Bariatric and Metabolic Surgery in Patients with Situs Inversus: a Systematic Review

Nasser Sakran, Christine Stier, Chetan Parmar, Sjaak Pouwels

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations


Laparoscopic surgery in patients with obesity with situs inversus (SI) may pose interesting challenges to diagnosing and managing due to the mirror image anatomy. Since in SI patient’s organs are displaced, the surgery requires high levels of precision and hand-eye coordination. SI and bariatric surgery may pose challenges for the surgical team. A total of 46 patients were reported in this systematic review. The mean age of cases was ~39 years (range 19–59), and the mean BMI was 45.9 kg/m2 (range 35–76). Of the included 46 patients, 39 had SIT. In the majority of the included patients, either a laparoscopic Roux-en-Y gastric bypass (LRYGB) (in 15 patients (35%)) or a laparoscopic sleeve gastrectomy (LSG) (in 21 patients (45.6%)) was performed. Complications were documented in 3 cases.

Original languageEnglish
Pages (from-to)3628-3635
Number of pages8
JournalObesity Surgery
Issue number11
StatePublished - Nov 2023

Bibliographical note

Publisher Copyright:
© 2023, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.


  • Bariatric surgery
  • Kartagener syndrome
  • Morbid obesity
  • Situs inversus


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