Biliary complications following liver transplantation

Walid S. Ayoub, Carlos O. Esquivel, Paul Martin

Research output: Contribution to journalReview article

69 Scopus citations


The aphorism that reconstruction of the biliary anastomosis is the "Achilles heel" of liver transplantation remains valid as biliary complications following liver transplantation remain a major source of morbidity with an incidence of 5-32%. Biliary complications include biliary strictures, biliary leaks, and stones. Biliary strictures can be divided into anastomotic and non-anastomotic. The management of biliary complications previously relied on surgical intervention. However, advances in endoscopic and radiological interventions have resulted in less-invasive options. The management of biliary complications post-liver transplantation requires a multidisciplinary approach and continues to evolve. Biliary complications also reflect the continued expansion of the donor pool with extended, live, and non-heart beating donors.

Original languageEnglish (US)
Pages (from-to)1540-1546
Number of pages7
JournalDigestive Diseases and Sciences
Issue number6
StatePublished - Jun 1 2010


  • Anastomotic strictures
  • Biliary complications
  • Bilomas
  • Liver transplantation
  • Non-anastomotic strictures
  • Stones

ASJC Scopus subject areas

  • Gastroenterology
  • Physiology

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