Evaluation of the pediatric patient for liver transplantation: 2014 practice guideline by the american association for the study of liver diseases, american society of transplantation and the north american society for pediatric gastroenterology, hepatolo

What Is the Role of Developmental Disability in Patient Selection for Pediatric Solid Organ Transplantation?

“…Lack of adequate social support system listed as contraindication to liver transplantation AASLD, liver transplantation in children (2014) (19) ''The presence of a severe intellectual or developmental disability has raised concerns of candidacy for liver transplantation. Those concerns center upon compliance with a rigorous and lifelong post-transplant management schedule, potential for increased risk for malignant or infectious complications related to genetic or physical disabilities, and assessment of quality of life.…”

Acute Liver Failure : Management Update

“…23 More recently, with improvements in management of critically ill children, coupled with a more lenient definition of pediatric acute liver failure, outcomes have improved. 24,25 However, it should be noted that all current studies of outcomes are affected by decisions about liver transplantation, because LT interrupts the natural course of PALF. Some children who receive LT may have recovered spontaneously, and some die as a consequence of LT rather than of the underlying PALF.…”

Avaliação Nutricional Em Crianças E Adolescentes Com Cirrose: Estudo Transversal De Duas Séries

“…Devido aos danos hepáticos, os pacientes com cirrose usualmente apresentam desnutrição caracterizada por depleção de gordura e de massa muscular. As mensurações DCT/I e CB/I são úteis para avaliar as reservas corporais de gordura e proteína e são capazes de detectar precocemente as alterações no estado nutricional dos hepatopatas pediátricos 21,25,26 . Por esses motivos, os parâmetros antropométricos E/I e DCT/I são bastante confiáveis para a determinação do estado nutricional de pacientes pediátricos com doença hepática crônica 6,27 .…”