Pediatric Liver Transplant Clinical Activities

Clinical Activities

Liver Clinic
Friday 9 – 12 noon, David M. Rubenstein Clinic – 200 South Wolfe Street

Procedures
We offer a large variety of procedures necessary for diagnosis and treatment of childhood liver diseases including percutaneous and transjugular liver biopsies, variceal sclerotherapy and banding, and upper and lower endoscopy

Patient care
We care for over 1000 children with a large variety of acute and chronic liver diseases (please see our Pediatric Liver Center Database piechart below)

Typical Clinical Challenges

The jaundiced newborn
• Giant cell hepatitis
• Congenital infection
• Metabolic liver disease
• Choledochal cyst
• Biliary atresia

The child with elevated liver enzymes
• Viral hepatitis (A,B,C,D,E,G,etc.)
• Autoimmune hepatitis
• Metabolic liver disease
• Nonalcoholic fatty liver disease

The jaundiced child
• Sclerosing cholangitis
• Gallstones
• Neoplasms
• Biliary tract anomalies

The child with liver failure
• Fulminant
• Acute
• Chronic

Medical Experitise

Pediatric hepatology
• Two decades of experience
• Percutaneous liver biopsy
• Gastrointestinal endoscopy
• Nutrition Support Team
• Antiviral, immunosuppressant
and metabolic therapies

Pediatric radiology
• Doppler ultrasound
• Computed axial tomography
• Magnetic resonance imaging
• Nuclear medicine
• Transjugular liver biopsy
• Intrahepatic portosystemic shunts

Therapeutic endoscopy
• Endoscopic retrograde cholangiopancreatography
• Endoscopic ultrasound
• Dilatation of biliary strictures
• State of the art diagnostic laboratories

Pathology
• Routine and special staining
• Enzymes
• Electron microscopy
• In situ DNA studies Virology
• Rapid diagnosis of viral hepatitis

Metabolism
• Analysis of amino acids, organic acids, fatty acids and sterols

Surgical Solutions

Biliary tract procedures
• Choledochal cyst resection
• Hepatic portoenterostomy for biliary atresia
• Laparoscopic cholecystectomy

Partial hepatectomy
• Benign cysts and tumors
• Primary hepatic malignancies
• Liver metastases

Liver transplantation
• Almost 2 decades of success
• Program began in 1987
• 5th largest center in the country for living related liver transplantation
• Transplant Center of Excellence
• More than 150 children transplanted
• High survival rates
• Innovative approaches including:living related donors, reduced size transplants, split liver transplants, liver/kidney transplants