Non-Operative Management of Adult Blunt
Hepatic Trauma Algorithm

Annotation for Point O

Although most peripheral biliary leaks will seal without treatment, continued high output biliary drainage may warrant adjunctive ERCP to aid in healing. Ponsky and coworkers46 suggest stenting rather than spincterotomy for more effective resolution of biliary leaks. Neither the optimal duration of leak before ERCP nor the duration of leak before operative consideration has been studied.