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Current Practice in Immunosuppression in Pediatric Liver Transplantation.
Vincenzi, Rodrigo; Fonseca, Eduardo A; Roda, Karina M O; Chapchap, Paulo; Neto, João Seda.
Afiliación
  • Vincenzi R; Liver Transplant Department, Hospital Sirio-Libanes, Sao Paulo, SP, Brazil.
  • Fonseca EA; Liver Transplant Department, Hospital Sirio-Libanes, Sao Paulo, SP, Brazil.
  • Roda KMO; Liver Transplant Department, Hospital Sirio-Libanes, Sao Paulo, SP, Brazil.
  • Chapchap P; Liver Transplant Department, Hospital Sirio-Libanes, Sao Paulo, SP, Brazil.
  • Neto JS; Liver Transplant Department, Hospital Sirio-Libanes, Sao Paulo, SP, Brazil.
Curr Pharm Des ; 26(28): 3402-3405, 2020.
Article en En | MEDLINE | ID: mdl-32534559
The last decades have witnessed a significant improvement in the field of pediatric liver transplantation (LT), resulting in longer patient and graft survival; adequate graft selection, surgical refinement, the use of live donors and optimal postoperative care are among the reasons why pediatric recipients are living longer. With this new condition, pediatric recipients are now more exposed to the deleterious effects of immunosuppression, including metabolic, infectious and neoplastic complications, nephrotoxicity and neurotoxicity. Due to all those particularities, the approach to avoid overimmunosuppression or underimmunosuppression may be more difficult in children than in adult recipients. Moreover, pediatric recipients are exposed to growth issues and specific problems during adolescence, like nonadherence to immunosuppressive therapy. This article highlights the current immunosuppressive strategies for pediatric liver transplant recipients.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trasplante de Hígado Límite: Adolescent / Adult / Child / Humans Idioma: En Revista: Curr Pharm Des Asunto de la revista: FARMACIA Año: 2020 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Emiratos Árabes Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trasplante de Hígado Límite: Adolescent / Adult / Child / Humans Idioma: En Revista: Curr Pharm Des Asunto de la revista: FARMACIA Año: 2020 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Emiratos Árabes Unidos