Diagnostic Criteria for Autoimmune Chronic Pancreatitis / 한양의대학술지

ABSTRACT

Autoimmune chronic pancreatitis (AIP) is a very attractive disease and increasingly being recognized to be a worldwide entity. Since the Japan Pancreas Society published diagnostic criteria for autoimmune chronic pancreatitis in 2002, increased attention toward this interesting disease has allowed the correct diagnosis of pancreatitis of previously unknown etiology, resulting in proper management and avoidance of surgery. Since the first case of AIP was reported in Asan medical center, Korea in 2002, more than 40 cases have been diagnosed until present. Accumulation of previously unrecognized or misdiagnosed cases of autoimmune chronic pancreatitis has revealed an increasing number of cases which are not fully compatible with the Japanese diagnostic criteria. Several institutes have, therefore, made and used their own criteria in the reporting of autoimmune chronic pancreatitis and the JPS criteria has also undergone revision recently. In this review, we discuss and compare the six current diagnostic criteria, discussing their own weak and strong points and then proposed a newly revised Kim's criteria.