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Obesity Surgery
Published in: Obesity Surgery 6/2020

01-06-2020 | Bariatric Surgery | Multimedia Article

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

Authors: Tigran Poghosyan, Matthieu Bruzzi, Claire Rives-Lange, Sebastien Czernichow, Jean-Marc Chevallier, Richard Douard

Published in: Obesity Surgery | Issue 6/2020

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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.
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Literature
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VARANO NR, MERKLIN RJ. Situs inversus: review of the literature, report of four cases and analysis of the clinical implications. J Int Coll Surg. 1960;33:131–48.PubMed
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Atwez A, Keilani Z. Laparoscopic Roux-en-Y gastric bypass in a patient with situs inversus totalis: case report, technical tips and review of the literature. Int J Surg Case Rep. 2018;45:56–62.CrossRef
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Metadata
Title
Roux-en-Y Gastric Bypass in Patient with Situs Inversus Totalis
Authors
Tigran Poghosyan
Matthieu Bruzzi
Claire Rives-Lange
Sebastien Czernichow
Jean-Marc Chevallier
Richard Douard
Publication date
01-06-2020
Publisher
Springer US
Published in
Obesity Surgery / Issue 6/2020
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-020-04549-6

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