Holsjárröntgenmyndun af gallgöngum og brispípu : rannsóknir og aðgerðir framkvæmdar á Borgarspítalanum 1981-1990

• Main Authors: Ásgeir Theodórs, Hannes Hrafnkelsson
• Format: Article in Journal/Newspaper
• Language: Icelandic
• Published: Læknafélag Íslands, Læknafélag Reykjavíkur 2009
• Subjects: Retrospective Studies; Endoscopes; Gastrointestinal; Cholangiopancreatography; Endoscopic Retrograde; Iceland; Smella
• Online Access: http://hdl.handle.net/2336/85076

Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open The importance of diagnostic and therapeutic ERCP procedures has been clearly proven over the last several years, in the diagnoses and treatment of diseases in the biliary tract as well as in the pancreas. The aim of this study was to obtain information on indications, results and complications of ERCP, diagnostic and therapeutic procedures, performed at the Reykjavik City Hospital during ten years period from 1981-1990. A retrospective analysis was done on 388 patients undergoing 535 diagnostic and therapeutic endoscopic retrograde cholangiopancreatography. In 454 instances (84.9%) the procedures were successful. Main indications for the procedures were suspected choledochal stones in 51.4%, pancreatic disease in 13.6%, unexplained abdominal pain in 12.2%, and pancreatic neoplasm in 11.8%. The procedure was performed due to other indications in 11.0% of the patients. Endoscopic sphincterotomy was the most common therapeutic procedure, performed in 134 cases (88.2%), thereof due to bile duct stones in 95 cases (70.9%) and stenosis/spasm in papilla of Vater in 33 cases (24.6%). The overall complication rate of diagnostic and therapeutic ERCP was 6.0%. Complications associated with therapeutic procedures only were more frequent (9.9%), compared with diagnostic procedures (4.4%). The most frequent complication was pancreatitis in 4.3%, but cholangitis occured in 11% and bleeding in 0.6%. Severe necrotizing pancreatitis was the most serious complication (0.75%). One death (0.3%) was indirectly related to the ERCP procedure. The results of this study are in accordance with other previously reported studies. ERCP is an accurate and useful examination in the diagnosis of diseases in the biliary system and pancreas. ES and endoscopic stone extraction from the bile ducts is a good therapeutic option in selected patients. Complications are not frequent and mild in most cases, but serious complications do occur. Á síðustu ...