title: Current status and actual need for pediatric liver transplantation in Southern Vietnam.
abstract: Liver transplantation (LT) has considerably improved the outcome of patients with end-stage liver disease, especially in children. The first pediatric LT in Vietnam was performed in 2004. To assess the current need for pediatric LT in Southern Vietnam, a total of 280 patients with chronic liver disease followed at Children's Hospital 2 (Ho Chi Minh City), the only pediatric LT center in this region, were evaluated from January 2009 to June 2014. Sixty-seven patients satisfied criteria for LT but only one transplant surgery occurred since 2009. Parental consent for LT was obtained only in 28.4% of patients. The main reasons for the small number of LTs were financial costs, far distance from home, lifelong follow-up and treatment, and shortage of organ donors. We conclude that the current need for pediatric LT in Southern Vietnam is high. Efforts should be made to develop the liver transplant program in this developing country.
authors.affiliation: Gastroenterology, Children's Hospital 2, Ho Chi Minh City, Vietnam.
authors.forename: Tu Cam
authors.initials: TC
authors.lastname: Nguyen
authors.affiliation: Institut de recherche expérimentale et clinique, Pôle d'épidémiologie et Biostatistique, Université catholique de Louvain, Brussels, Belgium.
authors.forename: Annie
authors.initials: A
authors.lastname: Robert
authors.affiliation: Biostatistics, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Vietnam.
authors.forename: Phuong Van Ngoc
authors.initials: PV
authors.lastname: Nguyen
authors.affiliation: Gastroenterology, Children's Hospital 2, Ho Chi Minh City, Vietnam.
authors.forename: Ngoc Minh
authors.initials: NM
authors.lastname: Nguyen
authors.affiliation: Pediatric Surgery, Children's Hospital 2, Ho Chi Minh City, Vietnam.
authors.forename: Dinh Quang
authors.initials: DQ
authors.lastname: Truong
authors.affiliation: Nutrition and Metabolism Unit & Laboratory of Pediatrics, Université Libre de Bruxelles, Brussels, Belgium.
authors.forename: Philippe
authors.initials: P
authors.lastname: Goyens
authors.affiliation: Pediatric Surgery and Transplant Unit, Saint-Luc University Clinics, Université catholique de Louvain, Institut de recherche expérimentale et clinique, Brussels, Belgium.
authors.forename: Raymond
authors.initials: R
authors.lastname: Reding
mesh_terms: D002648:Child; D002675:Child, Preschool; D005260:Female; D017048:Health Care Costs; D006297:Health Services Accessibility; D006801:Humans; D007223:Infant; D017093:Liver Failure / Q000601:surgery*; D016031:Liver Transplantation / Q000191:economics / Q000706:statistics & numerical data*; D008297:Male; D014019:Tissue Donors; D009927:Tissue and Organ Procurement / Q000379:methods; D016896:Treatment Outcome; D014744:Vietnam
keywords: Southern Vietnam; biliary atresia; chronic liver disease; parental consent; pediatric liver transplantation