Keywords
obesity treatment in adolescents
pediatric bariatric surgery
How to Cite
Abstract
Bariatric and Metabolic Surgery (BMS) has been gaining ground as a treatment for severe obesity in adolescents when conventional treatment does not produce the desired results. Objective: to analyze specialized literature on bariatric and metabolic surgery in adolescents. Methodology: narrative review of the literature, searching for articles in the SciELO, PubMed and LILACS databases, with publications from the last thirteen years, excluding duplicate studies, in vitro studies, studies with animals, TCCs, editorials, dissertations and theses. Results: 6,043 publications were found, of which only 13 were selected after analysis within the inclusion criteria. It was found that MBC is a safe and effective treatment in the medium and long term; it produces lasting weight loss and improvement in comorbidities; uniform protocols need to be developed for MBC in adolescents; RYGB and Sleeve techniques are commonly performed in this group; MBC should be considered when there is no response to weight loss treatment with a multidisciplinary team; the nutritionist is essential for the success of the treatment, acting in the perioperative period; multiple micronutrient deficiencies after MBC highlight the need for routine and long-term monitoring; there is an improvement in metabolic health in the long term; ERAS protocol can be used in adolescents, while there are no specific protocols for these cases; reduction in mean BMI did not differ significantly in the two most commonly used techniques currently; Sleeve demonstrates fewer nutritional deficiencies in the long term. Conclusion: CBM is recognized as a safe, effective and long-lasting treatment for weight loss and improvement of comorbidities in obese adolescents who did not achieve the expected results after undergoing conventional treatment with a multidisciplinary team; more research is needed in order to standardize treatments in these cases.
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