LAPAROSCOPIC BARIATRIC SURGERY IN ADOLESCENTS: EARLY AND FIVE- YEAR CLINICAL AND LABORATORY ASSESSMENT.

Area of Science:

• Adolescent medicine
• Surgical sciences
• Metabolic disease research

Background:

• Adolescent obesity is a growing epidemic, often requiring advanced interventions.
• Bariatric surgery is a highly effective treatment for severe obesity (Class III and IV) in adolescents.

Purpose of the Study:

• To assess the efficacy of bariatric surgery in adolescents.
• Evaluate long-term weight loss, comorbidity remission, and safety profiles.

Main Methods:

• Retrospective study of adolescent patients undergoing bariatric surgery.
• Analysis of preoperative and 1, 2, and 5-year postoperative laboratory tests, comorbidities, and excess weight loss percentage.

Main Results:

• 65 adolescents (mean age 18.6) included; significant excess weight loss observed (57.28% at 5 years).
• High remission rates for hypercholesterolemia (60%), hypertension (66.7%), and type 2 diabetes (83.4%).
• Improved lipid profiles and glycemic control observed long-term post-surgery.

Conclusions:

• Bariatric surgery demonstrates safety and effectiveness in adolescents.
• Achieves sustained weight loss and significant comorbidity remission.
• Improves metabolic parameters and quality of life in severely obese adolescents.