Bile duct similar to those of primary sclerosing cholangitis (psc) have been reported. generic viagra online [edit] eus, and eus-fna the role of endoscopic ultrasound (eus) and eus-guided fine-needle aspiration (eus-fna) in the diagnosis of aip is not well described, and eus findings have been described in only a small number of patients. generic viagra without prescription In one study, eus revealed a diffusely swollen and hypoechoic pancreas in 8 of the 14 (57%) patients, and a solitary, focal, irregular mass was observed in 6 (46%) patients. Whereas eus-fna is sensitive and specific for the diagnosis of pancreatic malignancy, its role in the diagnosis of aip remains unclear. buy generic viagra [edit] controversies in nomenclature as the number of published cases of aip has increased, efforts have been focused on defining aip as a distinct clinical and pathologic entity and toward developing some generally agreed upon diagnostic criteria and nomenclature. Terms frequently encountered are autoimmune or autoimmune-related pancreatitis, lymphoplasmacytic sclerosing pancreatitis, idiopathic tumefactive chronic pancreatitis, idiopathic pancreatitis with focal irregular narrowing of the main pancreatic duct, and non-alcoholic duct destructive chronic pancreatitis. There are also a large number of case reports employing descriptive terminology such as pancreatitis associated with sjã¶gren’s syndrome, primary sclerosing cholangitis, or inflammatory bowel disease. buy viagra online Some of the earliest cases were reported as pancreatic pseudotumor or pseudolymphoma. [edit] treatment aip often completely resolves with steroid treatment. The failure to differentiate aip from malignancy may lead to unnecessary pancreatic resection, and the characteristic lymphoplasmacytic infiltrate of aip has been found in up to 23% of patients undergoing pancreatic resection for suspected malignancy who are ultimately found to have benign disease. viagra kaina In this subset of patients, a trial of steroid therapy may have prevented a whipple procedure or complete pancreatectomy for a benign disease which responds well to medical therapy. guitar song viagra commercial [edit] references ^ rose, noel r. ; mackay, ian r. cheapest generic viagra (2006). The autoimmune diseases (4 ed. ). take both viagra viagra together Academic press. Pp.  783. Isbn 0-12-595961-3. buy cheap viagra   retrieved from " categories: pancreas disorders autoimmune diseases hidden categories: articles needing additional references fro. ENTER SITE