Achieving Non-Surgical Management: Through-the-Scope Twin Clip Closure of Stapfer Type I Perforation Complicating Delayed Post-ERCP Hemostasis

ERCP-related duodenal perforations require prompt management to optimize outcomes. While endoclips, endoloops, and OTSCs are established closure methods, their technical complexity persists. This study demonstrates the efficacy of a novel through-the-scope twin clip (TTS-TC) that simplifies large-defect closure by size reduction, enabling immediate perforation sealing with reduced procedural demands.