Korean J Transplant.  2022 Nov;36(Supple 1):S191. 10.4285/ATW2022.F-3186.

Pediatric kidney transplantation in Mongolia

• Lkhaakhuu O
• Davaadorj B
• Tseren K
• Banzragch O
• Batsuuri B
• Enkhee G

• KMID: 2535707
• DOI: http://doi.org/10.4285/ATW2022.F-3186

Abstract

Background
Renal transplantation is the best treatment for children with end-stage renal disease (ESRD) offering advantages of improved survival, growth potential, cognitive development, and quality of life. Current data in Mongolia show that every year around 20 children diagnose ESRD. On dialysis have 19 children, average age is 10.26. The aim of our study was to compare the outcomes child recipients at a single adult center in First Central Hospital of Mongolia.
Methods
Retrospective chart review of pediatric patients who underwent kidney transplantation from 2006 to 2021.
Results
Renal transplants were accomplished and five cases were living donor kidney transplantation, one case were deceased donor kidney transplantation, only one of the cases, the graft was obtained through laparoscopy. Average age was 12.6. Two receptors weighted <25 kg. Five receptors were male and one was female. Four receptors live donor was the fathers and one was mother. Immunosuppressant induction treatment one case Compath, four cases had basiliximab and maintenance regimen one case had steroid and cyclosporine, five cases had triple tacrolimus, mycophenolate mofetil and steroid. Complication rate was 9.67% (urine tract infection, acute allograft nephropathy). Patient survival rate was 100%, and graft survival rate was 96.7% at a year. Two cases have survival of 5 years and two case 3 years, one case 1-year survival. Our program of pediat-ric kidney transplantation has achieved optimal patient and graft survival rates with low rate of complications. Pediatric kidney transplants have higher patient and better graft survival rates then dialysis.
Conclusions
In this study we wanted show success of introduction pediatric kidney transplantation, but not all children with ESRD cannot have this treatment due to lack of donors, kids age, and weight. Also we need to train pediatric surgeon and ne-phrology doctors for kidney transplantation. We need have deceased donor kidney transplantation for child in Mongolia.