Review
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Jul 16, 2025; 17(7): 107587
Published online Jul 16, 2025. doi: 10.4253/wjge.v17.i7.107587
Endoscopic management of biliary leaks: Where are we now?
Alberto Tringali, Deborah Costa, Daryl Ramai
Alberto Tringali, Deborah Costa, Department of Digestive Endoscopy and Gastroenterology, ULSS2, Conegliano Hospital, Conegliano 31015, Italy
Daryl Ramai, Division of Gastroenterology, Hepatology, and Endoscopy, Brigham and Women’s Hospital, Boston, MA 02115, United States
Author contributions: Tringali A conceived the idea for the manuscript; Tringali A and Costa D reviewed the literature and drafted the manuscript; Ramai D reviewed the manuscript; all of the authors read and approved the final version of the manuscript to be published.
Conflict-of-interest statement: The authors declare no conflicts of interest relevant to the content of this article.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Alberto Tringali, MD, Honorary Research Fellow, Lecturer, Department of Digestive Endoscopy and Gastroenterology, ULSS2, Conegliano Hospital, Via Brigata Bisagno, Conegliano 31015, Italy. albtri10@gmail.com
Received: March 31, 2025
Revised: April 17, 2025
Accepted: May 21, 2025
Published online: July 16, 2025
Processing time: 102 Days and 16 Hours
Core Tip

Core Tip: Bile leaks can occur as a complication of abdominal surgery or, less commonly, due to trauma. Timely and accurate diagnosis, along with appropriate treatment, is crucial for improving patient outcomes. With advancements in endoscopic technology and expertise, endoscopic retrograde cholangiopancreatography has emerged as the primary treatment approach, reserving surgical options for more complex or recurrent cases. However, the absence of specific guidelines means that treatment often relies on local resources and professional experience. This review seeks to clarify the role of endoscopy in managing various types of biliary leaks, offering clinicians valuable insights into navigating this challenging field.