Today about 100000 people in the us are waiting for a lifesaving kidney transplant usually those patients are waiting for their first transplant because their kidneys have been damaged by diabetes high blood pressure or other diseases says dr stanley jordan medical director of kidney transplantation at cedars sinai. Due to recent medical advances living donors may give a single kidney a lobe of a lung or part of a liver or pancreas the kidneys and liver are the most typical organs transplanted using live donors in 2000 the number of living donors rose by 16 percent in 2001 for the first time living donors outnumbered non living donors. Rapid advances have been made in decreasing acute rejection rates and improving short term graft survival in kidney transplant recipients whether these advances ultimately will lead to a commensurate improvement in long term survival is not yet known. Introduction the first human kidney transplant was performed more than 60 years ago since then transplantation has become a highly complex trans disciplinary field that involves immunology genetics surgery nephrology intensive care infectious diseases pathology psychology and pharmacology. Pediatric and adult kidney transplantation differ in many ways but one of the most significant differences is the impact of kidney disease and kidney transplantation on growth and development in pediatric patients multiple facets of transplantation may have an impact on growth and development including the timing of transplantation choice of immunosuppressive agents and the presence of
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