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Published on: November 7, 2020
Effect of pediatric liver transplantation on renal function
Hasan M A Isa1, Afaf M Mohamed, Amer E Alderazi
1Pediatric Department, Salmaniya Medical Complex, Manama, Kingdom of Bahrain.
Insights
Renal dysfunction is common in pediatric liver transplant (LT) survivors. Identifying risk factors and using renal-sparing immunosuppression are key to preventing kidney disease progression.
Area of Science:
- Nephrology
- Hepatology
- Pediatric Transplantation
Background:
- Renal dysfunction is a frequent complication in pediatric liver transplant (LT) recipients.
- Assessing kidney function using measured glomerular filtration rate (mGFR) is crucial.
Purpose of the Study:
- To determine the incidence of renal dysfunction in pediatric LT survivors.
- To identify risk factors associated with renal dysfunction.
- To outline current therapeutic strategies for renal dysfunction.
Main Methods:
- This is a review article.
- Literature search for studies on renal dysfunction in pediatric LT survivors.
- Analysis of incidence, risk factors, and treatments.
Main Results:
- Renal dysfunction occurs commonly in pediatric LT survivors.
- Multiple factors contribute to renal dysfunction post-transplant.
- Specific immunosuppressive strategies are linked to renal outcomes.
Conclusions:
- Early identification and management of renal dysfunction are vital.
- Renal-sparing immunosuppressive protocols are essential for long-term kidney health.
- Preventing end-stage renal disease requires a proactive approach in pediatric LT recipients.
Abstract:
The aim of this review is to define the incidence of renal dysfunction among pediatric liver transplant (LT) survivors, to identify the associated risk factors and to outline the therapeutic options. Renal dysfunction is a common problem after pediatric LT. The measured glomerular filtration rate is considered the "gold-standard" for assessment of renal function. Renal dysfunction in pediatric LT recipients is multifactorial. Renal-sparing immunosuppressive strategies are essential to reverse renal dysfunction and to prevent end-stage renal disease.
Related Concept Videos
Pharmacokinetics in Pediatric Patients: Drug Metabolism
Kidney Transplant I: Introduction
Pharmacokinetics in Pediatric Patients: Drug Excretion
Effect of Hepatic Disease on Pharmacokinetics: Pathophysiologic Assessment and Liver Function Test
Kidney Transplant II: Surgical Procedure
Kidney Transplant III: Nursing Management

