Endoscopic management of post-liver transplant biliary complications

Figure 1 Different management strategies for biliary strictures. A: Post-LT anastomotic biliary stricture (as seen on ERC); B: managed with balloon dilatation only; C: Post-LT anastomotic biliary stricture (as seen on ERC); D: Managed with balloon dilatation; E: MRCP image of the same stricture; F: Long segment biliary stricture due to global hypotension post-LT; G: Dilatation performed with biliary balloon; H: Followed by placement of two plastic stents; I: Due to inadequate effect with two stents, sequential therapy strategy adopted with placement of three stents; J: Fluoroscopic image of three stents in right posterior and anterior hepatic and left hepatic ducts; K: Final cholangiogram suggesting a much improved bile duct diameter. ERC: Endoscopic retrograde cholangiography; LT: Liver transplantation.