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September 17, 2026LiversOpen Access

Approach to Biliary Complications After Liver Transplantation: Current Evidence and the Emerging Role of Therapeutic Endoscopic Ultrasound

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Authors

GRGabriele RancatoreCGCarmelo Marco GiacchettoMGMaria Vittoria Grassini

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Overview

Review highlights therapeutic endoscopic ultrasound as an effective salvage option for biliary complications following liver transplantation, suggesting improved graft preservation via minimally...

Key Points

  • To evaluate the etiology, diagnostic strategies, and therapeutic management of biliary complications following liver transplantation, with an emphasis on therapeutic endoscopic ultrasound.
  • Literature review analyzing current evidence on post-liver transplantation biliary strictures, leaks, and secondary complications, including diagnostic approaches and salvage interventions.
  • Anastomotic strictures, non-anastomotic strictures, and bile leaks are the most frequent biliary complications, typically evaluated through laboratory markers, abdominal ultrasound, and magnetic resonance cholangiopancreatography.
  • Endoscopic therapy remains the first-line treatment over interventional radiology or surgical revision, with therapeutic endoscopic ultrasound serving as an effective minimally invasive salvage modality when conventional transpapillary access fails.

Cite This Study

Rancatore et al. (2026) studied this question.

synapsesocial.com/papers/6aabb7755f706d05830e681ehttps://doi.org/10.3390/livers6050097
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