Published online Jul 18, 2015. doi: 10.4254/wjh.v7.i14.1856
Peer-review started: October 20, 2014
First decision: December 17, 2014
Revised: January 22, 2015
Accepted: July 7, 2015
Article in press: July 8, 2015
Published online: July 18, 2015
Core tip: Living donor liver transplantation (LDLT) is associated with increased risk of post transplant biliary complications in recipients and donors, namely bile leaks and biliary strictures. Large bile leaks present early after LDLT and are treated with endoscopic stenting. Ischemic injury to cholangiocytes is the main cause of stricture formation. These may present early or late and are managed with endoscopic dilation followed by stent placement. Occasionally, surgical repair may be required. Cast formation may complicate biliary strictures, requiring endocopic extraction and frequent replacement of stents with cleaning of biliary sludge and debris.