Laparoscopic sleeve gastrectomy in situs inversus totalis: a case report

• Published in: Annals of medicine and surgery Vol. 85; no. 2; pp. 276 - 279
• Main Authors: Ortiz Gómez, Jesús E, Arellanes Herrera, Paloma S, Guzmán Barba, José A, Esparza Estrada, Isaac, Orozco Álvarez Malo, José O
• Format: Journal Article
• Language: English
• Published: England Lippincott Williams & Wilkins 01.02.2023
• Subjects: Case Reports; case report; bariatric surgery; sleeve gastrectomy; obesity; situs inversus
• ISSN: 2049-0801; 2049-0801
• DOI: 10.1097/MS9.0000000000000185

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. 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. 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. Laparoscopic gastric sleeve surgery is a safe procedure in patients with situs inversus, as long as it is performed by an experienced surgeon.