Title |
Immunoglobulin G4-associated cholangitis mimicking cholangiocarcinoma treated by laparoscopic choledochectomy with intracorporeal Roux-en-Y hepaticojejunostomy
|
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Published in |
World Journal of Surgical Oncology, November 2014
|
DOI | 10.1186/1477-7819-12-363 |
Pubmed ID | |
Authors |
JiaQin Cai, Yi-Ping Mou, Yu Pan, Ke Chen, Xiao-Wu Xu, YuCheng Zhou |
Abstract |
Immunoglobulin G4 (IgG4)-associated disease is a recently recognized disease entity that is characterized by elevated serum IgG4 concentrations, abundant IgG4 lymphoplasmacytic infiltration, and dramatic steroid responses. IgG4-associated cholangitis is one manifestation of IgG4-associated disease. However, it is clinically challenging to make a preoperative differentiation between this rare disease and cholangiocarcinoma, especially for those with serum concentrations of IgG4 in the normal range. This article reports on a 57-year-old man with jaundice and upper abdominal discomfort. Imaging examination showed biliary stricture that closely resembled cholangiocarcinoma, and the patient's serum IgG4 concentration was normal. The patient underwent a laparoscopic choledochectomy with Roux-en-Y hepaticojejunostomy using an intracorporeal hand-sewn technique. He recovered quickly without any complications. We also present our experience in laparoscopic intracorporeal hand-sewn hepaticojejunostomy. |
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Geographical breakdown
Country | Count | As % |
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United States | 1 | 25% |
Unknown | 3 | 75% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 2 | 50% |
Scientists | 1 | 25% |
Practitioners (doctors, other healthcare professionals) | 1 | 25% |
Mendeley readers
Geographical breakdown
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Unknown | 12 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Bachelor | 3 | 25% |
Researcher | 2 | 17% |
Professor > Associate Professor | 2 | 17% |
Student > Ph. D. Student | 2 | 17% |
Other | 1 | 8% |
Other | 2 | 17% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 8 | 67% |
Biochemistry, Genetics and Molecular Biology | 2 | 17% |
Unknown | 2 | 17% |