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Las fugas biliares postquirúrgicas son lesiones iatrogénicas de la vía biliar que han aumentado en incidencia en los últimos años, principalmente asociado con la llegada de la cirugía laparoscópica como opción para manejo de patología vesicular y de vía biliar. Actualmente el tratamiento de elección en la mayoría de las fugas biliares es endoscópico, lo cual ha disminuido significativamente la morbimortalidad; sin embargo, la evidencia comparando efectividad entre las diferentes técnicas endoscópicas (esfinterotomía, esfinterotomía vs stent, combinación de técnicas, uso de stent plástico o metálico, entre otros) es escasa, por lo cual el objetivo de éste artículo es brindar una revisión detallada de la evidencia actual y una guía para el endoscopista al momento de enfrentar una fuga postquirúrgica.
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