Overall Results

The results of liver transplantation in children have steadily improved over the last decade.23 In recent results, 1 and 5 year survival for children with chronic liver disease exceeds 90%. Transplantation in the setting of fulminant failure is excellent before the onset of severe neurological complications or the progressive failure of other organs such as the kidneys and lungs.

The goal of transplantation is to restore children with liver disease to normal life. Improved immunosuppression and more accurate techniques for the early detection of viral diseases have helped to make this goal an achievable reality.

Organ availability remains one of the largest stumbling blocks on the road to timely transplantation. It is hoped that techniques such as split liver transplantation and living donation in the acute setting, if used on a more regular basis, may

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