Holsjárröntgenmyndun af gallkerfi og brisgangi : yfirlit rannsókna og aðgerða á Landspítalanum í 10 ár

• Main Authors: Bergur Stefánsson, Ásbjörn Jónsson, Pétur H. Hannesson, Hallgrímur Guðjónsson, Einar Oddsson
• Format: Article in Journal/Newspaper
• Language: Icelandic
• Published: Læknafélag Íslands, Læknafélag Reykjavíkur 2009
• Subjects: Cholangiopancreatography; Endoscopic Retrograde; Iceland; Smella
• Online Access: http://hdl.handle.net/2336/57776

Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open Introduction: In this retrospective study we analysed all ERCP procedures performed at the National University Hospital in Reykjavik, Iceland, for the period 1983-1992. Material: A total of 644 procedures were performed on 477 patients. Results: The main indication for a diagnostic ERCP was suspected choledocholithiasis in 58.8% of cases. Cannulation of the papilla of Vater was successfully achived in 94% of patients and in 82% the desired duct was visualised. Juxtapapillary diverticula were found in 14.5% of patients. The success at cannulation was significally less in that group. Choledocholithiasis was found in 19.4% more often in the patients with diverticula, 29.5 vs. 18.8%. The number of therapeutic interventions was 158 performed on 84 patients (24.5% of all ERCP). The most common procedure was sphincterotomy, performed in 84% of cases. Stone extraction was successfully achived in 58% of all attempts. The overall complications rate was 7%, most frequently acute pancreatitis (4.7%) followed by cholangitis (1.9%) and bleeding (0.3%). The complications were mild in the majority of cases but serious ones did occur and were fatal in three (0.5%) patients related to severe pancreatitis. Conclusion: The results of this retrospective study in Iceland are comparable to what others have reported previously. Inngangur: Í þessari rannsókn voru kannaðar niðurstöður allra holsjárröntgenmynda af gallvegum og brisgangi (endoscopic retrograde cholangio- pancreatography, ERCP) sem framkvæmdar voru á Landspítalanum á árunum 1983-1992. Efniviður: Framkvæmdar voru 644 rannsóknir á 477 sjúklingum. Niðurstöður: Algengasta tilefnið var greining og meðferð steina í gallpípu (ductus choledochus) eða í 55,9% tilfella. Þræðing á hringvöðva í skeifugarnartotu (papilla Vateri) tókst í 93,5% tilrauna. Í 82% tilfella tókst rannsóknin fullkomlega, það er fylla tókst það gangakerfi sem sóst var eftir. Poki við skeifugarnartotuna ...