[Surveillance of children with liver transplantation].
The benefit of liver transplantation in children with end-stage liver disease is now well established. About 80% of the children are alive 5 years after liver transplantation. These good results are obtained not only because of the improvements of the surgical techniques, but also secondary to the reffinements of the follow-up of the patients. In the intensive care unit, clinical, biological and radiological cares must be permanent, allowing graft function assessment, correction of the haemodynamic disturbances, initiation of specific therapies and the research of any complication which must be promptly treated. The main surgical complications are intraperitoneal haemorrhage, biliary and vascular failures. Bacterial and viral infections, rejection represent frequent medical complications. Following the discharge from the intensive care unit, the children are checked daily until patient and graft conditions reach normal status. As time goes, the risk of complications is decreasing, but does not disappear, underlying the need for regular and long follow-up. In almost children, liver transplantation offers normal growth and scooling.
Boillot
O
O
Unités de transplantation hépatique, pavillon V, Lyon.
Gille
D
D
Floret
D
D
Stamm
D
D
Lachaux
A
A
Fournier
V
V
D000367:Age Factors; D002648:Child; D005500:Follow-Up Studies; D006801:Humans; D016031:Liver Transplantation; D011182:Postoperative Care; D011183:Postoperative Complications / Q000175:diagnosis; D011184:Postoperative Period; D013997:Time Factors
Surveillance de l'enfant transplanté du foie.