TY - JOUR AU - Rashid, Zahid AU - R, Smith AU - R, Bross AU - M, Komar AU - P, Seneko AU - M, Indeck AU - C, Potteiger AU - N, Inverso PY - 2016/05/11 Y2 - 2024/03/28 TI - Endoscopic intrabiliary placement of a fibrin "Plug" for the treatment of traumatic bile duct injuries JF - Annals of King Edward Medical University JA - Annals KEMU VL - 10 IS - 2 SE - Articles DO - 10.21649/akemu.v10i2.1208 UR - https://annalskemu.org/journal/index.php/annals/article/view/1208 SP - AB - <p>A variety of traumatic and iatrogenic injuries can lead to bile duct leaks or fistula. These leaks are commonly managed by transpapillary biliary stent placement, which reduces in traductal pressure and facilitates closures. A small percentage of these lesions are resistant to this technique, however. We propose a novel endoscopic approach for traumatic bile duct injuries that uses commercially available cryoprecipitate/thrombin, simultaneously administered during endoscopic retrograde cholangiopancreatography (ERCP), creating a fibrin "plug" within the region of leakage. Two cases are presented that detail our experiences.</p> ER -