Exploration of Digestive Diseases

Table 1. Summary of selected articles

Reference No.	Title	Year	Journal	Main recommendations
[4]	Pediatric liver transplantation in Latin America: Where do we stand?	2016	Pediatr Transplant	Promote regional cooperation and investment in training and infrastructure for pediatric transplantation across Latin America.
[17]	Liver transplantation in Latin America: the state-of-the-art and future trends	2014	Transplantation	Encourage data sharing and development of public policies for transplant access and equity in Latin American countries.
[18]	Current status of liver transplantation in children	2003	Pediatr Clin North Am	Highlight the need for multidisciplinary care and ongoing research to improve pediatric transplant outcomes.
[19]	Model for end-stage liver disease: impact of the new deceased donor liver allocation policy in São Paulo, Brazil	2009	Transplant Proc	Monitor the impact of allocation models on pediatric outcomes and propose adjustments as necessary.
[21]	Postoperative care in pediatric liver transplantation	2014	Clinics (Sao Paulo)	Structure specialized units for pediatric postoperative care; ensure intensive support and systematic follow-up.
[22]	Frequency of and factors associated with vascular complications after pediatric liver transplantation	2014	J Pediatr (Rio J)	Identify and mitigate risk factors for vascular complications through surgical precision and intensive postoperative monitoring.
[23]	Pediatric liver transplantation: 10 years of experience at a single center in Brazil	2008	J Pediatr (Rio J)	Value centers of excellence and accumulated experience as key factors for positive outcomes; standardize pre- and post-operative care.
[24]	Development of a prognostic model for pediatric acute liver failure in a Brazilian center	2022	J Pediatr (Rio J)	Use national prognostic models to better identify transplant candidates; personalize clinical decision-making.
[25]	Pediatric Liver Transplant: Techniques and Complications	2017	Radiographics	Prioritize surgical training and postoperative monitoring to reduce complications; invest in experienced multidisciplinary teams.
[26]	Modified pediatric end-stage liver disease scoring system and pediatric liver transplantation in Brazil	2010	Liver Transpl	Adapt and validate severity scoring systems (such as modified PELD) to the Brazilian reality for better patient prioritization.
[27]	Pediatric Liver Transplantation Program at the Instituto da Criança do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo	2016	Clinics (Sao Paulo)	Strengthen specialized programs with long-term institutional experience to improve outcomes and ensure sustainability.
[28]	Pediatric liver transplantation: fourteen years of experience at the children institute in São Paulo, Brazil	2004	Transplant Proc	Emphasize longitudinal follow-up and standardized clinical approaches for sustainable long-term outcomes.
[29]	Consequences of the implementation of the Model for End-stage Liver Disease system for liver allocation in Brazil	2013	Transplant Proc	Review and adapt liver allocation policies to ensure fairness and better reflect pediatric needs within national systems.
[30]	Opinion of hepatic transplant waiting list patients regarding split liver transplantation	2008	Transplant Proc	Consider patient perspectives to improve acceptance and implementation of split liver transplantation strategies.
[31]	The HMS Birkenhead docks in Brazil: pediatric end-stage liver disease times three	2010	Liver Transpl	Adapt international models for pediatric liver disease to the Brazilian context, considering regional challenges.
[32]	Nutritional aspects of liver transplantation	2002	Curr Opin Clin Nutr Metab Care	Integrate specialized nutrition teams in pre- and post-transplant care; monitor nutritional status as a prognostic factor.
[33]	Severity of Ascites Is Associated with Increased Mortality in Patients with Cirrhosis Secondary to Biliary Atresia	2020	Dig Dis Sci	Closely monitor signs of decompensation, such as ascites, in biliary atresia patients; consider early transplantation in severe cases.
[34]	Functional capacity after pediatric liver transplantation: a pilot study	2014	Pediatr Transplant	Incorporate assessments of physical rehabilitation and long-term functionality into post-transplant care plans.
[35]	Biliary complications after pediatric liver transplantation: Risk factors, diagnosis and management	2015	World J Hepatol	Implement early screening protocols for biliary complications; train teams for rapid and effective intervention.
[36]	Vascular complications after living donor liver transplantation: a Brazilian, single-center experience	2011	Transplant Proc	Enhance surgical techniques and early detection strategies to reduce vascular complications.
[37]	Selection of donors for living donor liver transplantation in a single center of a developing country: lessons learned from the first 100 cases	2006	Pediatr Transplant	Establish rigorous donor selection criteria to maximize safety and long-term success in living donor liver transplantation.
[38]	Surgical complications in 100 donor hepatectomies for living donor liver transplantation in a single Brazilian center	2010	Transplant Proc	Improve donor safety through refined surgical protocols and comprehensive preoperative assessment.
[39]	Pediatric liver transplantation activity in a high-volume program during the COVID-19 pandemic in Brazil	2021	Pediatr Transplant	Maintain strict biosafety protocols to ensure continuity of pediatric transplants even during pandemics; invest in adapted care flows for emergency scenarios.
[40]	Impact of COVID-19 Infection on Children and Adolescents after Liver Transplantation in a Latin American Reference Center	2022	Microorganisms	Reinforce vaccination and epidemiological monitoring in transplant patients; continuously assess post-COVID impacts.
[41]	Extrahepatic biliary atresia: current concepts and future directions	2007	J Pediatr (Rio J)	Encourage early diagnosis and quick referral to transplant centers; promote research on new therapies.
[42]	Four hundred thirty consecutive pediatric living donor liver transplants: variables associated with posttransplant patient and graft survival	2012	Liver Transpl	Focus on donor-recipient matching and perioperative management to optimize survival outcomes.

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PELD: pediatric end-stage liver disease

Declarations

Author contributions

JRK, KR, and MMA: Conceptualization, Investigation, Writing—original draft, Writing—review & editing. APdSL: Writing—original draft, Writing—review & editing. JSN: Conceptualization, Investigation. ICMMC: Conceptualization, Investigation. CAMM: Conceptualization, Investigation, Writing—original draft, Writing—review & editing, Supervisor. All authors read and approved the submitted version.

Conflicts of interest

The authors declare that they have no conflicts of interest.

Ethical approval

Not applicable.

Consent to participate

Not applicable.

Consent to publication

Not applicable.

Availability of data and materials

Not applicable.

Funding

This study did not receive any financial support, either for its development or in the form of scholarships granted to the researchers.

Copyright

Publisher’s note

Open Exploration maintains a neutral stance on jurisdictional claims in published institutional affiliations and maps. All opinions expressed in this article are the personal views of the author(s) and do not represent the stance of the editorial team or the publisher.

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