Journal of pediatric nursing · 2026
Perioperative multidisciplinary nursing care for a pediatric patient with biliary atresia and Alagille syndrome undergoing liver transplantation: A case report.
СтатьяКлинический случайНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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История · было → стало
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Wang Man, Si Meimei, Zhang Zhixin, Jiang Ying
Аннотация
OBJECTIVE: This case report details the perioperative management of a 5-year-old girl with biliary atresia (BA) and Alagille syndrome (ALGS) undergoing liver transplantation. Our transplant center emphasizes preoperative optimization, targeted management of high-risk complications, and family-centered support throughout the care process. This report was prepared in strict accordance with the Case Report (CARE) Guidelines, an official clinical reporting guideline endorsed by the EQUATOR Network, to ensure standardized and transparent case reporting.
CASE SUMMARY: This case report details the perioperative management of a 5-year-old girl with BA and ALGS undergoing liver transplantation. The clinical strategy highlights preoperative optimization, targeted intervention for high-risk complications, and family-centered care throughout the treatment course.
OUTCOMES: The patient underwent orthotopic liver transplantation on the second hospital day. Postoperative complications included chylous ascites and biliary anastomotic stricture. The total length of hospital stay was 78 days. During 3 months of remote follow-up, her graft function remained stable. The percutaneous transhepatic cholangiography (PTCD) catheter was temporarily clamped at 1 month postoperatively, and anxiety in the patient's caregiver was significantly alleviated.
CONCLUSION: This case report presents a novel integrated strategy encompassing multidisciplinary team evaluation, stepwise nutritional optimization, and remote digital follow-up.This approach effectively supported postoperative recovery in this case study, consistently maintained the function of the allograft, and facilitated a successful transition to home care.
IMPLICATIONS TO PRACTICE: Nursing care for complex pediatric liver transplantation should incorporate a multidisciplinary team (MDT)-led, stepwise nutritional protocol for the management of lymphatic complications, standardized symptom assessment instruments, and a patient empowerment model integrated with digital telemedicine to support safe and effective transition to home care.
CASE SUMMARY: This case report details the perioperative management of a 5-year-old girl with BA and ALGS undergoing liver transplantation. The clinical strategy highlights preoperative optimization, targeted intervention for high-risk complications, and family-centered care throughout the treatment course.
OUTCOMES: The patient underwent orthotopic liver transplantation on the second hospital day. Postoperative complications included chylous ascites and biliary anastomotic stricture. The total length of hospital stay was 78 days. During 3 months of remote follow-up, her graft function remained stable. The percutaneous transhepatic cholangiography (PTCD) catheter was temporarily clamped at 1 month postoperatively, and anxiety in the patient's caregiver was significantly alleviated.
CONCLUSION: This case report presents a novel integrated strategy encompassing multidisciplinary team evaluation, stepwise nutritional optimization, and remote digital follow-up.This approach effectively supported postoperative recovery in this case study, consistently maintained the function of the allograft, and facilitated a successful transition to home care.
IMPLICATIONS TO PRACTICE: Nursing care for complex pediatric liver transplantation should incorporate a multidisciplinary team (MDT)-led, stepwise nutritional protocol for the management of lymphatic complications, standardized symptom assessment instruments, and a patient empowerment model integrated with digital telemedicine to support safe and effective transition to home care.