©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Hepatol. Apr 8, 2016; 8(10): 461-470
Published online Apr 8, 2016. doi: 10.4254/wjh.v8.i10.461
Published online Apr 8, 2016. doi: 10.4254/wjh.v8.i10.461
Management issues in post living donor liver transplant biliary strictures
Manav Wadhawan, Ajay Kumar, Fortis Escorts Liver and Digestive Diseases Institute, Okhla, New Delhi 110025, India
Author contributions: Wadhawan M designed research, collected data, performed ERCP’s, analyzed data, and wrote paper; Kumar A designed research, performed ERCP’s and wrote paper.
Conflict-of-interest statement: There is no conflict of interest with anyone on the data published.
Correspondence to: Ajay Kumar, MD, DM, MAMS, FRCP (Glasgow), Chief and Executive Director, Fortis Escorts Liver and Digestive Diseases Institute, Okhla, New Delhi 110025, India. ajaykge@hotmail.com
Received: May 14, 2015
Peer-review started: May 15, 2015
First decision: September 8, 2015
Revised: March 12, 2016
Accepted: March 22, 2016
Article in press: March 23, 2016
Published online: April 8, 2016
Processing time: 320 Days and 20.2 Hours
Peer-review started: May 15, 2015
First decision: September 8, 2015
Revised: March 12, 2016
Accepted: March 22, 2016
Article in press: March 23, 2016
Published online: April 8, 2016
Processing time: 320 Days and 20.2 Hours
Core Tip
Core tip: Biliary complications are the Achilles heel of liver transplantation and are more common in live related liver transplant than cadaver liver transplant. Endoscopic retrograde cholangiopancreatography along ith percutaneous transhepatic biliary drainage is successful in managing more than 90% of biliary complications after liver transplant. Although strictures increase morbidity after liver transplant, the mortality rates are not influenced by biliary strictures. This review provides diagnostic approach and management algoritham of these biliary structures in the setting of right lobe liver transplant.