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.

Abstract

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.