Briefly noted: A recent study (L Ee et al. JPGN 2018; 66: 797-801) provides some good news for children who have had liver transplantation (LTx).
Among 42 patients (64% with biliary atresia) who had undergone LTx at a median age of 2.2 years and were long-term survivors (median time since LTx 10.1 yrs), mean bone mineral density (BMD) were normal. Lumbar BMD z-score -0.15 and total body BMD -0.76. Pathologic fractures were noted in 2 patients; these occurred within 18 months of transplantation.
My take: this study indicates that over time, most patients are not likely to have very low bone density.