Liver transplantation in children

Indian Journal of Pediatrics
M Rela, Anil Dhawan

Abstract

The results of liver transplantation has improved significantly in the last decade with one year survival figures close to 90% for children with chronic liver disease. This can be attributed to improvement in surgical techniques, better postoperative care and newer immunosuppresive drugs. As a result of this, increasing number of children are referred for transplantation with no significant increase in the number of solid organ donors. The earliest transplants in children were performed using organs from size matched pediatric donors. However, as the pediatric donor numbers were limited, liver reduction techniques were developed to transplant small children before deterioration. Increasing experience with reduced livers led to the development of split liver, living donor and auxiliary liver transplantation. Better management of immunosuppressive drugs and newer agents such as Mycophenolate Mofetil have reduced the incidence of graft loss due to chronic rejection and long-term renal toxicity. The goal for the future will remain to be transplantation without the use of long-term immunosuppression.

References

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Citations

May 9, 2009·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·R M TaylorA Dhawan
Jan 1, 2003·World Journal of Gastroenterology : WJG·Yan-Ling YangKai-Zong Li
Nov 9, 2005·Journal of Child Health Care : for Professionals Working with Children in the Hospital and Community·Rachel M TaylorAnil Dhawan
Nov 9, 2005·Early Human Development·Anil Dhawan, Giorgina Mieli-Vergani

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