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

2019 ◽  
Vol 12 (7) ◽  
pp. e229550
Author(s):  
Angela Burvill ◽  
Ruth Blackham ◽  
Jeffrey Hamdorf

Kartagener syndrome is a rare autosomal recessive condition. Approximately 25% of those withsitus inversus totalissuffer 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 withSITand 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 withsitus inversus totalis.

2018 ◽  
pp. 20-23

Situs inversus totalis (SIT) is a rare autosomal recessive entity defined as the transposition of thoracic and intraabdominal organs forming a mirror image to the normal anatomy. Laparoscopic procedures are technically more challenging for the surgeons in case of SIT. We hereby report two cases of successful laparoscopic gastric sleeve in SIT patients.


Cureus ◽  
2021 ◽  
Author(s):  
Basem Almussallam ◽  
Saad M Alqahtani ◽  
Nael Abdo ◽  
Walid Maghraoui ◽  
Mohammad Fawaz ◽  
...  

2006 ◽  
Vol 16 (8) ◽  
pp. 1092-1095 ◽  
Author(s):  
Jean Catheline ◽  
Caroline Rosales ◽  
Régis Cohen ◽  
Hélène Bihan ◽  
Jean Fournier ◽  
...  

2020 ◽  
Vol 13 (1) ◽  
pp. 19-27
Author(s):  
Toni I. Stoyanov ◽  
Pedro Cascales-Sanchez ◽  
Kaloyan T. Ivanov ◽  
Agustina Martinez-Moreno ◽  
Servando Usero-Rebollo ◽  
...  

Summary Introduction: Bariatric surgery has amply demonstrated its benefit in the treatment of morbidly obese patients. After surgery, there is a progressive and significant decrease in weight in a high percentage of patients. Most comorbidities resolve, improving quality of life and increasing life expectancy. Methods and Objective: The literature review is based on a 10-year or longer follow-up of patients who underwent various bariatric surgery procedures. The long-term weight loss results and the clinical impact were evaluated. Results: The applied surgical techniques, including Rouxen-Y gastric Bypass (RYBG), Biliopancreatic Diversion, Scopinaro type (BPD), and Duodenal Switch (DS), have contributed to achieving very satisfactory long-term and sustainable weight loss results. According to the reviewed literature, the percentage of excessive BMI Loss (%EBMIL) for the various techniques was 67.9%, 70.7%, and 71.5% for RYGB, BPD, and DS, respectively. Patients undergoing BGYR have lost much more weight than non-surgical patients and can maintain long-term weight loss, reaching a Percentage of Excessive Weight Loss (%EWL) as high as 56.4% in 10 years. Patients who underwent Adjustable Gastric Band (AGB) presented with a %EWL of 45.9% in 10 years, but with very high re-operation rate range (8-78%). There are few studies in the literature on Laparoscopic Sleeve Gastrectomy, reporting weight loss results over ten years. According to the study carried out by Arman G. A., Himpens J., et al. isolated Laparoscopic Sleeve Gastrectomy (LGS) produced a satisfactory weight loss over ten years, reachingEBMIL of 62.5%. Amending LSG with a new surgical design with malabsorbtive component (in 25% of patients) increased the weight loss, achieving %EBMIL of 81.7%.The Vertical Band Gastroplasty technique resulted in EWL of 38.1 ± 28.8%, as shown by a mean follow-up of 17.3 years, with a high rate of re-operations and conversions.


2016 ◽  
Vol 78 (2) ◽  
pp. 130-135 ◽  
Author(s):  
Fatih Mehmet Yazar ◽  
Arif Emre ◽  
Sami Akbulut ◽  
Aykut Urfalıoğlu ◽  
Emrah Cengiz ◽  
...  

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