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Introduction Bile duct injury (BDI) following Hepato-biliary surgery is rare but can cause serious and life-threatening complications such as bile leakage, formation of bilomas, secondary biliary cirrhosis and cholangitis.European Society of Gastrointestinal Endoscopy recommends endoscopic placements of plastic stent(s) to treat bile duct leaks that are not due to transection of common bile duct or common hepatic ducts.Methodology A retrospective analysis was performed to a total of 21 patients with suspected bile leaks underwent endoscopic treatment with endoscopic retrograde cholangiopancreatography (ERCP) from March 2024 to October 2025. Descriptive analysis was undertaken.Results A single-centre retrospective analysis evaluated the clinical outcomes of endoscopic retrograde cholangiopancreatography (ERCP)–guided management of bile leaks following hepatobiliary surgery. Among 21 patients with suspected bile leaks treated between March 2024 and October 2025, 15 patients had confirmed bile leaks and underwent stent placement, while six were excluded due to absence of leak on cholangiogram or failed cannulation. Stent types included fully covered self-expanding metal stents (n = 8,54%), double pigtail plastic stents (n = 6, 40%), and straight plastic stents (n = 1, 6%). Clinical success, defined as improvement of bile leakage (reduction in percutaneous drain output), was achieved in 100% of treated patients irrespective of stent type. No early complications were observed in the metal stent group; however, late complications occurred in 25% of these patients, including one stent migration and one embedded stent, both associated with delayed repeat ERCP for stent removal (~10 months). Plastic stents demonstrated a 100% success rate without reported complications. Overall, both metal and plastic stents showed comparable efficacy in resolving bile leaks, though delayed follow-up may increase the risk of late complications with metal stents. Limitations of this study include the small sample size, retrospective design, and single-centre setting, highlighting the need for larger prospective studies to validate these findings.Conclusion In this observational retrospective study, fully covered self-expanding metal stents and plastic stents demonstrated equal and comparable efficacy in the management of bile leaks, achieving a 100% clinical success rate. However, for those patients treated with metal stents, delayed follow-up endoscopy for stent removal could lead to stent related complications, Therefore, measurements should be established to avoid leaving biliary stents too long and maintain registry for stents inserted to aid in the process of stents exchange or removal and to minimise risks of stent related complications.Abstract P354 Figure 1Demonstrates stent types and characteristics