author":"Carlin","year":"2024","journal-title":"United Eur. Gastroenterol. J."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"462","DOI":"10.1007\/s00535-019-01658-7","article-title":"Nationwide epidemiological survey of autoimmune pancreatitis in Japan in 2016","volume":"55","author":"Masamune","year":"2020","journal-title":"J. Gastroenterol."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1007\/s00535-008-2294-2","article-title":"Diagnosis of autoimmune pancreatitis using endoscopic ultrasonography","volume":"44","author":"Hoki","year":"2009","journal-title":"J. Gastroenterol."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"280","DOI":"10.4103\/EUS-D-20-00212","article-title":"The role of EUS in diagnosing focal autoimmune pancreatitis and differentiating it from pancreatic cancer","volume":"10","author":"Guo","year":"2021","journal-title":"Endosc. Ultrasound"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"7376","DOI":"10.3748\/wjg.v27.i42.7376","article-title":"Endoscopic ultrasound features of autoimmune pancreatitis: The typical findings and chronic pancreatitis changes","volume":"27","author":"Zhang","year":"2021","journal-title":"World J. Gastroenterol."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"196","DOI":"10.4103\/eus.eus_23_17","article-title":"Autoimmune pancreatitis: Imaging features","volume":"7","author":"Dong","year":"2018","journal-title":"Endosc. Ultrasound"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"591","DOI":"10.5009\/gnl17391","article-title":"Contrast-Enhanced Endoscopic Ultrasound for Differentially Diagnosing Autoimmune Pancreatitis and Pancreatic Cancer","volume":"12","author":"Cho","year":"2018","journal-title":"Gut Liver"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1073","DOI":"10.1097\/MPA.0b013e31821f57b7","article-title":"Dynamic quantitative evaluation of contrast-enhanced endoscopic ultrasonography in the diagnosis of pancreatic diseases","volume":"40","author":"Matsubara","year":"2011","journal-title":"Pancreas"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"853","DOI":"10.3109\/00365521.2012.679686","article-title":"Novel quantitative perfusion analysis with contrast-enhanced harmonic EUS for differentiation of autoimmune pancreatitis from pancreatic carcinoma","volume":"47","author":"Imazu","year":"2012","journal-title":"Scand. J. Gastroenterol."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1016\/j.pan.2018.02.002","article-title":"Multiphase evaluation of contrast-enhanced endoscopic ultrasonography in the diagnosis of pancreatic solid lesions","volume":"18","author":"Ishikawa","year":"2018","journal-title":"Pancreatology"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"718","DOI":"10.1055\/s-0029-1214866","article-title":"Real-time tissue elastography in the diagnosis of autoimmune pancreatitis","volume":"41","author":"Dietrich","year":"2009","journal-title":"Endoscopy"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"e21","DOI":"10.1097\/MPA.0000000000001481","article-title":"Usefulness of Endoscopic Ultrasound Elastography Combined with the Strain Ratio in the Estimation of Treatment Effect in Autoimmune Pancreatitis","volume":"49","author":"Ishikawa","year":"2020","journal-title":"Pancreas"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1007\/s10396-019-00944-4","article-title":"Feasibility and usefulness of endoscopic ultrasonography-guided shear-wave measurement for assessment of autoimmune pancreatitis activity: A prospective exploratory study","volume":"46","author":"Ohno","year":"2019","journal-title":"J. Med. Ultrason."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"e82","DOI":"10.1002\/deo2.82","article-title":"Biopsy diagnosis of type 1 autoimmune pancreatitis: Does it bring a conclusion or confusion?","volume":"2","author":"Notohara","year":"2022","journal-title":"DEN Open"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"699","DOI":"10.1111\/pin.12994","article-title":"Guidance for diagnosing autoimmune pancreatitis with biopsy tissues","volume":"70","author":"Notohara","year":"2020","journal-title":"Pathol. Int."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"669","DOI":"10.1007\/s12328-020-01153-0","article-title":"EUS-guided needle biopsy for autoimmune pancreatitis","volume":"13","author":"Chhoda","year":"2020","journal-title":"Clin. J. Gastroenterol."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"E66","DOI":"10.1055\/a-1293-7279","article-title":"Diagnostic yield of endoscopic ultrasound-guided tissue acquisition in autoimmune pancreatitis: A systematic review and meta-analysis","volume":"9","author":"Facciorusso","year":"2021","journal-title":"Endosc. Int. Open"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"1611","DOI":"10.1016\/j.pan.2020.10.028","article-title":"The use of immunohistochemistry for IgG4 in the diagnosis of autoimmune pancreatitis: A systematic review and meta-analysis","volume":"20","author":"Yoon","year":"2020","journal-title":"Pancreatology"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1055\/a-1915-1812","article-title":"Wet-suction versus slow-pull technique for endoscopic ultrasound-guided fine-needle biopsy: A multicenter, randomized, crossover trial","volume":"55","author":"Inzani","year":"2023","journal-title":"Endoscopy"},{"key":"ref_40","doi-asserted-by":"crossref","unstructured":"Xu, S., Guo, J., Qin, M., Meng, Y., Xie, F., Qiao, W., Hu, H., Peng, P., Rownoak, J., and Heng, S. (2025). Dry Suction Versus Wet Suction of Endoscopic Ultrasound-Guided Fine-Needle Biopsy for Diagnosis of Solid Pancreatic Lesions: A Multicenter Randomized Controlled Noninferiority Trial. Am. J. Gastroenterol., online ahead of print.","DOI":"10.14309\/ajg.0000000000003389"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"839","DOI":"10.1016\/j.gie.2023.01.024","article-title":"Comparative diagnostic performance of different techniques for EUS-guided fine-needle biopsy sampling of solid pancreatic masses: A network meta-analysis","volume":"97","author":"Facciorusso","year":"2023","journal-title":"Gastrointest. Endosc."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1016\/j.gie.2019.10.012","article-title":"Comparison of a 22-gauge Franseen-tip needle with a 20-gauge forward-bevel needle for the diagnosis of type 1 autoimmune pancreatitis: A prospective, randomized, controlled, multicenter study (COMPAS study)","volume":"91","author":"Kurita","year":"2020","journal-title":"Gastrointest. Endosc."},{"key":"ref_43","doi-asserted-by":"crossref","unstructured":"Tsutsumi, K., Ueki, T., Noma, Y., Omonishi, K., Ohno, K., Kawahara, S., Oda, T., Kato, H., and Okada, H. (2021). Utility of a 21-gauge Menghini-type biopsy needle with the rolling method for an endoscopic ultrasound-guided histological diagnosis of autoimmune pancreatitis: A retrospective study. BMC Gastroenterol., 21.","DOI":"10.1186\/s12876-020-01590-8"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"581","DOI":"10.1002\/jhbp.1438","article-title":"A prospective study on the histological evaluation of type 1 autoimmune pancreatitis using endoscopic ultrasound-guided fine needle biopsy with a 19-gauge Franseen needle","volume":"31","author":"Ishikawa","year":"2024","journal-title":"J. Hepato-Biliary-Pancreat. Sci."},{"key":"ref_45","doi-asserted-by":"crossref","unstructured":"Iwata, S., Iwashita, T., Ohashi, Y., Senju, A., Tezuka, R., Uemura, S., Yoshida, K., Maruta, A., Iwasa, Y., and Okuno, M. (2025). 19-Gauge Versus 22-Gauge Franseen Needles, Comparison of the Histological Diagnostic Capability of Endoscopic Ultrasound-Guided Fine-Needle Biopsy for Autoimmune Pancreatitis: A Multicenter Retrospective Cohort Study. Diagnostics, 15.","DOI":"10.3390\/diagnostics15121496"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.gie.2023.03.023","article-title":"Incidence, severity, and mortality of post-ERCP pancreatitis: An updated systematic review and meta-analysis of 145 randomized controlled trials","volume":"98","author":"Akshintala","year":"2023","journal-title":"Gastrointest. Endosc."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1016\/j.pan.2015.10.011","article-title":"Endoscopic retrograde cholangiopancreatography-related adverse events in patients with type 1 autoimmune pancreatitis","volume":"16","author":"Naitoh","year":"2016","journal-title":"Pancreatology"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"988","DOI":"10.1007\/s00535-010-0250-4","article-title":"Differentiation between autoimmune pancreatitis and pancreatic carcinoma based on endoscopic retrograde cholangiopancreatography findings","volume":"45","author":"Nishino","year":"2010","journal-title":"J. Gastroenterol."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"666","DOI":"10.1136\/gut.2010.207951","article-title":"Endoscopic retrograde pancreatography criteria to diagnose autoimmune pancreatitis: An international multicentre study","volume":"60","author":"Sugumar","year":"2011","journal-title":"Gut"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"2332","DOI":"10.3748\/wjg.v17.i18.2332","article-title":"Utility of pancreatography for diagnosing autoimmune pancreatitis","volume":"17","author":"Takuma","year":"2011","journal-title":"World J. Gastroenterol."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"2679","DOI":"10.1111\/j.1572-0241.2003.08727.x","article-title":"Clinical and imaging features of autoimmune pancreatitis with focal pancreatic swelling or mass formation: Comparison with so-called tumor-forming pancreatitis and pancreatic carcinoma","volume":"98","author":"Wakabayashi","year":"2003","journal-title":"Am. J. Gastroenterol."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"639","DOI":"10.1097\/MPA.0b013e31823a509b","article-title":"Diagnostic Strategy for Differentiating Autoimmune Pancreatitis from Pancreatic Cancer: Is an Endoscopic Retrograde Pancreatography Essential?","volume":"41","author":"Kim","year":"2012","journal-title":"Pancreas"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1016\/j.pan.2014.03.003","article-title":"A comparison of the diagnostic efficacy in type 1 autoimmune pancreatitis based on biopsy specimens from various organs","volume":"14","author":"Yamashita","year":"2014","journal-title":"Pancreatology"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"358","DOI":"10.1016\/j.gie.2008.02.018","article-title":"A new diagnostic endoscopic tool for autoimmune pancreatitis","volume":"68","author":"Kamisawa","year":"2008","journal-title":"Gastrointest. Endosc."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"1204","DOI":"10.1016\/j.gie.2008.08.013","article-title":"Differentiating sclerosing cholangitis caused by autoimmune pancreatitis and primary sclerosing cholangitis according to endoscopic duodenal papillary features","volume":"68","author":"Kubota","year":"2008","journal-title":"Gastrointest. Endosc."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1016\/j.gie.2012.04.458","article-title":"The role of endoscopy in the diagnosis of autoimmune pancreatitis","volume":"76","author":"Moon","year":"2012","journal-title":"Gastrointest. Endosc."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"960","DOI":"10.1016\/j.gie.2009.12.004","article-title":"IgG4 immunostaining of duodenal papillary biopsy specimens may be useful for supporting a diagnosis of autoimmune pancreatitis","volume":"71","author":"Moon","year":"2010","journal-title":"Gastrointest. Endosc."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"963","DOI":"10.1097\/MCG.0000000000001984","article-title":"A Review of IgG4-related Sclerosing Cholangitis (IgG4-SC)","volume":"58","author":"Khoury","year":"2024","journal-title":"J. Clin. Gastroenterol."},{"key":"ref_59","first-page":"963","article-title":"IgG4-Related Cholangitis","volume":"58","author":"Beuers","year":"2025","journal-title":"Semin. Liver Dis."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"706","DOI":"10.1053\/j.gastro.2007.12.009","article-title":"Immunoglobulin G4-associated cholangitis: Clinical profile and response to therapy","volume":"134","author":"Ghazale","year":"2008","journal-title":"Gastroenterology"},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"1308","DOI":"10.1016\/j.dld.2021.02.009","article-title":"Clinical characteristics of immunoglobulin IgG4-related sclerosing cholangitis: Comparison of cases with and without autoimmune pancreatitis in a large cohort","volume":"53","author":"Naitoh","year":"2021","journal-title":"Dig. Liver Dis."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"28","DOI":"10.5009\/gnl210116","article-title":"Classification and Diagnostic Criteria for IgG4-Related Sclerosing Cholangitis","volume":"16","author":"Naitoh","year":"2022","journal-title":"Gut Liver"},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1016\/j.gie.2015.09.024","article-title":"Diagnostic yield of EUS-guided FNA for malignant biliary stricture: A systematic review and meta-analysis","volume":"83","author":"Sadeghi","year":"2016","journal-title":"Gastrointest. Endosc."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"3284","DOI":"10.1007\/s10620-021-07138-4","article-title":"Brush Cytology, Forceps Biopsy, or Endoscopic Ultrasound-Guided Sampling for Diagnosis of Bile Duct Cancer: A Meta-Analysis","volume":"67","author":"Yoon","year":"2022","journal-title":"Dig. Dis. Sci."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"945","DOI":"10.2169\/internalmedicine.3905-19","article-title":"IgG4-related Sclerosing Cholangitis Mimicking Cholangiocarcinoma Diagnosed by Endoscopic Ultrasound-guided Fine-needle Aspiration","volume":"59","author":"Matsumoto","year":"2020","journal-title":"Intern. Med."},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"937","DOI":"10.1016\/S0016-5107(04)02229-1","article-title":"Cholangiography can discriminate sclerosing cholangitis with autoimmune pancreatitis from primary sclerosing cholangitis","volume":"60","author":"Nakazawa","year":"2004","journal-title":"Gastrointest. Endosc."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"514","DOI":"10.1016\/j.cgh.2005.10.007","article-title":"Diagnostic accuracy of magnetic resonance and endoscopic retrograde cholangiography in primary sclerosing cholangitis","volume":"4","author":"Berstad","year":"2006","journal-title":"Clin. Gastroenterol. Hepatol."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"1147","DOI":"10.1007\/s00535-009-0108-9","article-title":"Endoscopic transpapillary intraductal ultrasonography and biopsy in the diagnosis of IgG4-related sclerosing cholangitis","volume":"44","author":"Naitoh","year":"2009","journal-title":"J. Gastroenterol."},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1111\/j.1443-1661.2010.01039.x","article-title":"Discrimination between sclerosing cholangitis-associated autoimmune pancreatitis and primary sclerosing cholangitis, cancer using intraductal ultrasonography","volume":"23","author":"Kubota","year":"2011","journal-title":"Dig. Endosc."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"627","DOI":"10.1111\/den.12289","article-title":"Role of endoscopy in the diagnosis of autoimmune pancreatitis and immunoglobulin G4-related sclerosing cholangitis","volume":"26","author":"Kamisawa","year":"2014","journal-title":"Dig. Endosc."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1111\/den.12343","article-title":"Endoscopic approaches for the diagnosis of autoimmune pancreatitis","volume":"27","author":"Kanno","year":"2015","journal-title":"Dig. Endosc."},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"1104","DOI":"10.1111\/jgh.12894","article-title":"Comparison of intraductal ultrasonography findings between primary sclerosing cholangitis and IgG4-related sclerosing cholangitis","volume":"30","author":"Naitoh","year":"2015","journal-title":"J. Gastroenterol. Hepatol."},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"765","DOI":"10.1007\/s00535-009-0052-8","article-title":"Diagnostic utility of biopsy specimens for autoimmune pancreatitis","volume":"44","author":"Hirano","year":"2009","journal-title":"J. Gastroenterol."},{"key":"ref_74","doi-asserted-by":"crossref","first-page":"1648","DOI":"10.1111\/j.1440-1746.2010.06346.x","article-title":"IgG4-related sclerosing cholangitis and autoimmune pancreatitis: Histological assessment of biopsies from Vater\u2019s ampulla and the bile duct","volume":"25","author":"Kawakami","year":"2010","journal-title":"J. Gastroenterol. Hepatol."},{"key":"ref_75","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1016\/j.gie.2014.09.017","article-title":"Comparative effectiveness of biliary brush cytology and intraductal biopsy for detection of malignant biliary strictures: A systematic review and meta-analysis","volume":"81","author":"Navaneethan","year":"2015","journal-title":"Gastrointest. Endosc."},{"key":"ref_76","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1002\/jhbp.536","article-title":"Differential diagnosis of cholangiocarcinoma and IgG4-related sclerosing cholangitis by fluorescence in situ hybridization using transpapillary forceps biopsy specimens","volume":"25","author":"Kato","year":"2018","journal-title":"J. Hepato-Biliary-Pancreat. Sci."},{"key":"ref_77","doi-asserted-by":"crossref","first-page":"3061","DOI":"10.1002\/art.34593","article-title":"Recommendations for the nomenclature of IgG4-related disease and its individual organ system manifestations","volume":"64","author":"Stone","year":"2012","journal-title":"Arthritis Rheum."},{"key":"ref_78","doi-asserted-by":"crossref","first-page":"1456","DOI":"10.1080\/00365521.2021.1971758","article-title":"Gallbladder wall thickening in patients with IgG4-related diseases, with special emphasis on IgG4-related cholecystitis","volume":"56","author":"Watanabe","year":"2021","journal-title":"Scand. J. Gastroenterol."},{"key":"ref_79","doi-asserted-by":"crossref","first-page":"2359","DOI":"10.2169\/internalmedicine.49.4249","article-title":"Localized lymphoplasmacytic sclerosing cholecystitis in a patient with autoimmune pancreatitis","volume":"49","author":"Kawakami","year":"2010","journal-title":"Intern. Med."},{"key":"ref_80","doi-asserted-by":"crossref","first-page":"1869","DOI":"10.2169\/internalmedicine.54.4383","article-title":"Localized IgG4-related Cholecystitis Mimicking Gallbladder Cancer","volume":"54","author":"Inoue","year":"2015","journal-title":"Intern. Med."},{"key":"ref_81","doi-asserted-by":"crossref","first-page":"138","DOI":"10.2185\/jrm.2998","article-title":"A rare case of localized IgG4-related sclerosing cholecystitis mimicking gallbladder cancer","volume":"14","author":"Ichinokawa","year":"2019","journal-title":"J. Rural. Med."},{"key":"ref_82","doi-asserted-by":"crossref","first-page":"1511","DOI":"10.1016\/j.dld.2020.08.011","article-title":"Changes in imaging features of immunoglobulin G4-related sclerosing cholecystitis","volume":"53","author":"Yamakawa","year":"2021","journal-title":"Dig. Liver Dis."},{"key":"ref_83","doi-asserted-by":"crossref","unstructured":"Harada, Y., Mihara, K., Amemiya, R., Nakagawa, M., Hanada, R., Inoue, K., Shito, M., Orikasa, H., and Aiura, K. (2022). Isolated IgG4-related cholecystitis with localized gallbladder wall thickening mimicking gallbladder cancer: A case report and literature review. BMC Gastroenterol., 22.","DOI":"10.1186\/s12876-022-02179-z"},{"key":"ref_84","doi-asserted-by":"crossref","first-page":"E1108","DOI":"10.1055\/a-2177-3793","article-title":"A case of IgG4-related cholecystitis diagnosed by transpapillary gallbladder biopsy using a novel device delivery system","volume":"55","author":"Kawakami","year":"2023","journal-title":"Endoscopy"},{"key":"ref_85","doi-asserted-by":"crossref","unstructured":"Kuwatani, M., and Sakamoto, N. (2021). Clinical and Image Characteristics of IgG4-Related Sclerosing Cholecystitis. Diagnostics, 11.","DOI":"10.3390\/diagnostics11081358"},{"key":"ref_86","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1007\/s10396-024-01458-4","article-title":"Contributions of endoscopic ultrasonography-guided tissue acquisition (EUS-TA) to the diagnostics of biliary stricture and gallbladder lesions","volume":"51","author":"Ohno","year":"2024","journal-title":"J. Med. Ultrason. (2001)"},{"key":"ref_87","doi-asserted-by":"crossref","first-page":"334","DOI":"10.4103\/EUS-D-21-00028","article-title":"Immunoglobulin G4-related cholecystitis mimicking gallbladder cancer diagnosed by EUS-guided biopsy","volume":"11","author":"Nagai","year":"2021","journal-title":"Endosc. Ultrasound"},{"key":"ref_88","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1097\/eus.0000000000000050","article-title":"EUS-assisted preoperative diagnosis of immunoglobulin G4-related cholecystitis mimicking gallbladder cancer in a Mirizzi syndrome case","volume":"13","author":"Wu","year":"2024","journal-title":"Endosc. Ultrasound"}],"container-title":["Diagnostics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-4418\/15\/16\/1990\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T18:26:45Z","timestamp":1760034405000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-4418\/15\/16\/1990"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,8]]},"references-count":88,"journal-issue":{"issue":"16","published-online":{"date-parts":[[2025,8]]}},"alternative-id":["diagnostics15161990"],"URL":"https:\/\/doi.org\/10.3390\/diagnostics15161990","relation":{},"ISSN":["2075-4418"],"issn-type":[{"value":"2075-4418","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,8]]}}}