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JOURNAL ARTICLE

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

Tigran Poghosyan, Matthieu Bruzzi, Claire Rives-Lange, Sebastien Czernichow, Jean-Marc Chevallier, Richard Douard
Obesity Surgery 2020 March 24
32212101
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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