Publications by authors named "Mary Kate Klarich"
Background: Fecal incontinence is a common problem for children with repaired anorectal malformations (ARM) and has significant implications for initiating school. While sex, anatomy, and medical comorbidities are known to influence continence outcomes, the impact of socioeconomic factors and neighborhood-level disadvantage are less well understood.
Methods: We performed a single-center retrospective review of all school-aged (5-18 years) children with ARM at a longitudinal pediatric surgery clinic.
The nutritional requirements of neonates with congenital abdominal wall defects (AWDs) remain poorly described. In particular, there is a lack of literature on the calorie, protein, and micronutrient needs of those with AWD. Nutritional therapy is a cornerstone of care in patients with burns due to the metabolic consequences of injury to the epithelial layer.
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- Infants with congenital diaphragmatic hernia (CDH) face risks in beginning oral feeding when on non-invasive respiratory support, prompting the development of a dysphagia protocol involving specialists and modified barium swallow studies (MBSS) to assess readiness for feeding.
- A retrospective comparison showed that while the intervention group (37 infants) had more infants on respiratory support at feeding initiation compared to the control group (64 infants), they started oral feeds later after extubation and took longer to achieve full oral feeds.
- The study underscores the importance of specialized monitoring and evaluations to ensure safety in oral feeding initiation for term infants with CDH, highlighting the need for careful assessment despite the protocol's implementation.
Factors and Growth Trends Associated With the Need for Gastrostomy Tube in Neonates With Congenital Diaphragmatic Hernia.
J Pediatr Gastroenterol Nutr
October 2021
Objectives: A third of infants with congenital diaphragmatic hernia (CDH) require a gastrostomy tube (GT) for nutritional support. We compared CDH infants who are GT-dependent to those able to meet their nutritional needs orally, to identify factors associated with requiring a GT and evaluate their long-term growth.
Methods: Patients with CDH repaired at a single institution between 2012 and 2020 were included.
Aim Of The Study: Present our experience in the surgical treatment of primary focal hyperhidrosis of the hands by thoracoscopic bilateral T3 sympathectomy in pediatric patients.
Methods: Retrospective chart review of all patients operated between 2013 and 2015.
Results: We operated and included in the study 28 patients, 22 females and 6 males.