Laparoscopic sleeve gastrectomy in a patient with primary adrenal insufficiency: a case report

This case report discusses the successful application of laparoscopic sleeve gastrectomy (LSG) in a 17-year-old patient diagnosed with primary adrenal insufficiency (PAI). The patient presented with severe obesity (BMI > 60 kg/m²) along with metabolic issues, including dyslipidemia and pre-diabetes. After failing conservative weight loss approaches and with significant binge eating behaviors, surgical intervention was deemed necessary. Despite the risks associated with steroid use in the surgical context, the patient underwent LSG with careful perioperative steroid management. His post operative recovery was uneventful, with no complications or adrenal crisis. Over the course of one year, he achieved a weight loss of 69 kg, reflecting a 37.7% reduction, indicating a significant improvement in his health status. This report highlights the feasibility and safety of LSG in patients with PAI and provides valuable insights into bariatric surgery outcomes in this unique population.