Renal Assessment in the Setting of Pediatric Living Related Liver Transplantation

Abstract

Summary T his was a cross sectional prospective and retrospective Cohort study in which a pilot study is estimating the incidence of renal dysfunction among LRLT. A total of 40 patients were enrolled during the duration of the study from Dr. Yassin Abdel Ghaffar charity center for liver disease and research. Age of participants ranged from 2 to 18 years.The assessment was conducted for the participants at least six months after getting the transplantation done. Pre and postoperative pelviabdominal U/S were used to check kidney status. Complete physical examination was done focusing on weight & height percentiles, vital signs particularly the respiratory rate, heart rate, and blood pressure percentiles, abdominal examination for assessment of renal enlargement if any, signs of chronic renal dysfunction including pallor, puffiness, edema and newly evolved bone deformities. Our primary outcome was to determine the incidence of renal dysfunction among pediatric LT recipients using more sensitive and reliable renal function assessment approaches. While the secondary outcome was to determine the risk factors of renal dysfunction.