TITLE:
Situs Inversus during Bariatric Surgery: A Retrospective Analyze
AUTHORS:
Augusto Tinoco, Amanda Bussad, Renam Tinoco, Luciana El-Kadre
KEYWORDS:
Gastric Bypass, Laparoscopy, Morbid Obesity, Situs Inversus, Bariatric Surgery
JOURNAL NAME:
Surgical Science,
Vol.6 No.10,
October
26,
2015
ABSTRACT: Background: We were reporting three cases of Situs Inversus in morbidly
obese patients that were submitted a laparoscopic gastric bypass (LGBP). The condition
itself was not a serious hazard to normal, healthy patients but, may cause
difficulties in the diagnosis and management of abdominal pathology. The
incidence of surgical disease did not seem to be different as in the general
population, but its presentation, diagnosis and the operative procedure were.
This was particularly true for laparoscopic surgery. Methods: From January 1999
to June 2015, 3047 morbidly obese patients underwent. Three patients with Situs
Inverse (SI), two of the three with Situs Inversus Totalis (SIT), and one with Situs
Inversus Parcialis (SIP) were submitted to a laparoscopic Roux-en-Y gastric
bypass with no major difficulties. The mean age was 45 years (39 - 49), BMI
37.7 kg/m2, two of the above patients were female. Results: The LGBP
was completed successfully in two of the three patients with SI. The mean
duration of surgery was a 167 minutes, ranging from 110 - 210 minutes. The
hospital stay was 5 days (3 - 8). Conclusions: The benefits of surgery were
evident, even in the patients with SI; as there was no need for ICU admission
and patients had an early hospital discharge. Morbidly obese patients with SI might
be submitted to LGBP. This procedure was feasible and safe when the diagnosis was
pre-operatively confirmed, and the surgical team made proper adjustments.