Laparoscopic stomach intestinal pylorus sparing surgery in a patient with morbid obesity and situs inversus: first video case report

Abstract

Stomach intestinal pylorus sparing surgery (SIPS) is one of the most effective weight loss procedures with mean excess weight loss at 2 years of 85% [ 1 Mitzman B. Cottam D. Goriparthi R. et al. Stomach intestinal pylorus sparing surgery for morbid obesity: retrospective analysis of our preliminary experiences. Obes Surg. 2016; 26: 2098-2104 Crossref PubMed Scopus (66) Google Scholar , 2 Zaveri H. Surve A. Cottam D. et al. Stomach intestinal pylorus sparing surgery (SIPS) with laparoscopic fundoplication (LF): a new approach to gastroesophageal reflux disease (GERD) in the setting of morbid obesity. Springerplus. 2015; 4: 596 Crossref PubMed Scopus (14) Google Scholar , 3 Cottam A. Cottam D. Medlin W. et al. A matched cohort analysis of loop duodenal switch versus Roux-en-Y gastric bypass with 18 month follow up. Surg Endosc. 2015; 30: 3958-3964 Crossref PubMed Scopus (32) Google Scholar ]. Since 2013, we have successfully performed SIPS in>300 patients. However, performance of any weight loss operation can be complicated by any patient with mirror image transposition of the abdominal and thoracic organs known as situs inversus (SI).