PMID- 34945093 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20211229 IS - 2077-0383 (Print) IS - 2077-0383 (Electronic) IS - 2077-0383 (Linking) VI - 10 IP - 24 DP - 2021 Dec 11 TI - Autoimmune Diseases of Digestive Organs-A Multidisciplinary Challenge: A Focus on Hepatopancreatobiliary Manifestation. LID - 10.3390/jcm10245796 [doi] LID - 5796 AB - It is well known that some pathological conditions, especially of autoimmune etiology, are associated with the HLA (human leukocyte antigen) phenotype. Among these diseases, we include celiac disease, inflammatory bowel disease, autoimmune enteropathy, autoimmune hepatitis, primary sclerosing cholangitis and primary biliary cholangitis. Immunoglobulin G4-related diseases (IgG4-related diseases) constitute a second group of autoimmune gastrointestinal, hepatobiliary and pancreatic illnesses. IgG4-related diseases are systemic and rare autoimmune illnesses. They often are connected with chronic inflammation and fibrotic reaction that can occur in any organ of the body. The most typical feature of these diseases is a mononuclear infiltrate with IgG4-positive plasma cells and self-sustaining inflammatory response. In this review, we focus especially upon the hepatopancreatobiliary system, autoimmune pancreatitis and IgG4-related sclerosing cholangitis. The cooperation of the gastroenterologist, radiologist, surgeon and histopathologist is crucial for establishing correct diagnoses and appropriate treatment, especially in IgG4 hepatopancreatobiliary diseases. FAU - Kunovsky, Lumir AU - Kunovsky L AUID- ORCID: 0000-0003-2985-8759 AD - Department of Gastroenterology and Internal Medicine, University Hospital Brno, 625 00 Brno, Czech Republic. AD - Department of Surgery, University Hospital Brno, 625 00 Brno, Czech Republic. AD - Faculty of Medicine, Masaryk University, 625 00 Brno, Czech Republic. FAU - Dite, Petr AU - Dite P AD - Department of Gastroenterology and Internal Medicine, University Hospital Brno, 625 00 Brno, Czech Republic. AD - Department of Gastroenterology and Internal Medicine, University Hospital Ostrava, 728 00 Ostrava, Czech Republic. AD - Faculty of Medicine, University of Ostrava, 703 00 Ostrava, Czech Republic. FAU - Jabandziev, Petr AU - Jabandziev P AUID- ORCID: 0000-0002-4094-2364 AD - Faculty of Medicine, Masaryk University, 625 00 Brno, Czech Republic. AD - Department of Pediatrics, University Hospital Brno, 613 00 Brno, Czech Republic. AD - Central European Institute of Technology, Masaryk University, 625 00 Brno, Czech Republic. FAU - Kala, Zdenek AU - Kala Z AD - Department of Surgery, University Hospital Brno, 625 00 Brno, Czech Republic. AD - Faculty of Medicine, Masaryk University, 625 00 Brno, Czech Republic. FAU - Vaculova, Jitka AU - Vaculova J AUID- ORCID: 0000-0002-7998-772X AD - Department of Gastroenterology and Internal Medicine, University Hospital Brno, 625 00 Brno, Czech Republic. AD - Faculty of Medicine, Masaryk University, 625 00 Brno, Czech Republic. FAU - Andrasina, Tomas AU - Andrasina T AUID- ORCID: 0000-0001-5723-5175 AD - Faculty of Medicine, Masaryk University, 625 00 Brno, Czech Republic. AD - Department of Radiology and Nuclear Medicine, University Hospital Brno, 625 00 Brno, Czech Republic. FAU - Hrunka, Matej AU - Hrunka M AUID- ORCID: 0000-0002-8154-1567 AD - Faculty of Medicine, Masaryk University, 625 00 Brno, Czech Republic. AD - Department of Pediatrics, University Hospital Brno, 613 00 Brno, Czech Republic. FAU - Bojkova, Martina AU - Bojkova M AD - Department of Gastroenterology and Internal Medicine, University Hospital Ostrava, 728 00 Ostrava, Czech Republic. AD - Faculty of Medicine, University of Ostrava, 703 00 Ostrava, Czech Republic. FAU - Trna, Jan AU - Trna J AUID- ORCID: 0000-0003-3138-9736 AD - Department of Gastroenterology and Internal Medicine, University Hospital Brno, 625 00 Brno, Czech Republic. AD - Faculty of Medicine, Masaryk University, 625 00 Brno, Czech Republic. AD - Department of Gastroenterology and Digestive Endoscopy, Masaryk Memorial Cancer Institute, 602 00 Brno, Czech Republic. LA - eng GR - FNBr, 65269705, Sup 3/21/Ministry of Health/ GR - NU20-03-00126/Ministry of Health/ PT - Journal Article PT - Review DEP - 20211211 PL - Switzerland TA - J Clin Med JT - Journal of clinical medicine JID - 101606588 PMC - PMC8705412 OTO - NOTNLM OT - IgG4-related hepatopathy OT - IgG4-related sclerosing cholangitis OT - autoimmune hepatitis OT - autoimmune pancreatitis OT - celiac disease OT - human leukocyte antigen OT - inflammatory bowel disease OT - primary biliary cholangitis OT - primary sclerosing cholangitis COIS- The authors declare no conflict of interest. EDAT- 2021/12/25 06:00 MHDA- 2021/12/25 06:01 PMCR- 2021/12/11 CRDT- 2021/12/24 01:07 PHST- 2021/10/26 00:00 [received] PHST- 2021/12/04 00:00 [revised] PHST- 2021/12/07 00:00 [accepted] PHST- 2021/12/24 01:07 [entrez] PHST- 2021/12/25 06:00 [pubmed] PHST- 2021/12/25 06:01 [medline] PHST- 2021/12/11 00:00 [pmc-release] AID - jcm10245796 [pii] AID - jcm-10-05796 [pii] AID - 10.3390/jcm10245796 [doi] PST - epublish SO - J Clin Med. 2021 Dec 11;10(24):5796. doi: 10.3390/jcm10245796.