الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
& conclusion 99 Morbid obesity has reached an epidemic proportions all over the world.National Institute of Health Consensus panel on obesity reported that at least 20-30 % of adult men and 30-40 % 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., 2004 ).Many bariatric operators have been performed throughout the last 50 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., 2004 ).Thirty patients with morbid obesity ( 25 female & 5 males) ranging in age between 20-48 years with a mean of 30 ± 8.2 years were included in the present study. All patients tried to reduce weight by various methods with no response. Those patients were selected according to the preformed inclusion criteria.They were divided randomly into 2 subgroups . The 1st subgroup had laparoscopic sleeve gastrectomy and the 2nd subgroup had laparoscopic Rouxen- Y gastric bypass conclusion 100 All patients were subjected to preoperative assessment after exclusion of any hormonal imbalance such as hypothyroidism or Cushing syndrome (complete blood count, liver and kidney function tests , fasting and postprandial blood sugar , coagulation profile , ECG , echo-cardiograph , chest X-ray , respiratory functions , abdominal ultrasonography and duplex study of lower limb venous system ). This study evaluated and compared between the short term outcomes of laparoscopic sleeve gastrectomy (LSG) with laparoscopic Roux-en-Y gastric bypass (LRYGBP) regarding ;the length of procedure, the hospital stay, body weight regarding % excess weight loss 6 months and one year postoperative, early and late complications & mortality .Laparoscopic Roux-en-Y gastric bypass procedure was found to be comparable in weight reduction in morbidly obese patients and to improve many of obesity related comorbidities and quality of life as laparoscopic sleeve gastrectomy. However, perioperative risks are also recorded. However LSG took little time and the patients recover earlier than patients with LRYGBP. Patients undergoing bariatric surgery should adequately address their surgical expectations. Extensive preoperative and postoperative education of prospective surgery candidates is essential. Without education, patients may expect to return to normal weight with minimal personal effort and without possible adverse effect from the procedure. They should be counseled that, the goal is to return their weight to a more healthy range and reduce their short and long term risks for morbidity and mortality
caused be their overweight.