Cicek E, Karatepe YK, Kantarcı TR, Sahin TT. Demanding sleeve gastrectomy procedure in a patient with severe intraabdominal adhesions: A case report and review of the literature. World J Clin Cases 2025; 13(23): 104807 [DOI: 10.12998/wjcc.v13.i23.104807]
Corresponding Author of This Article
Yahya Kaan Karatepe, MD, Inonu University Department of Surgery Division of Gastrointestinal Surgery and Inonu University Livr Transplant Institute, Bulgurlu Mah. Inonu Universitesi, Turgut Ozal Tip Merkezi, Battalgazi/Malatya 44100, Türkiye. yahyakaankaratepe@gmail.com
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Egemen Cicek, Liver Transplant Institute, Inonu University, Malatya 44280, Türkiye
Yahya Kaan Karatepe, Tarık Recep Kantarcı, Inonu University Department of Surgery Division of Gastrointestinal Surgery and Inonu University Livr Transplant Institute, Malatya 44100, Türkiye
Tevfik Tolga Sahin, Surgery and Liver Transplant Institute, Inonu University Faculty of Medicine, Malatya 44280, Türkiye
Author contributions: Cicek E and Karatepe YK contributed to manuscript writing and editing, and data collection; Kantarci TR contributed to data analysis; Sahin TT contributed to conceptualization and supervision; all authors have read and approved the final manuscript.
Informed consent statement: Written informed consent was obtained from the patient for the publication of this case report.
Conflict-of-interest statement: None of the authors have any conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yahya Kaan Karatepe, MD, Inonu University Department of Surgery Division of Gastrointestinal Surgery and Inonu University Livr Transplant Institute, Bulgurlu Mah. Inonu Universitesi, Turgut Ozal Tip Merkezi, Battalgazi/Malatya 44100, Türkiye. yahyakaankaratepe@gmail.com
Received: January 3, 2025 Revised: February 5, 2025 Accepted: April 24, 2025 Published online: August 16, 2025 Processing time: 153 Days and 8.6 Hours
Abstract
BACKGROUND
Severe intraabdominal adhesions and ventral hernias pose significant technical challenges in bariatric surgery, especially in patients with a history of complex abdominal procedures.
CASE SUMMARY
This report describes a case involving a 30-year-old morbidly obese man who previously underwent a right lobe hepatectomy for living donor liver transplantation. The patient presented with a body mass index of 40.7 kg/m2 and a giant incisional hernia, compounded by extensive intraabdominal adhesions from multiple previous surgeries. A laparoscopic sleeve gastrectomy was performed as the initial step of a staged surgical plan. Adhesiolysis was conducted carefully to address the dense intraabdominal adhesions, and the procedure was completed successfully using standard stapling techniques. Postoperative recovery was smooth, with significant weight loss achieved within the first month.
CONCLUSION
This case highlights the need for personalized surgical planning and precise techniques in bariatric surgery for patients with past abdominal operations.
Core Tip: This case demonstrates the necessity of individualized surgical planning in bariatric procedures for patients with prior abdominal surgeries. The successful outcome emphasizes the role of precise intraoperative techniques and careful patient selection in managing complex surgical cases.
