Medical Services related to Marcus Dominic Jarboe MD

Anorectal Malformations

Anorectal malformations encompass a type of birth defect in which the anus and the rectum do not develop properly.

Bladder Outlet Obstruction

Bladder outlet obstruction (BOO) is a blockage of the bladder.  It is sometimes also referred to as fetal lower urinary tract obstruction (LUTO).  This blockage prevents the urine flow into the amniotic fluid.  Because of this, the amniotic fluid level can become very low.   Low amniotic fluid levels (oligohydramnios) impair the developing lungs causing them to become very small (hypoplastic).   Babies with little or no amniotic fluid early in gestation (before 24 weeks) may have severely underdeveloped lungs.  As a result, these babies have a poor chance of survival.  Babies that have a moderate amount of fluid do better as their lungs are able to mature.

Cloacal Deformities

Cloacal deformities encompass a wide range of complicated defects that occur during fetal development of the lower abdominal structures, particularly the intestinal and genito-urinary tracts.

Colorectal Disorder Treatments

The C.S. Mott Children’s Hospital Colorectal Surgery Program team offers advanced surgical care and post-operative management of children with colorectal disorders, supporting children and their families at each step of the way.

Colorectal Disorders

The University of Michigan C.S. Mott Children’s Hospital’s Colorectal Surgery Program offers advanced colorectal diagnosis, treatment and long term management of care for children with challenging colorectal disorders.

Congenital Diaphragmatic Hernia (CDH)

A congenital diaphragmatic hernia (CDH) means there is a hole in the diaphragm. The hole permits the abdominal organs to move into the chest area before birth. Because of this shift into the chest, the lung on the side of the hole is prevented from growing normally. The lung on the opposite side is also smaller than expected. Small lungs can also be called pulmonary hypoplasia.

Diagnostic Exams at the Colorectal Specialty Program

C.S. Mott Children’s Hospital diagnoses and treats the full spectrum of colorectal disorders, from the most common to the most complex. We employ a wide variety of diagnostic tools to help our medical teams determine (and rule out) possible treatments options for your child.

Esophageal Atresia with or without Tracheoesophageal Fistula (EA/TEF)

Esophageal atresia (EA) is an anomaly seen in babies when the esophagus, or swallowing tube, is not a complete open tube. Tracheoesophageal fistula (TEF) is a connection most babies with EA have of one or both ends of the esophagus to the trachea (breathing tube). EA/TEF is rare, occurring in 1 in 2,500 births. The cause of EA/TEF is unknown.

Fetal Conditions We Treat

The Fetal Diagnosis and Treatment Center provides accurate prenatal diagnosis of birth defects using the latest technological advances. An individualized treatment plan is established that includes high-risk pregnancy management, fetal treatment, delivery planning, and postnatal treatment.

Fetal Diagnosis and Treatment

The Fetal Diagnosis and Treatment Center, part of Michigan Medicine, offers comprehensive fetal diagnostic and treatment services, utilizing the latest technological advances in diagnostics, minimally invasive surgeries and open surgeries to best care for a pregnant mother carrying a fetus with a birth defect

Fetal Endoscopic Tracheal Occlusion (FETO)

Fetal Endoscopic Tracheal Occlusion (FETO) is a research procedure offered at Michigan Medicine for fetuses with severe congenital diaphragmatic hernia. FETO has been shown to increase lung volumes in fetuses with CDH and there is hope it will increase the chance of survival with severe CDH. 

Fetal Interventions and Procedures

Michigan Medicine’s Fetal Diagnosis & Treatment Center offers the full range of fetal procedures from an expert team to diagnose and treat conditions before a child is born.

Fetal Surgery

Fetal surgery covers a broad range of surgical procedures performed on a fetus to treat various medical conditions, such as spina bifida, TTTS, and more.

Gastroschisis

Gastroschisis refers to an opening, or ‘hole’, in the abdominal wall. This defect, or ‘hole’, occurs very early in gestation—around the 6th week of development.The defect allows the baby’s bowel, and sometimes other organs, to move outside the body for the remainder of the pregnancy.

Giant Neck Mass

A fetal neck mass is a condition in which there is an abnormal growth in the neck of the fetus. Both types of giant neck mass - cervical teratomas and lymphatic malformation’s - can obstruct the airway or cause other complications in the developing baby. These masses can be prenatally diagnosed and assessed using ultrasound.

Hirschsprung Disease

Hirschsprung disease occurs when a portion of a baby’s intestinal nerve cells don’t develop properly, leading to an obstruction of the intestine. This makes the child prone to infection which causes pain, fever and diarrhea.  Hirschsprung disease causes up to 20 percent of intestinal obstructions that occur in newborns.

Lung Malformations

Lung malformations, including congenital pulmonary airway malformations (CPAM, formerly called CCAM) and bronchopulmonary sequestration (BPS), are uncommon disorders that can cause a wide range of problems, including breathing difficulties, recurrent infection, and more rarely, cancer.  

Minimally Invasive Pediatric Surgery

Minimally invasive surgery is a special way of performing surgery using smaller instruments and smaller incisions than traditional surgical methods. The goal of minimally invasive surgery is to perform operations through very small incisions a mere fraction of the size of the incisions used in traditional surgery with equal or superior clinical outcomes and less impact on a child’s body and organs.

Omphalocele

Omphalocele refers to an opening, or hole, in the abdominal wall. During prenatal development, the bowel and liver protrude through the hole and remain outside of the abdomen. These organs are covered by a thin layer of tissue known as a sac. The umbilical cord inserts into the sac. The size of the howl can range from small to very large. Omphalocele occurs in about 1 in every 5,000 births, and more often in mothers over the age of 35 years.

Our Pediatric Colorectal Specialty Program Team

We are a collaborative team of multidisciplinary pediatric specialists with specialized expertise in caring for children with colorectal conditions.  Our team includes specialists from pediatric surgery, pediatric urology, pediatric gastroenterology, pediatric radiology, nurse specialists, nutritionists, psychologist and physical therapy who strive to deliver preeminent care to our families.

Pediatric Surgery

Families from all over the world come to the University of Michigan C.S. Mott Children's Hospital for our pediatric surgery expertise. Our surgeons have a long history of providing advanced, compassionate, multidisciplinary care for fetal patients, premature babies, infants, children, adolescents, and young adults. Each year, our teams perform thousands of surgical procedures. And our surgeons are internationally recognized as experts in a wide range of specialties including minimally invasive surgery, pediatric surgical oncology, fetal diagnosis and treatment for congenital birth defects, pediatric trauma, and surgical procedures for intestinal failure.

Prenatal Care for Myelomeningocele (Spina Bifida)

Myelomeningocele is a defect of the spine, and of the passage inside the spine called the spinal canal.  It can occur at any point along the spine.  During early fetal development, the spine comes together like a zipper covering the spinal cord and nerves.  Incomplete closure of the spine is referred to as spina bifida, or a neural tube defect.

Prenatal Diagnostic Tests

Accurate prenatal diagnosis of birth defects using the latest technological advances is offered at the U-M Fetal Diagnosis and Treatment Center. Each patient benefits from coordinated collaboration with specialists from multiple disciplines to provide  an individualized treatment plan that includes high-risk pregnancy management, fetal treatment when indicated, delivery planning and postnatal treatment for your child.

Sacral Nerve Stimulation for Colorectal Disorders

Sacral nerve stimulation is a reversible treatment alternative for patients with rectal incontinence or constipation when other treatments provide unsatisfactory relief or are not tolerated well.

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