EXPORT CITATION

Chapter-54 Pediatric Kidney Transplantation

BOOK TITLE: Kidney & Pancreas Transplantation

Author
1. Molmenti Ernesto P
2. Basu Amit
3. Khader Adam
4. Sethna Christine
5. Chorny Nataliya
6. Prince Jose
7. Shapiro Ron
ISBN
9789351523390
DOI
10.5005/jp/books/12547_55
Edition
1/e
Publishing Year
2015
Pages
6
Author Affiliations
1. Hofstra Northwell School of Medicine, Long Island, New York, USA, North Shore-LIJ Health System, Long Island, New York, USA; Hofstra North Shore–LIJ School of Medicine, Long Island, New York, USA
2. North Shore-LIJ Health System, Hempstead, New York, USA
3. Feinstein Institute for Medical Research, North Shore-LIJ Health System, Hempstead, New York, USA
4. Cohen Children’s Medical Center of New York, North Shore-LIJ Health System; Hofstra North Shore-LIJ School of Medicine, Hempstead, New York, USA
5. North Shore-LIJ Health System; Hofstra North Shore-LIJ School of Medicine, Hempstead, New York, USA
6. Cohen Children’s Medical Center of New York; Feinstein Institute for Medical Research, North Shore-LIJ Health System; Hofstra North Shore-LIJ School of Medicine, Hempstead, New York, USA
7. Thomas E Starzl Transplantation Institute; University of Pittsburgh, School of Medicine, Pittsburgh, Pennsylvania, USA
Chapter keywords
Pediatric kidney transplantation, pediatric population, end-stage renal disease (ESRD), renal disease, glomerular disease, glomerulonephritis (GN), United Network for Organ Sharing (UNOS), steroids

Abstract

Kidney transplantation in the pediatric population is the therapy of choice for children with end-stage renal disease (ESRD). The etiology of ESRD in children is different compared with adults where acquired renal disease predominates. In younger children, the leading cause of ESRD is congenital cystic or hereditary. In older children and adolescents, glomerular disease and glomerulonephritis (GN) are more prevalent. Allocation of organs for pediatric transplantation is done by United Network for Organ Sharing (UNOS). Optimal hydration should be maintained, especially in small recipients, to ensure adequate renal perfusion during transplantation. Because of adverse side effects of steroids, steroid-free and early steroid withdrawal protocols have been used in children with success.

Related Books

© 2019 Jaypee Brothers Medical Publishers (P) LTD.   |   All Rights Reserved