Laparoscopic Sleeve Gastrectomy in Situs Inversus Totalis: a Case Report

Overview

Journal Ann Med Surg (Lond)

Publisher Wolters Kluwer

Specialty Medical Education

Date 2023 Feb 27

PMID 36845797

Authors

Jesus E Ortiz Gomez

Paloma S Arellanes Herrera

Jose A Guzman Barba

Isaac Esparza Estrada

Jose O Orozco Alvarez Malo

Affiliations

Soon will be listed here.

Abstract

Case Presentation: The authors present the case of a 28-year-old female scheduled for gastric sleeve surgery with a BMI of 49. During the preoperative evaluation, dextrocardia was evident, and a diagnosis of situs inversus totalis was made. The surgery was performed without complications in a high-volume hospital specializing in bariatric surgery.

Clinical Discussion: Gastric sleeve surgery should be considered an effective and safe procedure in such patients as long as the surgeon is prepared, makes technical adjustments with their team, and has the necessary experience.

Conclusion: Laparoscopic gastric sleeve surgery is a safe procedure in patients with situs inversus, as long as it is performed by an experienced surgeon.

References

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

Ahmed A, OMalley W . Laparoscopic Roux-en-Y gastric bypass in a patient with situs inversus. Obes Surg. 2006; 16(10):1392-4. DOI: 10.1381/096089206778663670. View

Froylich D, Segal-Abramovich T, Pascal G, Hazzan D . Laparoscopic Sleeve Gastrectomy in Patients with Situs Inversus. Obes Surg. 2018; 28(9):2987. DOI: 10.1007/s11695-018-3383-9. View

Zavalza J, Molina G, Paipilla O, Gil M, Rosales K . Situs inversus and bariatric surgery: A challenge for the surgical team. Ann Med Surg (Lond). 2021; 72:102972. PMC: 8606326. DOI: 10.1016/j.amsu.2021.102972. View

Eitler K, Bibok A, Telkes G . Situs Inversus Totalis: A Clinical Review. Int J Gen Med. 2022; 15:2437-2449. PMC: 8901252. DOI: 10.2147/IJGM.S295444. View

Ersoy E, Koksal H, Ege B . Laparoscopic gastric banding for morbid obesity in a patient with situs inversus totalis. Obes Surg. 2005; 15(9):1344-6. DOI: 10.1381/096089205774512591. View

Agha R, Franchi T, Sohrabi C, Mathew G, Kerwan A . The SCARE 2020 Guideline: Updating Consensus Surgical CAse REport (SCARE) Guidelines. Int J Surg. 2020; 84:226-230. DOI: 10.1016/j.ijsu.2020.10.034. View

Yazar F, Emre A, Akbulut S, Urfalioglu A, Cengiz E, Sertkaya M . Laparoscopic Sleeve Gastrectomy in Situs Inversus Totalis: a Case Report and Comprehensive Literature Review. Indian J Surg. 2016; 78(2):130-5. PMC: 4875906. DOI: 10.1007/s12262-015-1437-y. View

Wang F, Yu Z, Yan W, Yan M, Song M . Comparison of safety and effectiveness between laparoscopic mini-gastric bypass and laparoscopic sleeve gastrectomy: A meta-analysis and systematic review. Medicine (Baltimore). 2018; 96(50):e8924. PMC: 5815693. DOI: 10.1097/MD.0000000000008924. View

10.

Lee A, Fuchs K, Varga G, Breithaupt W, Neki K, Broderick R . Sleeve gastrectomy for treatment of delayed gastric emptying-indications, technique, and results. Langenbecks Arch Surg. 2020; 405(1):107-116. DOI: 10.1007/s00423-020-01856-5. View

11.

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

12.

Samaan M, Ratnasingham A, Pittathankal A, Hashemi M . Laparoscopic adjustable gastric banding for morbid obesity in a patient with situs inversus totalis. Obes Surg. 2008; 18(7):898-901. DOI: 10.1007/s11695-008-9445-7. View