LAUSR

Results: Of the 3250 ERCP procedures performed from March 2010 to November 2016, only six (0.18%) resulted in perforations (male/female, 2/4; median age: 69 years; age range: 54–80 years). ERCP procedures were performed with carbon dioxide insufflation. Five patients underwent ERCP for biliary stones. In all cases standard sphynterotomy was performed and perforation was immediately detected. Successful closure of persistent sphincterotomy-related duodenal perforation using FCSEMS was obtained in all patients. One patient developed ERCP-related pacreatitis, successfully treated with medical therapy. Three FCSEMS were successfully removed after a median of 18 days, the remaining three fell out spontaneously. The average length of a hospital stay was 4 days. There were no deaths or need for surgery. Conclusions: The placement of FCSEMS is easy, safe and quick. In our cohort of patients, FCSEMS is the effective endoscopic approach for management of type II perforations recognized during ERCP.