title: [Endoscopic retrograde cholangio- pancreatography. An overview of procedures at the Natinal University Hospital in Reykjavik 1983-1992.].
abstract: BACKGROUND
  In this retrospective study we analysed all ERCP procedures performed at the National University Hospital in Reykjavik, Iceland, for the period 1983-1992.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  The results of this retrospective study in Iceland are comparable to what others have reported previously.
authors.forename: B
authors.initials: B
authors.lastname: Stefansson
authors.forename: A
authors.initials: A
authors.lastname: Jonsson
authors.forename: P
authors.initials: P
authors.lastname: Hannesson
authors.forename: H
authors.initials: H
authors.lastname: Gudjonsson
authors.forename: E
authors.initials: E
authors.lastname: Oddsson