Renal transplantation in the infant and young child.
Fourteen renal transplantations were performed in 13 children, aged 5 years or younger, including three infants. The mean duration of follow-up was 68 months, with a range of 14 to 203 months. Eleven children are alive; of these, nine had prolonged graft function. Graft survival rate was 92% at one year and 73% at two and five years following surgery. Sustained catch-up growth occurred in all growth-retarded children who underwent successful transplantation. At this writing, the oldest patient is 20 years of age and a junior in college; all school-age children are functioning at the appropriate grade level, except one, who is one year behind. The youngest child is 3 years old and is developing normally. Infants and young children appear to be good candidates for renal transplantation.
Kalia
A
A
Department of Pediatrics, University of Texas Medical Branch, Galveston, TX 77550.
Brouhard
B H
BH
Travis
L B
LB
Gifford
R R
RR
Winsett
O E
OE
D002657:Child Development / Q000502:physiology; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006085:Graft Survival; D006128:Growth; D006801:Humans; D007223:Infant; D016030:Kidney Transplantation; D008297:Male; D012917:Social Adjustment; D013997:Time Factors