Published online Jan 27, 2021. doi: 10.4254/wjh.v13.i1.66
Peer-review started: June 14, 2020
First decision: October 21, 2020
Revised: November 1, 2020
Accepted: December 2, 2020
Article in press: December 2, 2020
Published online: January 27, 2021
Core Tip: Liver transplantation is the current standard of care for end-stage liver disease. Biliary complications are the leading cause of morbidity and mortality among recipients and despite the advances in surgical techniques they are seen in up to 25% of cases. Surgery, interventional endoscopy and percutaneous approaches are the available therapeutic options. Endoscopic retrograde cholangiography when possible is the most recommended therapeutic modality, replacing more aggressive surgical interventions. New techniques such as cholangioscopy overcome many of the limitations of conventional endoscopy. This article discusses the most common post-transplant biliary complications and the advances in treatment modalities.