Get this from a library pediatric renal transplantation protocols and controversies leonard curtis hymes the role of immunosuppression is essential to maintain the integrity of a renal transplant by preventing acute rejection among adult patients with solid organ transplants standard immunosuppression . Although the number of children with end stage renal disease esrd in need for renal transplantation is small compared with adults the problem associated with renal transplant in children are numerous varied and often peculiar. Approximately 1 in 65000 children develops end stage renal disease esrd each year with almost 1200 children aged 0 19 years in the united states developing esrd annually kidney transplantation is the primary method of treating esrd in the paediatric population. Intraoperative management and early postoperative outcomes of pediatric renal transplants smaller children are presenting for renal transplantation as the treatment of choice for end stage renal disease adult donor organs are more successful than pediatric deceased donor organs one hundred and fifty six children underwent renal
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