Monroe Carell Jr. Children's Hospital at Vanderbilt
Monroe Carell Jr. Children's Hospital at Vanderbilt
Monroe Carell Jr. Children's Hospital at Vanderbilt
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Monroe Carell Jr.
Children's Hospital
at Vanderbilt
2200 Children's Way
Nashville, TN 37232


(615) 936-1000

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Long-Term Follow-Up

 

Children receiving a liver transplant will receive follow-up care at a transplant center throughout their lifetime. It is the key to a healthy life with a transplant.

Monitoring at Monroe Carell Jr. Children's Hospital at Vanderbilt includes blood tests and visits to our clinic on the 10th floor of the Doctors' Office Tower. These visits will take place twice weekly immediately after discharge, and then taper to weekly. We will then move to monthly appointments as your child stabilizes on their medication regimen. Our transplant nurse practitioner and transplant coordinator will help you and your child track your medications, follow-up labs, and appointments.

Because the risk of both infection and rejection are highest in the first six months after transplant, it is crucial to keep your follow-up appointments as scheduled. Even with the correct medications, children can experience an episode of rejection, when the body reacts against the new organ. Taking stronger immunosuppressive medicines for a short time will usually reverse rejection episodes.

Most children are sent home with at least seven different medications. Children take steroids following a liver transplant, but our program works to taper to a steroid-free protocol. Lower-risk children can taper in as little as three months, whereas children with higher risk may take longer. The transplant team will follow your child’s medication regimen closely to determine the best schedule.

The long-term plan is for children to take only two medications, one to prevent rejection and one to prevent infection. The long-term goal for follow-up care is that children will be seen for a clinic visit, lab work, and diagnostic testing on a yearly basis.

With teamwork and a commitment to their care plan, children with transplants can thrive throughout childhood and live long and healthy adult lives.


Last Edited: June 3, 2016
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