Pediatric Nephrology

Expert clinical care for infants and children with kidney disease,
To improve the health of children with kidney disease
Treat Infants and children with a variety of diseases of the urinary tract and kidney, including those resulting in kidney failure.
Provide care for children who require acute or chronic dialysis and those who have undergone kidney transplantation
A multidisciplinary team of nephrologists, urologists, transplant surgeons, nurses, nutritionists and medical social workers provide care for:

  • Chronic kidney disease
  • Hypertension
  • Urinary tract infections
  • Genetic malformations of the kidney
  • Kidney biopsies
  • Bone and mineral metabolic disorders
  • Kidney failure, including dialysis and transplantation
Nephritis,nephrosis,hypertension,fluid and electrolyte disorders,mineral metabolism :
disorders of calcium and phosphorus metabolism
,
urinary tract infection,kidney stone diseasenutrition and growth disorders related to kidney diseasediagnose and manage patients with acute kidney failurePediatric Kidney Transplant Program
glomerular diseasesacid-base disorders-tubulointerstitial diseases


If your child has kidney or urinary tract disease, bladderproblems, kidney stones, or high blood pressure,

A Pediatric Nephrologist has the special skills and experience to treat your child, Pediatric Nephrologist treat children from infancy through late adolescence and up to young adulthood

Kidney Transplantation

Kidney transplantation or renal transplantation is the organ transplant of a kidney into a patient with end-stage renal disease.
Kidney transplantation is typically classified as deceased-donor (formerly known as cadaveric) or living-donor transplantation depending on the source of the donor organ.

Living-donor renal transplants are further characterized as genetically related (living-related) or non-related (living-unrelated) transplants, depending on whether a biological relationship exists between the donor and recipient.

The main role of the kidneys is to filter waste products from the blood and convert them to urine. If the kidneys lose this ability, waste products can build up, which is potentially dangerous and can be life threatening.

This loss of kidney function, known as end stage chronic kidney disease or kidney failure, is the most common reason for needing a kidney transplant.

When kidneys fail, there are three treatment choices:

  • Hemodialysis,
  • Peritoneal dialysis
  • Kidney transplantation

Many people feel that a successful kidney transplant provides a better quality of life because it may mean greater freedom, more energy and a less strict diet.

Renal transplantation has become the treatment of choice for most patients with end-stage renal disease (ESRD)

Most people who need a kidney transplant are able to have one, regardless of their age, as long as:

  • They are well enough to withstand the effects of surgery
  • The transplant has a relatively good chance of success
  • The person is willing to comply with the recommended treatments required after the transplant – such as taking
  • immunosuppressant medication and attending regular follow-up appointments
  • Reasons why it may not be safe or effective to perform a transplant include having an ongoing infection (this will need to be treated first),heart disease, liver failure, cancer that has spread to several places in your body (metastatic cancer), and AIDS (the final and most serious stage of an HIV infection).
  • However, people who have HIV that is being effectively controlled with medication can often have a kidney transplant.

A kidney transplant may NOT be done if you have:

  • Certain infections, such as TB or bone infections
  • Problems taking medications several times each day for the rest of your life
  • Heart, lung, or liver disease
  • Other life-threatening diseases
  • Recent history of cancer
  • Infections, such as hepatitis
  • Smoking, alcohol or drug abuse, or other risky lifestyle habits

Specific risks related to this procedure include:

  • Blood clots (deep venous thrombosis)
  • Heart attack or stroke
  • Wound infections
  • Side effects from medicines used to prevent transplant rejection
  • Rejection of the new kidney
  • Severe infection
  • Bleeding
  • Reaction to the anesthesia used for surgery.
  • Failure of the donor kidney

Only one donated kidney is needed to replace two failed kidneys, making living-donor kidney transplantation an option

Having a healthy lifestyle after a kidney transplant goes a long way to minimizing the risk of complications.
Therefore, it’s recommended that you:

  • Stop smoking if you smoke
  • Eat a healthy diet
  • Lose weight if you are overweight or obese
  • Take steps to reduce your risk of developing infections

There are a number of factors which affect how long a transplanted kidney may last. These include whether or not the kidney came from a living donor, how well the kidney is matched in terms of blood group and tissue type, the age of the person receiving the donation, and the overall health of the person receiving the donation.

Overall, average kidney survival times are:

  • 1 year – 85-95%
  • 5 years – 70-80%
  • 15 years – 50-60%

TYPICAL TRANSPLANT TEAM

A Nephrologist, a kidney disease specialist who has training and experience in caring for kidney transplant patients, who will monitor all of your medical care before, during, and after your transplant

A transplant surgeon, who is specially trained and experienced in kidney transplantation and who will actually transplant the new kidney

A social worker, available throughout the transplant process to help you and your families identify and evaluate the problems and needs associated with your illness. He or she can provide education, counseling regarding lifestyle changes, referrals to community agencies, and any other help you need in adjusting to chronic illness.

A financial counselor who can answer any questions that you or a potential donor may have about insurance coverage related to surgery and care

A nutritionist who will work closely with you and your doctor to determine the right diet for your needs after transplant surgery and make any necessary revisions should your medical condition or treatment change.

A transplant coordinator who will serve as your contact throughout the transplant process