Biliary complications after living donor liver transplantation: analysis of risk factors and outcomes in 820 recipients

Presenter: Kausa Makki MBBS, MS | Fortis Hospitals Background: Biliary complications (BC) after LDLT continues to be an important cause of morbidity, graft loss, and mortality. Study aims identify risk factors, analyse clinical presentations outcome patients with BC, evaluate impact BC on survival. Methods: Retrospective analysis 820 primary LDLTs performed at our institute between December 2011 2018. With a median follow-up 34 months (range: 1 month-95 months), the overall incidence was 6.7% (n = 55). Patients without (group A, n 765) B, 55) were compared. Results: Male recipient gender (p 0.034) sarcopenia (p-value 0.00) statistically significant factors for both univariate multivariate analysis. Thirty-two (58.2%) presented biliary stricture 23 (42.8%) leak with/without stricture. Overall, 1, 3, 5-year patient survival significantly inferior in (82.3%, 76.9%, 72.1%) compared those (92.8%, 90.8%, 90.1%). Conclusion: Sarcopenia is determinant BCs LDLT. remains loss. Management strategies need tailored based presentation available expertise centre.