Objective:

To assess the seven-year results of laparoscopic sleeve gastrectomy (LSG) in adolescent patients, focusing on weight loss efficacy and resolution of comorbidities, and to highlight the significance of these outcomes in addressing adolescent obesity.

Key Findings:

• Significant weight loss was observed, with mean preoperative weight of 119 kg and one-year postoperative weight of 94.6 kg, alongside a notable resolution of comorbidities such as type 2 diabetes, hypertension, and obstructive sleep apnea, with specific resolution rates to be included.
• Postoperative complications were minimal, with a 7.9% complication rate including one leak and one bleeding incident.

Interpretation:

LSG in adolescents shows promising long-term outcomes in weight loss and resolution of obesity-related comorbidities, supporting its use as a viable treatment option, with implications for clinical practice.

Limitations:

• Modest sample size may limit generalizability and the robustness of the findings.
• Insufficient assessment of psychological outcomes and quality of life, which are critical for comprehensive evaluation.

Conclusion:

The study supports the efficacy of LSG in adolescents for achieving significant weight loss and improving obesity-related health issues over a seven-year period, emphasizing the need for further research to address the identified limitations.