Objective: To study the etiology, diagnosis and treatment of biliary complications after orthotopic liver transplantation (OLT) from donation after cardiac death (DCD). Methods：Eighty-seven recipients who had received liver transplantation from DCD in the First Affiliated Hospital of Nanjing Medical University between January 2015 and August 2016 were retrospectively reviewed. Fifty-eight cases received modified piggyback liver transplantation. The bile duct was reconstructed by end-to-end anastomosis of the common bile duct. No cases used the T tube. Results: Biliary complications was diagnosed cholangiographyically in 9 cases. Eight patients were cured，one patient was improved，and no patient died. The incidence for biliary complications was 10.1%(9/87). Conclusion: Long ischemic time of the graft, poor quality of donor’s liver graft, poor techniques for anastomosis and repair of the graft and other factors may contribute to the biliary complications after liver transplantation from DCD. Early cholangiography is helpful to diagnose biliary complications. Endoscopic and/or radiological interventions should be the main treatment for biliary complications.