Publications by authors named "K Hawa"
Postcolectomy enteritis is characterized by diffuse small bowel inflammatory changes following colectomy for medically refractory ulcerative colitis. Symptoms may include abdominal pain, massive intestinal bleeding, intestinal perforation, and high stoma output. While the exact pathogenesis is unknown, immune dysregulation with increased cytokine and inflammatory cell response is suspected to lead to the inflammatory response.
View Article and Find Full Text PDFProviding a Constipation Action Plan to Families of Children With Constipation Decreases Health Care Utilization.
J Pediatr Gastroenterol Nutr
November 2022
Objectives: To evaluate whether providing a constipation action plan (CAP) to families of children with constipation at outpatient gastroenterology (GI) visits affects health care utilization of the GI department.
Methods: We created a CAP to be included in the after visit summary of children seen in our GI Clinic. We compared the number of patient telephone calls, electronic messages, and urgent care (UC) visits, emergency department (ED) visits, and hospitalizations within 3 months after the visit of patients who received the CAP compared to those who did not using inverse probability treatment weighting (IPTW) analysis.
Pancreatitis in the Complex Care Population: Presentation, Incidence, and Severity.
J Pediatr Gastroenterol Nutr
December 2022
Article Synopsis
- The study focuses on the incidence and presentation of pancreatitis in Children with Medical Complexity (CMC) by analyzing data from two children's hospitals over ten years.
- The research found that 112 patients had a significantly higher incidence of pancreatitis compared to the general pediatric population, with many patients having multiple underlying health issues and most experiencing mild symptoms.
- Key findings indicate that abdominal pain is the most common symptom, and risk factors such as underlying conditions differ notably between pediatric and adult patients with pancreatitis.
Intensive Outpatient Treatment of Pediatric Rumination Syndrome in the Era of Telemedicine.
J Pediatr Gastroenterol Nutr
March 2023
Objectives: We have had success treating children with severe rumination syndrome using a multidisciplinary intensive outpatient program (IOP) involving multiple treatment sessions daily. During the coronavirus disease 2019 (COVID-19) pandemic, we temporarily transitioned care to telemedicine. The objective of this study is to compare outcomes of patients with rumination syndrome who completed IOP treatment in person versus by telemedicine.
View Article and Find Full Text PDFUnlabelled: Patients with inflammatory bowel disease (IBD) receiving tumor necrosis factor alpha inhibitors (TNFai) may be at higher risk for hepatitis B virus (HBV) infection. We conducted a quality improvement (QI) initiative to improve HBV vaccination rates in seronegative children with IBD.
Methods: This QI initiative implemented an HBV vaccination strategy from September 2018 to March 2020 in patients with newly diagnosed IBD with hepatitis B surface antibody (HBsAb) <10 mIU/mL.