Abstract
We performed management 55 pediatric patients with renal transplant between 20 years. Character of the pediatric renal-transplant recipient is to have much congenital disorder, and therefore many patients were necessary for urological treatments.
The graft survival rate at 1 and 5 year after transplantation was 100 and 97%, respectively. Pediatric renal transplant in itself is established medical care recently. However, there are grave complications such as infection diseases, post transplantation diabetes mellitus and lymphoproliferative disease, and there is the problem that was must overcome in future.
We experienced six renal graft loss cases. The half of those was a non-compliance case and might be able to avoid graft loss. Beside it, we experienced seven non-compliance patients. The non-compliance is character of adolescents and young adults.
There are the problem that pediatric child elsewhere. The renal graft function gradually worsens, so we must always think about next treatment. As well as it, we must be able to cope about finding employment, a marriage, gestation, and childbirth.
Pediatric renal transplant medical care is to be team approach, and it is necessary to examine children for all men.
