Post liver transplantation complications in pediatric patients in a third level hospital, Lima-Peru, 2016-2020

• Autores: Castro-Johanson, Rosa, Tello Quispe, Gabriela, Verastegui S., Rodrigo, Perez Rodriguez, Diana
• Formato: artículo
• Fecha de Publicación: 2024
• Institución: Sociedad de Gastroenterología del Perú
• Repositorio: Revista de Gastroenterología del Perú
• Lenguaje: español
• OAI Identifier: oai:ojs.revistagastroperu.com:article/1606
• Enlace del recurso: https://revistagastroperu.com/index.php/rgp/article/view/1606
• Nivel de acceso: acceso abierto
• Materia: Trasplante hepático; Pediatría; Perú; Liver transplantation; Pediatrics; Peru

Objective: determine the complications during the first year after liver transplantation in pediatric patients of the INSN-SB during the period 2016-2020. Materials and methods: Descriptive, cross-sectional study. The medical records of liver transplant patients seen during post-transplant follow-up at the INSN-SB were reviewed, collecting epidemiological characteristics, transplant indication; PELD score, CHILD score and complications prior to the transplant, as well as the frequency of the main complications presented during the first year after the transplant. Results: Of the 16 patients evaluated, 62.5% were under 1 year of age, with a median weight of 7.4kg, 50% presented a CHILD C score, with a median PELD of 23, the main reason for transplantation was atresia of bile ducts (62.5%), the main complications prior to transplantation were portal hypertension (75%) and malnutrition (68.8%). All posttransplant patients presented at least one infectious complication: bacterial (53%), CMV infection (75%) and EBV infection (31%); Regarding vascular complications, 25% presented portal vein thrombosis and one patient (6%) presented hepatic artery stenosis; Regarding biliary complications, 12.5% presented biliary fistula, also 12.5% presented bile duct dilation, while 6.25% presented bilioma. Conclusions: Among the main complications of the postliver transplant patient, we can highlight that all patients presented at least one infectious complication (100%), vascular complications in 31% and biliary complications in 31.25% of patients.