Nephrology and kidney transplantation
Pediatric nephrologists at UC Davis care for children with diseases of the kidney, including acute renal failure, chronic kidney disease, hematuria, proteinuria, kidney stones and hypertension. Children who eventually require transplantation will benefit from UC Davis’ nationally recognized kidney transplant program.
UC Davis Children's Hospital conducts the only pediatric nephrology program in the Sacramento region. Members of the UC Davis Children's Hospital pediatric nephrology medical team are nationally recognized for advances in treatment and research studies benefiting patients who have chronic diseases of the kidney. We attribute our success to our team approach, enabling transplant surgeons, urologists, social workers, psychiatrists, psychologists, dietitians, and clinical nurses to jointly participate in the care of our patients.
Our diagnostic and therapeutic services include:
- Peritoneal dialysis
- Continuous dialysis (also called CRRT or CVVH)
- Renal biopsy
- Evaluations and treatments for disorders including nephrotic syndrome, high blood pressure, kidney infections, and kidney stones
- Renal transplantation
The kidneys are vital organs that filter harmful chemicals from the blood, produce urine to eliminate these chemicals and also get rid of the extra water that we drink and recirculate important proteins back into the bloodstream. Urine is retained in the bladder before leaving the body.
Kidney disease is a major cause of illness and death among children and may result from babies being born with missing or malformed kidneys, urinary tract obstructions, genetic disorders, cysts, or other diseases. Kidney or urinary tract disorders can cause a child to develop swelling, fever, frequent or painful urination, increased blood pressure, or difficulty in controlling urination.
Advanced inpatient and outpatient clinical care is available at the UC Davis Children’s Hospital Pediatric Nephrology Clinic for children with kidney disorders.
Clinic specialties include:
- Kidney (renal) disease, which can interfere with physical and mental developmental processes and can place children at high risk of contracting infections, bone disease and cancer through long-term use of immunosuppressive drugs. Physicians may prescribe urine tests, blood tests, X-rays, ultrasound, computerized tomography (CT), a kidney biopsy or other means to evaluate and diagnose suspected kidney ailments.
- Kidney transplantation, which offers the best outcomes for children with kidney failure. The Nephrology Clinic is also involved in preparing patients for surgery and in coordinating their post-surgical care and recovery.
- Kidney dialysis, which is typically required for either chronic kidney conditions or acute kidney failure. The Department of Nephrology coordinates with the Department of Internal Medicine in administering kidney dialysis for chronic conditions.
- Urinary stones in children, which are uncommon and require specialized care. The workup and treatment of pediatric stone disease is different than with adults; children tend to have identifiable chemical imbalances, have a higher recurrence rate, are more susceptible to radiation from imaging studies. The UC Davis Children’s Hospital Pediatric Kidney Stone Clinic features a multidisciplinary team of urologic surgeons, pediatric nephrologists, and nurses offering up-to-date, minimally invasive treatments and prevention programs.
- Diagnostic and therapeutic services for patients with other diseases, such as lupus, since that disease often affects the kidneys.
The UC Davis Children's Hospital Nephrology Clinic team consists of:
- Four pediatric nephrologists
- A clinical nurse specialist
- A social worker
- A dietitian
- An administrative assistant
The team is headed by Chief of Pediatric Nephrology Lavjay Butani, who specializes in the treatment of children with a wide variety of kidney diseases, including high blood pressure, prenatally diagnosed kidney abnormalities, and kidney failure requiring dialysis or transplantation. His research interests focus on improving the outcomes after kidney transplantation by using newer immunosuppressive medications and regimens.
UC Davis Children’s Hospital is the Sacramento region’s only nationally ranked, comprehensive hospital for children, serving infants, children, adolescents and young adults with primary, subspecialty and critical care.