Laparoscopic Roux-en-Y gastric bypass in a patient with situs inversus totalis: case report.

Autor: Zorrilla-Blanco PG; Department of General Surgery, Hospital Universitario 'Dr. José Eleuterio González', Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México., Muñoz-Maldonado G; Department of General Surgery, Hospital Universitario 'Dr. José Eleuterio González', Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México., Zorrilla-Nuñez LF; Department of General Surgery, Hospital Universitario 'Dr. José Eleuterio González', Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México., Núñez-Jasso N; Department of General Surgery, Hospital Universitario 'Dr. José Eleuterio González', Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México., González-Zorrilla F; Department of General Surgery, Hospital Universitario 'Dr. José Eleuterio González', Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México., Mata-De Anda LA; Department of General Surgery, Hospital Universitario 'Dr. José Eleuterio González', Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México., de la O-Escamilla M; Department of General Surgery, Hospital Universitario 'Dr. José Eleuterio González', Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México.
Jazyk: angličtina
Zdroj: Journal of surgical case reports [J Surg Case Rep] 2022 Jul 22; Vol. 2022 (7), pp. rjac336. Date of Electronic Publication: 2022 Jul 22 (Print Publication: 2022).
DOI: 10.1093/jscr/rjac336
Abstrakt: The purpose of this report is to present the case of a patient with situs inversus totalis (SIT) who underwent laparoscopic gastric bypass and review of the literature. Situs inversus is a rare congenital abnormality that occurs in ~0.01% of the population and is characterized by transposition of the abdominal viscera1. When associated with dextrocardia, it is known as SIT. Electrocardiography reveals a reversal of the electrical waves of the heart and is the diagnostic measure of choice. Roux-en-Y laparoscopic gastric bypass for morbid obesity is one of the most effective bariatric procedures currently considered as the gold standard in bariatric surgery. We present the case of a 19-year-old male with morbid obesity and diagnosis of SIT, who underwent a laparoscopic gastric bypass adjusting the technique to the anatomical changes typical of this variant. It can be concluded, based on the previously compared cases and what was reported in ours, that in patients who have an indication to perform bariatric surgery and present SIT, surgery is not contraindicated, obtaining favorable results.
(Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2022.)
Databáze: MEDLINE
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