الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Obesity as a global epidemic and major health problem in the 21st century; has influenced many aspects of health. In Egypt, obesity is dramatically growing. Dyslipidemia is major comorbidity in obese patient and common risk factor for progression of atherosclerosis and then cardiovascular diseases. Lipid profile abnormalities associated with obesity include elevated total cholesterol level, elevated LDL cholesterol, elevated triglycerides and reduced serum HDL cholesterol.
LSG is gaining popularity as a primary bariatric procedure. It is an excellent operation for the management of morbid obesity. bariatric surgery is a very successful method in reaching long-term improvements of comorbidities and decreasing mortality rates; bariatric surgery can improve glucose metabolism, serum lipid concentrations. thereby, bariatric surgery can lower their cardiovascular risks.
This study included fifty patients who were admitted to the department of surgery between July 2020 andOctober 2021at the main university hospital, university of Alexandria. Those patients were suffering from morbid obesity with BMI ≥ 40,or BMI ≥ 35with co-morbidities such as diabetes mellitus, hypertension, hyperlipidemia. There were 19 (38%) males and 31 (62%) females with a mean age of 33.72±7.95 years and a mean height of 1.70±0.726 m.
All the patients in the study were managed by Laparoscopic Sleeve Gastrectomy and followed up for nine months postoperatively.
Those patients were subjected to preoperative assessment in the form of thorough history taking, clinical examination, laboratory investigations, and post-operative assessment for body weight, BMI, WC laboratory follow up for FBG, PPBG, TC, TG, LDL and HDL.
The preoperative and post-operative data were compared to assess effect of LSG on loss of weight or BMI and postoperative lipid profile changes. The study revealed that LSG is effective in body mass indices reduction and improvement of the dyslipidemia in hyperlipidemic obese patients during the 9-month follow up duration.
According to reduction BMI there was significant reduction of weight as the mean preoperative BMI was 48.59±5.78 kg/m2 and at nine month post-operatively, it was 32.58±3.91 kg/m2.
According to effect of LSG on lipid profile the results demonstrated better rates of reduction and improvement of serum level of TC, TG, LDL and increased serum level of HDL observed in all follow up intervals.
So according