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Situs Inversus and Bariatric Surgery: A Challenge for the Surgical Team

Overview
Publisher Wolters Kluwer
Specialty Medical Education
Date 2021 Nov 29
PMID 34840772
Citations 6
Authors
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Abstract

Introduction And Importance: Obesity is a worldwide pandemic and is closely associated with an increased risk of comorbidities and overall mortality. Surgery has emerged as an essential strategy to ameliorate obesity-attributable comorbidities and as a powerful weight-loss tool. Due to the increasing number of obese patients predicted to elect surgery, individuals with rare anomalies such as situs inversus can be expected.

Case Presentation: We present the case of a 49-year-old woman with situs inversus with levocardia. She had a high BMI and was admitted for bariatric surgery. After several adjustments to our technique, the procedure was completed without complications.

Clinical Discussion: Laparoscopic bariatric surgeries are highly demanding; variations from the normal anatomy could challenge the medical team.

Conclusion: Preoperative diagnosis and highly trained surgeons is of paramount importance to adequately treat every patient.

Citing Articles

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Overcoming Anatomical Challenges: Laparoscopic Cholecystectomy in Situs Inversus Totalis.

Meza-Martinez D, Palomino-Payan J, Andrade-Ordonez S, Fematt-Rodriguez B, Munuzuri-Camacho M, Gonzalez-Quezada A Cureus. 2023; 15(10):e46371.

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Laparoscopic common bile duct exploration to treat choledocholithiasis in situs inversus patients: A technical review.

Chiu B, Chuang S, Chuang S, Kuo K World J Clin Cases. 2023; 11(9):1939-1950.

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Laparoscopic sleeve gastrectomy in situs inversus totalis: a case report.

Ortiz Gomez J, Arellanes Herrera P, Guzman Barba J, Esparza Estrada I, Orozco Alvarez Malo J Ann Med Surg (Lond). 2023; 85(2):276-279.

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Sleeve gastrectomy in a patient with situs inversus: a case report.

Alonazi I, Alharthy Y, Alghamdi G J Surg Case Rep. 2022; 2022(7):rjac325.

PMID: 35919692 PMC: 9341298. DOI: 10.1093/jscr/rjac325.


References
1.
Pauli E, Wadiwala I, Rogers A . Laparoscopic placement of an adjustable gastric band in a super-super obese patient with situs inversus. Surg Obes Relat Dis. 2008; 4(6):768-9. DOI: 10.1016/j.soard.2008.06.011. View

2.
Burvill A, Blackham R, Hamdorf J . Laparoscopic sleeve gastrectomy in a patient with and Kartagener syndrome: an unusual surgical conundrum. BMJ Case Rep. 2019; 12(7). PMC: 6663256. DOI: 10.1136/bcr-2019-229550. View

3.
Wittgrove A, Clark G . Laparoscopic gastric bypass for morbid obesity in a patient with situs inversus. J Laparoendosc Adv Surg Tech A. 1998; 8(1):53-5. DOI: 10.1089/lap.1998.8.53. View

4.
Tsepelidis D, Loi P, Katsanos G, Closset J . Gastric Bypass for Morbid Obesity in a Patient with Situs Inversus Totalis. Acta Chir Belg. 2016; 115(1):81-2. DOI: 10.1080/00015458.2015.11681072. View

5.
Catheline J, Rosales C, Cohen R, Bihan H, Fournier J, Roussel J . Laparoscopic sleeve gastrectomy for a super-super-obese patient with situs inversus totalis. Obes Surg. 2006; 16(8):1092-5. DOI: 10.1381/096089206778026352. View