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Published on: August 21, 2021
Roux-en-Y Gastric Bypass in Patient with Situs Inversus Totalis
Tigran Poghosyan1, Matthieu Bruzzi2, Claire Rives-Lange3
1Department of Digestive, Oncologique and Bariatric Surgery, AP-HP, Hôpital Européen Georges Pompidou and Univsersité de Paris, UFR Paris Descartes, Paris, France. tigran.poghosyan@aphp.fr.
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.
