Published online Dec 18, 2015. doi: 10.4254/wjh.v7.i29.2890
Peer-review started: May 5, 2015
First decision: June 25, 2015
Revised: November 9, 2015
Accepted: December 1, 2015
Article in press: December 2, 2015
Published online: December 18, 2015
Biliary complications (BC) currently represent a major source of morbidity after liver transplantation. Although refinements in surgical technique and medical therapy have had a positive influence on the reduction of postoperative morbidity, BC affect 5% to 25% of transplanted patients. Bile leak and anastomotic strictures represent the most common complications. Nowadays, a multidisciplinary approach is required to manage such complications in order to prevent liver failure and retransplantation.
Core tip: Biliary complications (BC) represent the downside of liver transplantation, impacting postoperative morbidity as well as patient and graft survival. In this paper, we will analyze the most common BC, along with diagnosis, management and treatment modalities.