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. 2023 Feb 7;85(2):276-279.
doi: 10.1097/MS9.0000000000000185. eCollection 2023 Feb.

Laparoscopic sleeve gastrectomy in situs inversus totalis: a case report

Jesús E Ortiz Gómez  1   2 , Paloma S Arellanes Herrera  1 , José A Guzmán Barba  1 , Isaac Esparza Estrada  1 , José O Orozco Álvarez Malo  2
Affiliations

Laparoscopic sleeve gastrectomy in situs inversus totalis: a case report

Jesús E Ortiz Gómez et al. Ann Med Surg (Lond). .

Abstract

Obesity and being overweight are defined as abnormal and excessive fat accumulation, respectively. Obesity is defined as a BMI of 30 or higher. Sleeve gastrectomy, the most commonly performed bariatric surgery worldwide, is an effective treatment for obesity and its comorbidities. However, some cases, such as situs inversus, may present additional challenges for surgeons.

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.

Keywords: bariatric surgery; case report; obesity; situs inversus; sleeve gastrectomy.

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Conflict of interest statement

The authors declare that they have no financial conflicts of interest with regard to the consent of this report.

Figures

Figure 1
Figure 1
Situs inversus present in computed tomography and chest radiograph.
Figure 2
Figure 2
Comparison between the standard position of trocars and the modified position.
Figure 3
Figure 3
Staple line before and after reinforcement.
See this image and copyright information in PMC

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References

    1. WHO. Obesity; October 2022. Accessed September 29, 2022. https://www.who.int/health-topics/obesity#tab=tab_1
    1. Samaan M, Ratnasingham A, Pittathankal A, et al. . Laparoscopic adjustable gastric banding for morbid obesity in a patient with situs inversus totalis. Obes Surg 2008;18:898–901. - PubMed
    1. Eitler K, Bibok A, Telkes G. Situs inversus totalis: a clinical review. Int J Gen Med 2022;15:2437–49. - PMC - PubMed
    1. Zavalza JF, Molina GA, Paipilla OA, et al. . Situs inversus and bariatric surgery: a challenge for the surgical team. Ann Med Surg (Lond) 2021;72:102972. - PMC - PubMed
    1. Agha RA, Franchi T, Sohrabi C, et al. . SCARE Group. The SCARE 2020 guideline: updating consensus Surgical CAse REport (SCARE) guidelines. Int J Surg 2020;84:226–30. - PubMed