Table 1.
Characteristics of the study group of patients with coexisting autoimmune pancreatitis and inflammatory bowel disease.
Feature | Entire cohort [N = 96] |
---|---|
Gender [males] | 51 [53%] |
Current age [years ± SD] | 40 ± 16 |
Age at IBD diagnosis [years ± SD] | 32 ± 15 |
Duration of IBD follow-up [years ± SD] | 7 ± 6 |
Type of IBD, n [%] | |
Crohn’s disease | 18 [19%] |
Ulcerative colitis | 76 [79%] |
IBDU | 2 [2%] |
Montreal IBD classification, n [%] | |
Age at CD diagnosis ≤ 16 years | 3/18 [17%] |
Age at CD diagnosis 17–40 years | 7/18 [39%] |
Age at CD diagnosis > 40 years | 8/18 [44%] |
Ileal CD [L1] | 2/18 [11%] |
Colonic CD [L2] | 7/18 [39%] |
Ileocolonic CD [L3] | 7/18 [39%] |
Upper gastrointestinal CD involvement [L4] | 2/18 [11%] |
CD inflammatory phenotype [B1] | 16/18 [89%] |
CD stricturing phenotype [B2] | 2/18 [11%] |
CD penetrating phenotype [B3] | 0/18 [0%] |
Perianal CD | 2/18 [11%] |
UC E1 | 10/76 [13%] |
UC E2 | 35/76 [46%] |
UC E3 | 31/76 [41%] |
EIM, n [%] | 21 [22%] |
IBD-related interventions [past and present], n [%] | |
Systemic steroids | 74 [77%] |
Mesalamine | 75 [78%] |
Immunomodulators | 48 [50%] |
Biologicsa | 41 [43%] |
IBD-related surgeryb | 16 [17%] |
Number of IBD flares, median [IQR] | 2 [1–4] |
Comorbidities, n [%] | 39 [41%] |
Family history of IBD, n [%] | 19 [20%] |
Active IBD status at the end of follow-up, n [%] | 14 [15%] |
Age at AIP diagnosis [years ± SD] | 35 ± 16 |
Duration of AIP follow-up [years ± SD] | 5 ± 4 |
Predominant symptoms at the onset of AIP, n [%] | |
Abdominal pain | 78 [81%] |
Jaundice | 4 [4%] |
Weight loss | 3 [3%] |
Asymptomatic | 10 [11%] |
AIP subtype, n [%] | |
1 | 19 [20%] |
2 | 69 [72%] |
Undefined | 8 [8%] |
AIP radiological subtype, n [%] | |
Focal AIP presentation in imaging | 39 [41%] |
Diffuse AIP presentation in imaging | 45 [47%] |
Timing of diagnosis | |
AIP diagnosis preceded IBD, n (%) | 22 [23%] |
IBD diagnosis preceded AIP or concomitant diagnosis, n [%] | 74 [77%] |
AIP-related treatments and course, n [%] | |
Single steroid course with clinical response | 72/79 [91%] |
Steroid refractory | 7/79 [9%] |
Advanced therapyc | 18 [19%] |
Number of AIP relapses, mean ± SD | 0.4 ± 0.9 |
Active AIP status at the end of follow-up, n [%] | 5 [5%] |
aInfliximab, adalimumab, golimumab, certolizumab, vedolizumab, ustekinumab, etrolizumab.
bColectomy [n = 15], segmental intestinal resection [n = 1].
cImmunomodulator or biological therapy
Abbreviations: AIP—autoimmune pancreatitis, CD—Crohn’s disease, EIM—extraintestinal manifestations, IBD—inflammatory bowel disease, IBDU—inflammatory bowel disease unclassified, UC—ulcerative colitis.