Department of Surgical Gastroenterology, Karolinska University Hospital, Karolinska Institutet, Stockholm, Sweden.
Gastrointest Endosc. 2010 Dec;72(6):1175-84, 1184.e1-3. doi: 10.1016/j.gie.2010.07.047.
The Swedish Registry for Gallstone Surgery and ERCP (GallRiks) is the first nationwide Web-based quality registry for gallstone surgery and ERCP in the world. In this article we report data from 11,074 ERCPs performed in 2007 and 2008.
The aim of this study is to present outcomes, safety data, and success rates of ERCPs performed in Sweden.
Data gathering from a medical record database.
This study reviewed 11,074 ERCPs performed in 2007 and 2008.
In GallRiks, data concerning surgery performed for gallstone disease as well as all ERCPs are recorded. The registry is approved by the Swedish Surgical Society and is based on an Internet platform with online data registration. The online program includes 30-day follow-up information as well as the opportunity to retrieve electronic reports on demand. The present data represent 76% of all ERCPs performed in Sweden in 2007 and 95% of those performed in 2008. The database also has been validated, indicating a complete match between the medical records and the database in 97.3% of ERCP cases.
Cannulation success and perioperative and postoperative complications.
A successful bile duct cannulation was achieved in 92% of the ERCPs performed. The presence of common bile duct stones was the predominant finding and was seen in 36.8% of examinations. Perioperative and postoperative complication rates were 2.5% and 9.8%, respectively. The rate of ERCP-induced pancreatitis was 2.7%, and the total 30-day mortality rate in the database was 5.9% but varied significantly among the different diagnostic groups. The indications for ERCP differed between high-volume and low-volume centers, indicating an adequate referral pattern of complex cases in Sweden.
GallRiks registration is voluntary and thus not 100%. This makes selection bias a possibility.
ERCP is widely used at Swedish hospitals, with acceptable cannulation success rates and perioperative and postoperative complication rates similar to established standards. GallRiks is a population-based nationwide registry with good data validity and high inclusion rates regarding ERCPs.
瑞典胆石病手术和内镜逆行胰胆管造影术（ERCP）注册中心（GallRiks）是世界上第一个针对胆石病手术和 ERCP 的全国性网络质量注册中心。本文报告了 2007 年和 2008 年进行的 11074 例 ERCP 的数据。
本研究旨在介绍在瑞典进行的 ERCP 的结果、安全性数据和成功率。
从病历数据库中收集数据。
本研究回顾了 2007 年和 2008 年进行的 11074 例 ERCP。
在 GallRiks 中，记录了用于治疗胆石病的手术以及所有 ERCP 的数据。该注册中心由瑞典外科学会批准，并基于具有在线数据注册的互联网平台。在线程序包括 30 天随访信息以及按需检索电子报告的机会。目前的数据代表了 2007 年瑞典进行的所有 ERCP 的 76%，以及 2008 年进行的所有 ERCP 的 95%。该数据库也经过了验证，表明在 97.3%的 ERCP 病例中，病历和数据库之间完全匹配。
胆管插管成功率以及围手术期和术后并发症。
92%的 ERCP 插管成功。主要发现是胆总管结石，占检查的 36.8%。围手术期和术后并发症发生率分别为 2.5%和 9.8%。ERCP 诱导的胰腺炎发生率为 2.7%，数据库中 30 天总死亡率为 5.9%，但不同诊断组之间差异显著。ERCP 的适应证在高容量和低容量中心之间存在差异，表明瑞典对复杂病例的转诊模式合理。
GallRiks 注册是自愿的，因此不是 100%。这使得选择偏差成为可能。
ERCP 在瑞典的医院广泛应用，具有可接受的插管成功率和围手术期及术后并发症发生率，与既定标准相似。GallRiks 是一个基于人群的全国性注册中心，具有良好的数据有效性和高的 ERCP 纳入率。
