Evidence mapPaperPMID 37283545Full record

ArticleJournal of Crohn's & colitis2023

Autoimmune Pancreatitis in Patients with Inflammatory Bowel Disease: A Real-World Multicentre Collaborative ECCO CONFER Study.

Piotr Eder, Bram Verstock, Emma Culver, Gabriele Dragoni, Lea Isabell Kredel, Joanna Wypych, Ana Garcia Garcia de Paredes, Magdalena Kaniewska, Haim Leibovitzh, Triana Lobaton and 30 more

Erratum issuedOpen access · hybridAbstract readMulticenter Study
In one paragraph

Article in Journal of Crohn's & colitis, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.5field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 14 citations in OpenAlex.

  1. Pancreatic Hyperenzymemia in Inflammatory Bowel Disease: Clinical Characterization and Outcomes from the European PANDORA Registry.Pathophysiology : the official journal of the International Society for Pathophysiology · 2026
    Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Pouchitis: pathophysiology and management.Nature reviews. Gastroenterology & hepatology · 2024
    Review
  8. Observational
  9. Autoimmune pancreatitis-New evidence for clinical management strategies.United European gastroenterology journal · 2024
    Article
  10. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

40 authors at 20 institutions in 15 countries.

Piotr EderDepartment of Gastroenterology, Dietetics, and Internal Medicine, Poznan University of Medical Sciences, Poznan, Poland.ORCID 0000-0001-9306-5038
Bram VerstockDepartment of Gastroenterology and Hepatology, University Hospitals Leuven, KU Leuven, Leuven, Belgium; Department of Chronic Diseases and Metabolism, KU Leuven, Leuven, Belgium.
Emma CulverTranslational Gastroenterology Unit, John Radcliffe Hospital and Oxford, NIHR BRC, Nuffield Department of Medicine, University of Oxford, Oxford, UK.
Gabriele DragoniDepartment of Gastroenterology, Careggi University Hospital, Florence, Italy.
Lea Isabell KredelDivision of Gastroenterology, Infectiology and Rheumatology, Medical Department, Charité-Universitätsmedizin, Berlin, Germany.
Joanna WypychDepartment of Gastroenterology, Surgery and Nutrition, Copernicus Hospital, Gdansk, Poland.
Ana Garcia Garcia de ParedesGastroenterology and Hepatology Department. Hospital Universitario Ramon y Cajal. Universidad de Alcala, IRYCIS, Madrid, Spain.
Magdalena KaniewskaDepartment of Gastroenterology with IBD Subdivision, National Medical Institute of Ministry of Inferior and Administration, Warsaw, Poland.
Haim LeibovitzhZane Cohen Centre for Digestive Diseases, Division of Gastroenterology & Hepatology, Temerty Faculty of Medicine, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada.
Triana LobatonDepartment of Internal Medicine and Pediatrics, Department of Gastroenterology, Ghent University, Ghent, Belgium.
Marie TruyensDepartment of Internal Medicine and Pediatrics, Department of Gastroenterology, Ghent University, Ghent, Belgium.
Grzegorz OraczDepartment of Gastroenterology, Hepatology, Feeding Disorder and Pediatrics, The Children's Memorial Health Institute, Warsaw, Poland; Pediatric Gastroenterology Faculty, Centre of Postgraduate Medical Education, Warsaw, Poland.
Davide Giuseppe RibaldoneDepartment of Medical Sciences, University of Turin, Turin, Italy.
Teresa StarzyńskaDepartment of Gastroenterology, Pomeranian Medical University in Szczecin, Szczecin, Poland.
Abdenor BadaouiDepartment of Gastroenterology, Université Catholique de Louvain, Yvoir, Belgium.
Jean-Francois RahierDepartment of Gastroenterology, Université Catholique de Louvain, Yvoir, Belgium.
Cristina BezzioGastroenterology Unit, Rho Hospital, Rho (MI), ASST Rhodense, Garbagnate Milanese, Italy.
Peter BossuytImelda GI Clinical Research Center, Imelda General Hospital, Bonheiden, Belgium.ORCID 0000-0003-4027-7365
Katherine FalloonDepartment of Gastroenterology, Hepatology and Nutrition, Digestive Diseases and Surgery Institute, Cleveland Clinic, Cleveland, OH, USA.
Daniela PuglieseCEMAD, IBD UNIT, Unità Operativa Complessa di Medicina Interna e Gastroenterologia, Dipartimento di Scienze Mediche e Chirurgiche, Fondazione Policlinico Universitario 'A. Gemelli' IRCCS, Rome, Italy.
Catherine Frakes VozzoDepartment of Gastroenterology, Hepatology and Nutrition, Digestive Diseases and Surgery Institute, Cleveland Clinic, Cleveland, OH, USA.
Tine JessCenter for Molecular Prediction of Inflammatory Bowel Disease, Department of Clinical Medicine, Aalborg University, Copenhagen, Denmark.
Lone LarsenDepartment of Gastroenterology and Hepatology, Aalborg University Hospital, Center for Molecular Prediction of Inflammatory Bowel Disease - PREDICT, Department of Clinical Medicine, The Faculty of Medicine, Aalborg University, Aalborg, Denmark.ORCID 0000-0003-4067-2381
Søren Schou OlesenCentre for Pancreatic Diseases and Mech-Sense, Department of Gastroenterology and Hepatology, Aalborg University Hospital, Aalborg, Denmark; Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.
Partha PalDepartment of Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, India.
María ChaparroDepartment of Gastroenterology, Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-Princesa), Universidad Autónoma de Madrid (UAM), and Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBEREHD), Madrid, Spain.
Dikla DrorDepartment of Gastroenterology, Galilee Medical Center, Nahariyya, Israel.
Pierre EllulDivision of Gastroenterology, Mater dei Hospital, Malta.
Iga GromnyDivision of Dietetics, Department of Gastroenterology and Hepatology, Wroclaw Medical University, Wroclaw, Poland.
Maria JaniakDepartment of Gastroenterology and Hepatology, Medical University of Gdańsk, Gdańsk, Poland.
Katarzyna MaciejewskaDepartment of Gastroenterology with IBD Subdivision, National Medical Institute of Ministry of Inferior and Administration, Warsaw, Poland.
Noam PelegThe Division of Gastroenterology, Rabin Medical Center, Petach Tikva, Israel, affiliated with Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Ariella Bar-Gil ShitritIBD MOM Unit, Digestive Diseases Institute, The Hebrew University of Jerusalem, Shaare Zedek Medical Center, Jerusalem, Israel.
Łukasz SzwedPrivate Gastroenterology Practice, Nowy Dwór Mazowiecki, Poland.
Renata Talar-WojnarowskaDepartment of Digestive Tract Diseases, Medical University of Lodz, Lodz, Poland.
Yifat SnirGastroenterology Department, Clalit Health Services, Tel Aviv District, affiliated with Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Roni WeisshofGastroenterology Institute at Rambam Health Care Campus in Haifa, Haifa, Israel.
Eran ZittanEllen and Pinchas Mamber Institute of Gastroenterology and Liver Diseases, IBD Unit, Emek Medical Center, Afula, Israel.ORCID 0000-0003-3378-4932
Izabela MiechowiczDepartment of Computer Science and Statistics, Poznan University of Medical Sciences, Poznan, Poland.
Idan GorenDepartment of Inflammation and Immunity, Lerner Research Institute, Cleveland Clinic, Cleveland, OH, USA.ORCID 0000-0002-2162-2840
Aalborg University Hospital · DKCleveland Clinic · USGhent University Hospital · BEMinistry of National Defense · KRPoznan University of Medical Sciences · PLUCLouvain · BEAalborg University · DKAdal (Poland) · PLAgostino Gemelli University Polyclinic · ITAsian Institute of Gastroenterology · INAzienda Ospedaliero-Universitaria Careggi · ITCharité - Universitätsmedizin Berlin · DEChildren's Memorial Health Institute · PLCleveland Clinic Lerner College of Medicine · USCopernicus Memorial Hospital · PLEmek Medical Center · ILGdańsk Medical University · PLGeneral Hospital of Rhodes · GRHospital Universitario de La Princesa · ESImelda Hospital · BE

Funding

NIHR Oxford Biomedical Research Centre
6 · The paper itself

Abstract

backgroundAutoimmune pancreatitis [AIP] is rarely associated with inflammatory bowel disease [IBD]. The long-term outcomes of AIP and IBD in patients with coexisting AIP-IBD and predictors of complicated AIP course have rarely been reported.

methodsAn ECCO COllaborative Network For Exceptionally Rare case reports project [ECCO-CONFER] collected cases of AIP diagnosed in patients with IBD. Complicated AIP was defined as a composite of endocrine and/or exocrine pancreatic insufficiency, and/or pancreatic cancer. We explored factors associated with complicated AIP in IBD.

resultsWe included 96 patients [53% males, 79% ulcerative colitis, 72% type 2 AIP, age at AIP diagnosis 35 ± 16 years]. The majority of Crohn's disease [CD] cases [78%] had colonic/ileocolonic involvement. In 59%, IBD preceded AIP diagnosis, whereas 18% were diagnosed simultaneously. Advanced therapy to control IBD was used in 61% and 17% underwent IBD-related surgery. In total, 82% of patients were treated with steroids for AIP, the majority of whom [91%] responded to a single course of treatment. During a mean follow-up of 7 years, AIP complications occurred in 25/96 [26%] individuals. In a multivariate model, older age at AIP diagnosis was associated with a complicated AIP course (odds ratio [OR] = 1.05, p = 0.008), whereas family history of IBD [OR = 0.1, p = 0.03], and CD diagnosis [OR = 0.2, p = 0.04] decreased the risk of AIP complications. No IBD- or AIP-related deaths occurred.

conclusionsIn this large international cohort of patients with concomitant AIP-IBD, most patients have type 2 AIP and colonic IBD. AIP course is relatively benign and long-term outcomes are favourable, but one-quarter develop pancreatic complications. Age, familial history of IBD, and CD may predict uncomplicated AIP course.

Indexed as

Autoimmune DiseasesAutoimmune PancreatitisColitis, UlcerativeCrohn DiseaseInflammatory Bowel DiseasesPancreatitisAdultFemaleHumansMaleMiddle AgedRetrospective StudiesYoung AdultAutoimmune pancreatitisinflammatory bowel diseasepancreatic insufficiency

Identifiers

PMID37283545
PMCPMC10673810
OpenAlexW4379598518

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.