The particularly high mortality in children awaiting liver and intestinal transplantation has been recognized by allocating this group a higher priority in the allocation sequence. Patients assessed for liver transplantation usually suffer from Chronic liver disease, Acute liver failure, Liver tumors and Metabolic liver disease with life-threatening extra-hepatic complications. Common symptoms that may indicate the need for further testing and possible transplant include: jaundice, ascites (accumulation of fluid in the abdomen), bleeding episodes or poor growth pattern.
The ability of the child's family to comply with instructions and follow-up plans are relevant factors which must be considered in the transplant assessment process. However the aim of the process is to identify support required to enable successful transplantation. Children should not be disadvantaged by family factors beyond their control. Age is not itself a contraindication, but the outcome of transplantation in the neonatal period is inferior to transplantation later in childhood.
Long-term monitoring is important to assure the child’s ongoing health. Outpatient medical visits and blood testing continue at a frequency that tapers over time, according to the child’s condition and absence of complications or illnesses.
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