PT - JOURNAL ARTICLE AU - Adam Matthew Parker AU - David Schaefer AU - Amor Royer AU - Hardik Sonani AU - Dianne Grunes AU - Sarah Camille Glover TI - A Spy took a bite to get the diagnosis right: the benefit of SpyGlass technology in the diagnosis of autoimmune pancreatitis evading traditional diagnostic methods AID - 10.1136/bmjgast-2021-000694 DP - 2021 Sep 01 TA - BMJ Open Gastroenterology PG - e000694 VI - 8 IP - 1 4099 - http://bmjopengastro.bmj.com//content/8/1/e000694.short 4100 - http://bmjopengastro.bmj.com//content/8/1/e000694.full SO - BMJ Open Gastro2021 Sep 01; 8 AB - Autoimmune pancreatitis (AIP) is a rare form of chronic pancreatitis that is often overlooked and is usually characterised clinically by frequent presentations with obstructive jaundice. Serum IgG4 testing as a means to ‘rule out’ IgG4-related disease may not be as helpful as initially thought and may lead to a missed diagnosis if suspicion is low. We present a patient with a years long history of recurrent pancreatitis ultimately found to have AIP after undergoing evaluation with a relatively new technology, SpyGlass, which allows for direct cholangioscopy and enabled us to make the correct diagnosis.Data sharing not applicable as no datasets generated and/or analysed for this study. Not applicable.