Evidence map›Paper›PMID 42070180›Full record

ReviewJournal of gastroenterology2026

IgG4-related disease in gastroenterology: from pathogenesis to clinical management and long-term outcomes.

Yifei Wang, Luyi Peng, Wen Zhang

Abstract readReview
In one paragraph

Review in Journal of gastroenterology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Yifei Wang *Department of Rheumatology, Peking Union Medical College Hospital (PUMCH), Chinese Academy of Medical Sciences and Peking Union Medical College, National Clinical Research Center for Rheumatic and Autoimmune Diseases (NCRC-RAD), State Key Laboratory of Complex Severe and Rare Diseases, Key Laboratory of Rheumatology and Clinical Immunology, Ministry of Education, 1 Shuai-Fu-Yuan, Dongcheng District, Beijing, 100730, China.
Luyi Peng *Department of Rheumatology, Peking Union Medical College Hospital (PUMCH), Chinese Academy of Medical Sciences and Peking Union Medical College, National Clinical Research Center for Rheumatic and Autoimmune Diseases (NCRC-RAD), State Key Laboratory of Complex Severe and Rare Diseases, Key Laboratory of Rheumatology and Clinical Immunology, Ministry of Education, 1 Shuai-Fu-Yuan, Dongcheng District, Beijing, 100730, China.
Wen ZhangDepartment of Rheumatology, Peking Union Medical College Hospital (PUMCH), Chinese Academy of Medical Sciences and Peking Union Medical College, National Clinical Research Center for Rheumatic and Autoimmune Diseases (NCRC-RAD), State Key Laboratory of Complex Severe and Rare Diseases, Key Laboratory of Rheumatology and Clinical Immunology, Ministry of Education, 1 Shuai-Fu-Yuan, Dongcheng District, Beijing, 100730, China. zhangwen91@sina.com.ORCID http://orcid.org/0000-0001-7808-9867

Funding

National High Level Hospital Clinical Research Funding 2025-PUMCH-C-022National Natural Science Foundation of China 82471829
6 · The paper itself

Abstract

IgG4-related disease is a rare, immune-mediated, multisystem fibroinflammatory condition. It is characterized by elevated serum IgG4 concentrations and tissue infiltration of IgG4-positive plasma cells with distinctive histopathological features, including storiform fibrosis and obliterative phlebitis. Gastroenterological involvement is diverse and represents a critical diagnostic consideration, encompassing the pancreas, bile ducts, liver, esophagus, stomach, and intestine. In this review, we summarize the current understanding of genetic susceptibility and environmental risk factors underlying this disease, and systematically describe the clinical presentations, histopathological characteristics, imaging findings, and serological profiles of each major gastroenterological manifestation. We further review evidence-based treatment regimens ranging from glucocorticoids and conventional immunosuppressants to emerging biologic therapies, discuss organ-specific therapeutic responses, and identify predictors of disease relapse along with long-term surveillance strategies. From a gastroenterologist's perspective, this review aims to provide a practical and integrated framework to facilitate early recognition, accurate differentiation from mimicking conditions such as pancreaticobiliary malignancies, and optimized long-term management of this complex yet treatable disease.

Indexed as

Immunoglobulin GImmunoglobulin G4-Related DiseaseDiagnosis, DifferentialGenetic Predisposition to DiseaseHumansImmunosuppressive AgentsRisk FactorsImmunoglobulin GImmunosuppressive AgentsAutoimmune pancreatitisFibroinflammatory diseaseIgG4-related diseaseIgG4-related sclerosing cholangitis

Identifiers

PMID42070180
PMCPMC13615997

What OpenQuestion holds

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Read underepoch 390

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 OpenQuestion graph.