[Practical aspects of surveillance after hepatic transplantation in children].
From a practical point of view, the care of a child after liver transplantation comprises 3 periods with decreasing severity: -the first one takes place in the intensive care unit: immunosuppression is started with steroids, azathioprine and cyclosporine and four major complications are sought for and treated: primary graft dysfunction, acute rejection, hepatic artery thrombosis and infection; -the second period takes place in conventional hospital settings: cyclosporine is progressively switched from IV to oral; rejection, cytomegalovirus infection and biliary complications are sought for and treated; -the third period takes place at home: the level of immunosuppression is progressively lowered under biochemical supervision; long-term complications (renal and malignancies) are detected.
Bernard
O
O
Bicêtre-Cochin pour la transplantation hépatique chez l'enfant: Hôpital Cochin.
Houssin
D
D
Valayer
J
J
D001424:Bacterial Infections / Q000517:prevention & control; D001649:Bile Duct Diseases / Q000517:prevention & control; D002648:Child; D003586:Cytomegalovirus Infections / Q000517:prevention & control; D006084:Graft Rejection; D006499:Hepatic Artery; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D008099:Liver / Q000201:enzymology; D016031:Liver Transplantation; D008134:Long-Term Care; D011182:Postoperative Care / Q000592:standards*; D011183:Postoperative Complications / Q000517:prevention & control; D013927:Thrombosis / Q000517:prevention & control
D007166:Immunosuppressive Agents
Aspects pratiques de la surveillance après transplantation hépatique chez l'enfant.