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Review
. 2024 Apr;91(4):383-390.
doi: 10.1007/s12098-023-04963-5. Epub 2023 Dec 27.

Pediatric Liver Transplantation: Selection Criteria and Post-transplant Medical Management

Affiliations
Review

Pediatric Liver Transplantation: Selection Criteria and Post-transplant Medical Management

Sunitha Vimalesvaran et al. Indian J Pediatr. 2024 Apr.

Abstract

Pediatric liver transplantation remains the gold standard for life-threatening acute and chronic liver diseases and multiple liver-based inherited metabolic defects. Advances in surgical techniques, better perioperative care and immunosuppression regimes have resulted in excellent long-term graft and patient survival. The success of pediatric liver transplantation does however bring the additional challenge of long-term patient outcomes including graft hepatitis-related fibrosis and suboptimal biopsychosocial outcomes. In this review, authors will explore the current landscape of pediatric liver transplantation including indications, timing of referral for liver transplantation, surgical techniques and long-term outcomes such as recurrence of pre-transplant liver disease, idiopathic graft hepatitis and biopsychosocial outcomes. Ultimately, early identification and management of potential issues long-term helps ensure our recipients achieve a "meaningful survival".

Keywords: Biopsychosocial outcomes; Liver transplant; Long-term outcomes; Pediatric; Selection criteria.

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References

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