Pediatric kidney transplantation part 67



How can transplant  team identify rejection without any outward sign?

There are different types of rejection and some can be difficult to diagnose. The transplant team will monitor your child for signs of rejection by doing certain regular tests. These test will depend on your child’s age and risk factors for rejection. Routine lab monitoring is vital, as it may be the only sign or an early rejection episode. If rejection is caught early, it may be easier to treat. Some centers do kidney biopsies at regular times after transplant (for example at 3 and 12 months after transplant) to look for evidence of rejection in the kidney tissue. These biopsies are called surveillance or protocol biopsies.

Different things can can affect your child’s risk of rejection. The kidney transplant team will determine the risks for your child and explain them to you. The risk of rejection can change over time.


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