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Vertical Endoscopic Gastroplasty in a Patient With Situs Inversus Totalis

Bariatric surgery in patients with any deviation from normal anatomy is a challenge and requires considerable experience on the part of the surgeon. Situs inversus totalis (SIT) is a rare congenital abnormality (1:5,000–1:20,000 live births), and any surgical procedure on these patients can be somew...

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Detalles Bibliográficos
Autores principales: Neto, Manoel dos Passos Galvao, Silva, Marco, Gomes, Sara, Grecco, Eduardo, Ferreira de Souza, Thiago, Gustavo de Quadros, Luiz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6946200/
https://www.ncbi.nlm.nih.gov/pubmed/32042842
http://dx.doi.org/10.14309/crj.0000000000000274
Descripción
Sumario:Bariatric surgery in patients with any deviation from normal anatomy is a challenge and requires considerable experience on the part of the surgeon. Situs inversus totalis (SIT) is a rare congenital abnormality (1:5,000–1:20,000 live births), and any surgical procedure on these patients can be somewhat challenging. A 44-year-old woman with morbid obesity, systemic arterial hypertension, and SIT underwent vertical endoscopic gastroplasty. The procedure was performed in 56 minutes with no complications. Vertical endoscopic gastroplasty proved to be safe on this patient with SIT, with reproducible technical viability, a short procedure time, and no early onset complications. Prospective studies are needed to establish the actual safety and viability of the method in this group of patients.