Turkish Journal of Science and Health, cilt.6, sa.3, ss.189-200, 2025 (Hakemli Dergi)
Obesity is increasingly recognized as a significant health concern affecting not only adults but also younger populations, including children and adolescents. Type 2 diabetes, dyslipidemia, and hypertension, which are common in adults, are becoming increasingly prevalent in the pediatric population. The onset of these comorbidities at an early age will result in a significantly reduced life expectancy. The widespread nature of obesity in the pediatric population has led to the initiation of various treatments, including surgical interventions at an early age. Certain risks and benefits must be considered when considering surgical treatment in adolescents. In the decision-making process for bariatric surgery in adolescents, not only the potential health benefits and risks but also the ethical, psychological, and social dimensions must be carefully considered. While perioperative and postoperative psychological status changes and patient selection differ significantly from those in adult patients, outcomes after bariatric surgery are similar to those in adult patients. Bariatric surgery in adolescence may be considered among treatment options after the implementation of other therapeutic approaches by a multidisciplinary team, taking into account the adolescent's and family's lifestyle as well as long-term health outcomes.