Original Article: Clinical EndoscopyNationwide, population-based data from 11,074 ERCP procedures from the Swedish Registry for Gallstone Surgery and ERCP
Section snippets
GallRiks
The registry has from the start been financially supported by the Swedish National Board of Health and Welfare. The registry includes data for both open and laparoscopic surgery of the gallbladder (gallstone indication) as well as all ERCPs, with the aim of obtaining a complete registration of interventional gallstone treatment and its complication rates. The registry is approved by the Swedish Surgical Society, which also appoints the members of the GallRiks board. GallRiks uses an Internet
Characterization of the population under study
The majority of patients (7256, 66%) had an emergency/urgent indication for ERCP, whereas 3816 (34%) of the examinations were scheduled elective procedures (in 2 cases, data were missing). Of all ERCPs, 1477 (13%) were performed on an outpatient basis. There was a predominance of women (55%) over men. The overall mean age was 67.6 years. There was a wide variation between the number of ERCPs per patient (1-11) during the study period (Table 1).
The total number of ERCPs registered in 2008 was
Discussion
In the present study, we evaluated data from 11,074 ERCPs from GallRiks. The aim of the study was to present a descriptive analysis of hospital caseloads, indications, pathologic findings, cannulation success, sedation techniques, complications, and mortality of ERCPs performed in Sweden. By integrating gallbladder surgery and ERCP in the same database, with a common 30-day follow-up, GallRiks provides a unique opportunity to study the clinical course of gallstone treatment, regardless of
Acknowledgment
The authors acknowledge Melroy A. d'Souza for his valuable input and assistance in preparing the manuscript.
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DISCLOSURE: Drs Enochsson, Nilsson, and Löhr were supported by unconditional research funds at the Karolinska Institutet. No other financial relationships relevant to this publication were disclosed.