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Credentials

Education ?

Medical School Score Rankings
University of Michigan Medical School (1996)
  •  
Top 25%

Awards & Distinctions ?

Associations
American Board of Pediatrics

Affiliations ?

Dr. Fituch is affiliated with 16 hospitals.

Hospital Affiliations

Score

Rankings

  • Texas Health Harris Methodist Hospital Southwest Fort Worth
    6100 Harris Pkwy, Fort Worth, TX 76132
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    Top 25%
  • Harris Methodist H E B
    1600 Hospital Pkwy, Bedford, TX 76022
    •  
    Top 25%
  • Medical City Dallas Hospital
    7777 Forest Ln, Dallas, TX 75230
    •  
    Top 25%
  • UT Southwestern University Hospital - St. Paul
    5909 Harry Hines Blvd, Dallas, TX 75235
    •  
    Top 25%
  • Frisco Medical Center
    5601 Warren Pkwy, Frisco, TX 75034
    •  
    Top 25%
  • Texas Health Harris Methodist Hospital Azle
    108 Denver Trl, Azle, TX 76020
    •  
    Top 50%
  • Texas Health Presbyterian Hospital Allen
    1105 Central Expy N, Allen, TX 75013
    •  
    Top 50%
  • Texas Health Presbyterian Hospital Of Dallas
    8200 Walnut Hill Ln, Dallas, TX 75231
    •  
    Top 50%
  • Baylor Medical Center at Carrollton
    4343 N Josey Ln, Carrollton, TX 75010
    •  
  • Centennial Medical Center
    12505 Lebanon Rd, Frisco, TX 75035
    •  
  • Medical Center Of Plano
    3901 W 15th St, Plano, TX 75075
    •  
  • Texas Health Allen
  • Harris Continued Care Hospital
    1301 Pennsylvania Ave, Fort Worth, TX 76104
  • Texas Health Dallas
  • Texas Health Plano
  • Harris Methodist - Springwood
    1608 Hospital Pkwy, Bedford, TX 76022
  • Publications & Research

    Dr. Fituch has contributed to 3 publications.
    Title Concentrations of Epidermal Growth Factor and Transforming Growth Factor-alpha in Preterm Milk.
    Date March 2005
    Journal Advances in Experimental Medicine and Biology
    Title Concentrations of Il-10 in Preterm Human Milk and in Milk from Mothers of Infants with Necrotizing Enterocolitis.
    Date February 2005
    Journal Acta Paediatrica (oslo, Norway : 1992)
    Excerpt

    BACKGROUND: Despite the protective effects of human milk against necrotizing enterocolitis, the incidence is highest in the extremely premature infant, and only minimally decreased with feeding human milk. This suggests that certain protective agents may be lower in milk from mothers delivering extremely premature infants. The anti-inflammatory cytokine IL-10 was one possibility. AIM: We hypothesized that low concentrations of IL-10 in preterm milk contribute to the development of necrotizing enterocolitis in extremely premature infants. METHODS: IL-10 in human milk collected at weeks 1, 2, and 4 postpartum was measured by ELISA in mothers of infants born extremely premature at 23-27 wk gestation (group EP), premature at 32-36 wk gestation (group P), and term at 38-42 wk gestation (group T). Single milk samples were collected from a separate group of mothers whose infants developed necrotizing enterocolitis. RESULTS: There were no significant differences in concentrations of milk IL-10 among groups EP, P, or T. Concentrations of IL-10 declined as lactation progressed (p < 0.001). IL-10 in milk was frequently undetected in all groups, but even more so in the milk of the group of women whose infants had necrotizing enterocolitis (86%) than in groups EP (40%) and P (27%) (p < 0.01). CONCLUSION: IL-10 was present in preterm milk from most women, and the concentrations in preterm and term milk were not significantly different. A paucity of IL-10 in human milk was found in certain mothers in each group, especially in those whose infants developed necrotizing enterocolitis.

    Title Increased Epidermal Growth Factor Levels in Human Milk of Mothers with Extremely Premature Infants.
    Date February 2004
    Journal Pediatric Research
    Excerpt

    Maternal milk is the major source of nutrients and growth-promoting substances in the first weeks of life for the majority of neonates. Epidermal growth factor (EGF) and transforming growth factor-alpha (TGF-alpha) are trophic peptides present in human milk with significant healing effects on injured gastrointestinal mucosa. Decreasing gestational age of neonates is associated with higher risk of developing gastrointestinal disorders, and human milk provides better protection against these diseases compared with formula. The aim of this study was to evaluate the concentrations of EGF and TGF-alpha in human milk collected from mothers with infants born: extremely preterm, preterm, and full term. Milk samples were collected at the end of first, second, and fourth week postpartum from each mother of infants born in one of the three gestational age groups: extremely preterm (23-27 wk, n = 16), preterm (32-36 wk, n = 16), and full term (38-42 wk, n = 15). Milk concentrations of EGF and TGF-alpha were quantified with a homologous RIA in the milk aqueous fraction. Concentrations of EGF in human milk from the extremely preterm group (23-27 wk) were significantly higher compared with values from the preterm and full-term groups throughout the first month of lactation. A similar pattern was observed with human milk TGF-alpha; however, milk TGF-alpha levels were lower than EGF. In conclusion, we have found higher concentrations of EGF and TGF-alpha in human milk of mothers with extremely preterm babies. These data may indicate the potential importance of milk-borne EGF and TGF-alpha for the development of extremely premature infants.

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