Laparoscopic sleeve gastrectomy on a morbidly obese patient with situs inversus totalis: A case study and systematic review of the literature

Aziret, Mehmet; Karaman, Kerem; Ercan, Metin; Bostancı, Erdal Birol; Akoğlu, Musa

doi:10.1016/j.orcp.2016.12.003

Cited by 18 publications

(27 citation statements)

References 22 publications

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“…The literature suggests that experienced laparoscopic bariatric surgeons can perform LGB, LRYGB and LSG safely 5 11 13 22–25 27 32. In all cases but two,12 24 the operations were performed successfully and without complications.…”

Section: Discussionmentioning

confidence: 88%

“…A total of 25 articles with 27 cases were identified. These comprise 6 cases that underwent LGB,5 9–13 9 LRYGB5 14–21 and 12 LSG 22–32. Among these cases, only one case of Kartagener syndrome was identified for each LGB,11 LRYGB16 and LSG 26.…”

Section: Discussionmentioning

confidence: 99%

“…The preoperative diagnosis of SIT can help to manage the risk of pulmonary, cardiac or other complications associated with the disease. Patients with SIT may have other developmental malformations,22 such as respiratory (bronchiectasis or congenital absence of one lung), cardiovascular (Tetralogy of Fallot) or digestive system (biliary atresia or small bowel atresia) anomalies 7 3422.…”

Section: Discussionmentioning

confidence: 99%

“…Patients with SIT may have other developmental malformations,22 such as respiratory (bronchiectasis or congenital absence of one lung), cardiovascular (Tetralogy of Fallot) or digestive system (biliary atresia or small bowel atresia) anomalies 7 3422. The literature recommends imaging techniques such as CT scan or MRI of the thorax and abdomen,17 19 30 abdominal ultrasounds5 9 10 13 or echocardiography 23 30.…”

Section: Discussionmentioning

confidence: 99%

“…Preoperative awareness of SIT allows the surgical team to prepare for the technical and nontechnical challenges of the surgery 22 24. For LSG, the entire operation is performed in a mirror-image fashion 22 23 30–32.…”

Section: Discussionmentioning

confidence: 99%

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Laparoscopic sleeve gastrectomy in a patient withsitus inversus totalisand Kartagener syndrome: an unusual surgical conundrum

Burvill¹,

Blackham

Hamdorf

2019

BMJ Case Rep

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Kartagener syndrome is a rare autosomal recessive condition. Approximately 25% of those with situs inversus totalis suffer the syndrome. With the rising overall number and indications for bariatric surgery, this condition will be increasingly recognised. We present a case of a 25-year-old woman with SIT and Kartagener syndrome who underwent a laparoscopic sleeve gastrectomy. As with all bariatric surgery, a multidisciplinary team approach was important in managing such a case. There were considerable cognitive challenges for the surgical team both preoperatively and during the procedure. The patient tolerated the operation well and was discharged 2 days after the surgery. At 12-months follow-up, the patient had achieved 125% excess weight loss. This case illustrates that an experienced surgeon can safely perform a laparoscopic sleeve gastrectomy on a patient with situs inversus totalis.

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Section: Discussionmentioning

confidence: 88%