Alstrom syndrome surgery: Difference between revisions
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==Surgery== | ==Surgery== | ||
===Sensorineural Hearing Loss=== | ===Sensorineural Hearing Loss=== | ||
Myringotomy has been helpful in individuals with recurrent otitis media ( | [[Myringotomy]] has been helpful in individuals with recurrent [[otitis media]] (‘[[glue ear]]’). Hearing can be maximized with bilateral digital [[hearing aid]]s. Cochlear implantation has benefited some patients. | ||
===Cardiomyopathy=== | ===Cardiomyopathy=== | ||
Cardiac transplantation has been successful in isolated cases. | [[Cardiac transplantation]] has been successful in isolated cases. | ||
===Urological Disorders=== | ===Urological Disorders=== | ||
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===Renal Failure=== | ===Renal Failure=== | ||
Renal transplantation is indicated in patients with ESRD refractory to medical therapy. But it can be contraindicated in the presence of other complications including morbid obesity, uncontrolled diabetes, and cardiomyopathy. | Renal transplantation is indicated in patients with [[ESRD]] refractory to medical therapy. But it can be contraindicated in the presence of other complications including morbid [[obesity]], uncontrolled [[diabetes]], and [[cardiomyopathy]]. | ||
===Liver Dysfunction=== | ===Liver Dysfunction=== | ||
Patients who fail to respond to medication and banding are candidates for a transjugular intrahepatic portosystemic shunt (TIPS) to decrease risk of variceal bleeding caused by portal hypertension. Patients with significant portal hypertension should be evaluated early for liver transplantation. | Patients who fail to respond to medication and banding are candidates for a [[transjugular intrahepatic portosystemic shunt]] ([[TIPS]]) to decrease risk of variceal bleeding caused by [[portal hypertension]]. Patients with significant portal hypertension should be evaluated early for [[liver transplantation]]. | ||
==References== | ==References== | ||
Revision as of 15:29, 25 February 2013
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Alstrom syndrome Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Alstrom syndrome surgery On the Web |
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American Roentgen Ray Society Images of Alstrom syndrome surgery |
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Risk calculators and risk factors for Alstrom syndrome surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1], Associate Editor(s)-in-Chief: Aarti Narayan, M.B.B.S [2]; Raviteja Guddeti, M.B.B.S. [3]
Surgery
Sensorineural Hearing Loss
Myringotomy has been helpful in individuals with recurrent otitis media (‘glue ear’). Hearing can be maximized with bilateral digital hearing aids. Cochlear implantation has benefited some patients.
Cardiomyopathy
Cardiac transplantation has been successful in isolated cases.
Urological Disorders
Urinary diversion or self-catheterization to manage voiding difficulties are required in some individuals.
Renal Failure
Renal transplantation is indicated in patients with ESRD refractory to medical therapy. But it can be contraindicated in the presence of other complications including morbid obesity, uncontrolled diabetes, and cardiomyopathy.
Liver Dysfunction
Patients who fail to respond to medication and banding are candidates for a transjugular intrahepatic portosystemic shunt (TIPS) to decrease risk of variceal bleeding caused by portal hypertension. Patients with significant portal hypertension should be evaluated early for liver transplantation.