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Stefansson B, Jonsson A, Hannesson P, et al. [Endoscopic retrograde cholangio- pancreatography. An overview of procedures at the Natinal University Hospital in Reykjavik 1983-1992.]. Laeknabladid. 1997;83(2):109-15
Stefansson, B., Jonsson, A., Hannesson, P., Gudjonsson, H., & Oddsson, E. (1997). [Endoscopic retrograde cholangio- pancreatography. An overview of procedures at the Natinal University Hospital in Reykjavik 1983-1992.]. Laeknabladid, 83(2), 109-15.
Stefansson, B, et al. "[Endoscopic retrograde cholangio- pancreatography. An overview of procedures at the Natinal University Hospital in Reykjavik 1983-1992.]." Laeknabladid vol. 83,2 (1997): 109-15.
Stefansson B, Jonsson A, Hannesson P, Gudjonsson H, Oddsson E. [Endoscopic retrograde cholangio- pancreatography. An overview of procedures at the Natinal University Hospital in Reykjavik 1983-1992.]. Laeknabladid. 1997 Feb;83(2):109-15. Icelandic. PMID: 19679917.
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Laeknabladid. 1997 Feb;83(2):109-15.

[Endoscopic retrograde cholangio- pancreatography. An overview of procedures at the Natinal University Hospital in Reykjavik 1983-1992.].

Laeknabladid

[Article in Icelandic]
B Stefansson, A Jonsson, P Hannesson, H Gudjonsson, E Oddsson

PMID: 19679917

Abstract

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.

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