title: Laparoscopic Roux-en-Y gastric bypass in a patient with situs inversus.
abstract: We report the case of a morbidly obese patient with situs inversus totalis presenting for laparoscopic Roux-en-Y gastric bypass (RYGBP). The operative technique is detailed and we recommend the use of a mirror image approach to all parts of the operation. Consequently, the operative time is only moderately longer than usual. Laparoscopic RYGBP can be safely performed in patients with situs inversus.
authors.affiliation: University of Rochester Medical Center, Highland Hospital, Rochester, NY 14620, USA. ahmed_ahmed@urmc.rochester.edu
authors.forename: Ahmed R
authors.initials: AR
authors.lastname: Ahmed
authors.forename: William
authors.initials: W
authors.lastname: O'malley
mesh_terms: D015897:Comorbidity; D005260:Female; D015390:Gastric Bypass / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D009767:Obesity, Morbid / Q000453:epidemiology*; D012857:Situs Inversus / Q000453:epidemiology*