A pancreatic duct stent was successfully placed in 77 patients; 1 stent spontaneously fell out during the endoscopic retrograde cholangiopancreatography (ERCP) procedure. A total of 64 patients (82%) had spontaneous passage (n = 56) or non-passage (n = 8) documented within 2 weeks. Stent passage could not be classified in 13 patients (17%): 7 patients (5-Fr group, n = 5; 3-Fr group, n = 2) had abdominal X-rays taken > 18 days after placement, and 6 patients (5-Fr group, n = 3; 3-Fr group, n = 3) had endoscopic removal of the stent <10 days after placement. Stents were removed because of concern about stent occlusion in 5 patients (1 patient with mild post-ERCP pancreatitis). One pancreatic duct stent was exchanged during follow-up ERCP on day 2 after failed biliary cannulation on index ERCP.