A5005248022- Congenital Anomalies and Fetal Surgery
- Renal and related cancers
- Global Health and Surgery
- Intestinal Malrotation and Obstruction Disorders
- Viral gastroenteritis research and epidemiology
- Gastrointestinal disorders and treatments
- Global Maternal and Child Health
- Neonatal Respiratory Health Research
- Trauma and Emergency Care Studies
- Congenital Diaphragmatic Hernia Studies
- Childhood Cancer Survivors' Quality of Life
- Clinical Nutrition and Gastroenterology
- Child and Adolescent Health
- Renal cell carcinoma treatment
- Urological Disorders and Treatments
- Congenital gastrointestinal and neural anomalies
- Trauma Management and Diagnosis
- Foreign Body Medical Cases
- Organ Donation and Transplantation
- Child Nutrition and Feeding Issues
- Intestinal and Peritoneal Adhesions
- Abdominal Trauma and Injuries
- Injury Epidemiology and Prevention
- Emergency and Acute Care Studies
- Stoma care and complications
Moi University
2012-2024
University of Eldoret
2023
Indiana University – Purdue University Indianapolis
2017
Indiana University School of Medicine
2017
University of KwaZulu-Natal
2011-2012
Postlicensure evaluations have identified an association between rotavirus vaccination and intussusception in several high- middle-income countries. We assessed the monovalent human vaccine lower-income sub-Saharan African countries.Using active surveillance, we enrolled patients from seven countries (Ethiopia, Ghana, Kenya, Malawi, Tanzania, Zambia, Zimbabwe) who had that met international (Brighton Collaboration level 1) criteria. Rotavirus status was confirmed by review of card or clinic...
Wilms tumor is the commonest renal malignancy in childhood. Survival high-income countries approximately 90%, whereas low-income countries, it less than 50%. This study assessed treatment outcomes of patients with at a Kenyan academic hospital.We conducted retrospective medical record review all children diagnosed between 2010 and 2012. Data on various sociodemographic clinical characteristics were collected.Of 39 tumor, 41% had event-free survival, 31% abandoned treatment, 23% died, 5%...
Open simple prostatectomy has long been associated with large blood losses; hence allogeneic transfusion in this procedure is a standard practice world over. A review of literature suggests significant association between perioperative loss accompanying open and certain patient factors. The shortage products our centres as well the alarming risks reactions disease dissemination demanded these factors aim reducing morbidity peri-operative transfusion.To assess loss, determine rate, define...
The relative rarity of hypertrophic pyloric stenosis (HPS) in the developing world makes its diagnosis a challenge to many physicians. This study audits management HPS at tertiary hospital South Africa, with view defining regional pattern. is retrospective review records all patients (n = 63) managed for over an eight-year period (2002-2010). mean age presentation was 6.2 weeks and male/female ratio 6:1. majority presented non-bilious vomiting. Abdominal ultrasound had sensitivity 65% 81.3%...
Congenital mesoblastic nephroma (CMN) is rare, accounting for 3–10% of pediatric renal tumors. It the most common neoplasm in neonates and infants under age 3 months. can be detected antenatally especially with judicious use ultrasonography. Polyhydramnios premature labor are frequent associations. Differential diagnosis include Wilms' tumor, malignant rhabdoid clear cell sarcoma kidney (CCSK), neuroblastoma ossifying tumor infancy (ORTI). There three histological subtypes; Classic, cellular...
Background: Neonatal surgical conditions account for 11% of the Global Burden Diseases (GBD); neglect their management has been reported though most are amenable to surgery. Timely interventions play a major role in determining better outcomes, thus improving quality life and reducing disability. Several factors—sepsis control, care newborn intensive unit availability total parenteral nutrition—have shown improve outcomes neonates with conditions.Objective: To evaluate requiring...
Intussusception is a common cause of intestinal obstruction in infants and toddlers. Uncommon presentation with mass protruding from the anus often misdiagnosed as rectal prolapse when high index suspicion not maintained, likelihood worse outcomes. We report successful management an 8 month old infant prolapsed ileo-colic intussusception at Moi Teaching Referral Hospital (MTRH) which had been mistaken for prolapse. discuss how to differentiate trans-anal protrusion (TAPI) other prolapsing...
Background: Intestinal obstruction constitutes the largest proportion of abdominal surgical emergencies in paediatric and adult patients Sub-Saharan Africa, including Kenya. It is associated with high postoperative complication mortality rate low resource healthcare systems. Methods: A prospective mixed methods study consecutive sampling procedure was carried out from September 2021 to June 2023. Pediatric birth 14 years, mechanical intestinal were included study. Categorical data analyzed...
Purpose: To evaluate the early surgical outcomes of children with Wilms Tumour at a teaching hospital in Western Kenya. Patients and Methods: A cross-sectional study was conducted among diagnosed tumour Moi Teaching Referral Hospital over one-year period. The participants data on sociodemographic clinical characteristics were collected using an interviewer administered questionnaire. Data preoperative chemotherapy cycles, staging predominant histological component, rupture, postoperative...
Abstract Background Globally, 10% of neonatal mortality in low-/middle-income countries (L/MIC) is directly attributed to surgical conditions, and appropriate referral transport newborns tertiary-level hospitals for care often underlie their survival. This study aimed at evaluating the outcomes with conditions a low-resource setting, context structured standard operating procedure (SOP) newborn transport. Methods A cluster randomized controlled trial was conducted. Ten county that refer Moi...
Background: Early enteral feeding initiation following surgical procedures in neonates has demonstrated several benefits. In high income countries, where parenteral nutrition is readily available, often delayed. This study seeks to examine clinical factors and decision-making processes that guide practices the United States (US) Kenya. 
 Methods: A REDCap survey was developed distributed pediatric surgery attendings fellows at Riley Peyton Manning Children’s Hospitals Indiana...