Situs inversus is a rare congenital disorder characterized by mirror image of the internal organs’
arrangements. Laparoscopic cholecystectomy in such patient is considered challenging. In this paper, we
present a 64-year-old female which is known to have situs inversus. She underwent uneventful laparoscopic
cholecystectomy. Technical difficulty is an obstacle in these patients and modification of the surgical steps
will facilitate the operation.
Gastric cancer has been reported in relatively few cases after sleeve gastrectomy, which has become a common bariatric procedure. In this paper, we present a 58-year-old woman diagnosed with gastric cancer by esophagogastroduodenoscopy (EGD) 4 years after sleeve gastrectomy. For that, she underwent distal esophagectomy and total gastrectomy with Roux-en-Y esophagojejunostomy. Preoperative endoscopy is recommended before planning surgery in patients with gastroesophageal reflux symptoms. In addition, annual EGD should be considered after sleeve gastrectomy in patients with risk factors for gastric cancer.
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