الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
The presentation of biliary complications varies considerably. The clinical presentation can vary from asymptomatic patient with moderate liver enzyme elevations to a septic patient with fever and hypotension due to ascending cholangitis. Whenever a biliary complication is suspected, work-up usually begins with laboratory evaluation and an abdominal doppler ultrasound. the next step can be magnetic resonance cholangiopancreatography (MRCP), endoscopic retrograde cholangiopancreatography (ERCP) or the percutaneous transhepatic cholangiography (PTC), depending on their availability.
Nonoperative treatment is often successful in early complications. Late complications presenting with leaks and obstruction are often more difficult to treat nonoperatively and frequently require surgical treatment or retransplantation.
Refractory strictures and strictures involving a long segment of bile duct usually require a surgical intervention in the form of conversion of DD to RYHJ or revision of RYHJ. Some centers are more aggressive with management of biliary strictures and prefer early surgical intervention as opposed to multiple endoscopic dilations.
Our study was combined prospective and retrospective conducted in DAR EL FOAD hospital, liver transplantation unit during the period from 2011 till 2020. Total transplanted patients were 380 patients, 45(11.84%) patients had post-operative biliary complications. 31(68.9%) patients were managed successfully by nonsurgical techniques and those patients were excluded from our study. 14 (31.1%)patients were managed surgically and those patients were discussed in our study. we had 4 patients with stricture, 7 patients with leakage and 3 patients with stricture and leakage. two patients had recurrent biliary complications after surgical management and one patient died.