Bariatric and Metabolic Surgery in Patients with Situs Inversus: a Systematic Review

Obes Surg. 2023 Nov;33(11):3628-3635. doi: 10.1007/s11695-023-06847-1. Epub 2023 Oct 6.


Laparoscopic surgery in patients with obesity with situs inversus (SI) may pose interesting challenges to diagnosing and managing due to the mirror image anatomy. Since in SI patient's organs are displaced, the surgery requires high levels of precision and hand-eye coordination. SI and bariatric surgery may pose challenges for the surgical team. A total of 46 patients were reported in this systematic review. The mean age of cases was ~39 years (range 19-59), and the mean BMI was 45.9 kg/m2 (range 35-76). Of the included 46 patients, 39 had SIT. In the majority of the included patients, either a laparoscopic Roux-en-Y gastric bypass (LRYGB) (in 15 patients (35%)) or a laparoscopic sleeve gastrectomy (LSG) (in 21 patients (45.6%)) was performed. Complications were documented in 3 cases.

Keywords: Bariatric surgery; Kartagener syndrome; Morbid obesity; Situs inversus.

Publication types

  • Systematic Review
  • Review

MeSH terms

  • Adult
  • Bariatric Surgery* / methods
  • Gastrectomy / methods
  • Gastric Bypass* / methods
  • Humans
  • Laparoscopy* / methods
  • Middle Aged
  • Obesity, Morbid* / surgery
  • Situs Inversus* / complications
  • Situs Inversus* / surgery
  • Treatment Outcome
  • Young Adult