The rising prevalence of adolescent obesity poses significant health challenges, necessitating effective interventions. When nutritional management and lifestyle changes are insufficient, bariatric surgery has emerged as a potential therapeutic option to address severe obesity in this vulnerable population, at risk of developing various complications such as insulin resistance, type 2 diabetes mellitus and even cardiovascular disease, with its heterogenous implications. By carefully selecting patients, metabolic and bariatric surgery in adolescents presents a maximum of benefit, reducing the obesity complications. The most frequent procedures are represented by sleeve gastrectomy and Roux-en-Y Gastric Bypass. Current evidence supports metabolic and bariatric surgery in adolescents with severe obesity when most conservative lifestyle and pharmacologic interventions fail to ensure a healthier young population. We conducted a literature review with the aim to evaluate the current results regarding bariatric surgery in adolescents, highlighting the benefits and also disadvantages of surgical techniques.
Salmen et al. (Tue,) studied this question.