The Division of Pediatric Nephrology and Transplantation
Providing comprehensive and compassionate kidney care.
Kidney disease can occur at any age and commonly affects infants, children and adolescents. Living with kidney
disease can be overwhelming for both child and family.
Our Children's Kidney Center, now located at 101 Old Short Hills Road,
West Orange, NJ (across the street from Saint Barnabas Medical Center
in Livingston), provides state-of-the-art medical care, which includes
advanced diagnostic assessment and testing, and sensitive support for
children of all ages and their families.
Started in 1996 as the first complete pediatric nephrology service in
the state, it has established a reputation built on technical excellence,
clinical research and advocacy for families whose children suffer from
nephrologic and hypertensive disorders. The Center performs more kidney
transplants than any other facility in New Jersey. With nearly three quarters
of their patients receiving kidneys through living donation – mostly
from their parents – the program consistently exceeds national averages
for both short-term and long-term graft survival rates and acute rejection rates.
Physicians offer experienced
pre-natal counseling for fetal renal anomalies and genetic diseases diagnosed intra-utero.
In addition, the Center provides treatment for the following:
The Center works closely with Saint Barnabas’ Pediatric Urologists
when invasive procedures or surgical interventions are required.
What are the kidneys?
Kidneys clean waste materials from the blood, maintain a balance of salt
and water in the body, and help regulate blood pressure and red blood
cell counts. Kidney disease is the most common cause of high blood pressure
What causes kidneys to fail?
Kidneys may fail due to congenital or hereditary abnormalities, infections,
inflammations, drugs and poisons, systemic diseases and hypertension.
Sometimes, the cause of kidney disease is unknown. A
kidney biopsy can be done to determine the reason and the degree of the kidney disease.
What happens when kidneys fail?
When kidneys fail, the patient may become swollen because the kidneys cannot
eliminate excess salt and water. There may be disturbances of other chemicals
in the blood which lead to poor appetite, weakness and more serious conditions.
dialysis or kidney transplant is needed.
Who is on our team?
Our pediatric nephrologists Isabel Roberti, M.D., Ph.D, and Shefali Vyas,
M.D., are board-certified pediatricians with advanced training and expertise
in diseases of the kidney affecting infants, children and adolescents.
They are also experts in the care of hypertension in children which is
often related to kidney problems. The physicians are supported by a professional
staff specializing in children. Other team members include a nurse specialist,
pediatric renal social worker, pediatric nutritionist and child life specialist.
Can anything be done?
Treatments are available that can often cure kidney disease and prevent
failures. These treatments include diet, blood pressure control, medications
for the specific kidney disease and possibly, surgery.
There have been tremendous advances in our ability to support kidney failure
patients with various forms of dialysis and replacement of the failed
kidneys with a kidney transplant. Due to recent advances in the understanding
of the immune system and the development of better drugs, the success
rate for kidney transplantation is very high. Our Children's Kidney
Center is one of the nation’s premier kidney transplant programs.