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Abstract Morbid obesity has reached an epidemic proportions all over the world. National Institute of Health Consensus panel on obesity reported that at least ٢٠-٣٠% of adult men and ٣٠-٤٠% of adult women are obese. Unfortunately, medical interventions have been infective in this growing proportion. Currently, bariatric surgery is considered to be the most effective intervention in managing morbid obesity and its comorbidities (Juan et al., ٢٠٠٤). Many bariatric operators have been performed throughout the last ٥٠ years and Roux-En-Y gastric bypass was found to be the best operation in achieving the desirable weight loss and has been acknowledged as a standard surgical technique for treatment of morbid obesity (Juan et al., ٢٠٠٤). Twenty patients with morbid obesity (١٤ female & ٦ males) rangingin age between ١٨-٥٠ years with a mean of ٣٢.١±٩.٧ years were included in the present study. All were morbid obese and tried to reduce weight by various methods with no response. All patients were subjected to preoperative assessment (complete blood count, liver and kidney function tests, lipid profile, fasting and postprandial blood sugar, serum electrolyte, coagulation profile, ECG, chest X-ray, abdominal ultrasonography and upper gastrointestinal endoscopy). Intra-operative complications as visceral injury and anastomotic leak were not recorded in patients treated by open surgery, whereas patients treated with laparoscopic surgery showed a complication rate ranged from ٣.٣%-٦.٦%. Early postoperative complications (vomiting pulmonary embolism and wound infection) were recorded in ٣٥% of all patients studied, while, late postoperative complications (persistent vomiting, weight regain, anaemia, incisional hernia and hypoalbuminaemia) were recorded in ٣٥% of all patients studied. |