Publication Name	World Journal of Gastrointestinal Endoscopy
Manuscript ID	123520
DOI	10.4253/wjge.123520
Country	Nepal

Category	Gastroenterology & Hepatology
Manuscript Type	Editorial
Article Title	Mitigating challenges in endoscopic management of post-liver transplant biliary strictures
Manuscript Source	Invited Manuscript
All Author List	Umid K Shrestha
Funding Agency and Grant Number
Corresponding Author	Umid K Shrestha, MD, PhD, Professor, Department of Gastroenterology and Hepatology, Nepal Mediciti Hospital, Bhaisepati, Ward No. 18, Lalitpur 44700, Bagmati, Nepal. umidshrestha@gmail.com
Key Words	Post-liver transplant biliary strictures; Anastomotic biliary strictures; Non-anastomotic biliary strictures; Multiple plastic stents; Fully covered self-expandable metal stent
Core Tip	Post-liver transplant biliary strictures (PTBS) are divided into anastomotic and non-anastomotic biliary strictures. Endoscopic therapy with balloon dilation of stricture followed by the placement of multiple plastic stents or fully covered self-expandable metal stents is currently the first-line therapy for PTBS. In cases of stricture recurrence, repeat endoscopic therapy remains a highly effective option. However, endoscopic treatment encounters challenges in certain conditions, such as tight or tortuous stenosis and altered anatomy, which are mitigated through advanced techniques, specialized stent designs, peroral cholangioscopy, deep enteroscopy and multidisciplinary approaches, thereby achieving long-term stricture resolution and reducing the need for surgery.
Citation	Shrestha UK. Mitigating challenges in endoscopic management of post-liver transplant biliary strictures. World J Gastrointest Endosc 2026; In press DOI: https://doi.org/10.4253/wjge.123520
PDF	123520-in-press.pdf

Received	2026-05-21 06:27
Peer-Review Started	2026-05-21 06:28
First Decision by Editorial Office Director	2026-06-08 10:25
Return for Revision	2026-06-08 10:25
Revised	2026-06-12 00:37
Publication Fee Transferred
Second Decision by Editor	2026-06-17 02:38
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-06-17 06:44
Articles in Press	2026-06-17 06:44
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1948-5190 (online)
Open Access	Open-Access: This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Copyright	©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
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