Roux-en-Y Gastric Bypass in Patient With Situs Inversus Totalis

Obes Surg. 2020 Jun;30(6):2462-2463. doi: 10.1007/s11695-020-04549-6.


In some cases, in addition to the usual difficulties that the bariatric surgeon may encounter during standard bariatric procedures, anatomical anomalies such as situs inversus can pose an additional technical challenge. A 58-year-old patient with total situs inversus underwent Roux-en-Y gastric bypass (RYGB) surgery in our department. The main difficulty was the realization of a mirrored RYGB. Laparoscopic RYGB in a patient with situs inversus totalis is feasible but requires significant concentration and three-dimensional coordination to perform the mirrored procedure.

Keywords: Bariatric surgery; Roux-en-Y gastric bypass; Situs inversus.