الفهرس 
Comparative study between inversion and non inversion of the staple line in laparoscopic sleeve gastrectomy
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Abstract
Morbid obesity has become a big health problem due to its multiple co-morbidities. Bariatric surgery proved to be an effective way for management of morbid obesity and its co-morbidities.In recent years, sleeve gastrectomy has evolved as a single-stage procedure for the treatment of morbid obesity. Sleeve gastrectomy which is showing effective resolution of co-morbidities and good weight loss, shows increasing popularity among bariatric surgeons.In this study, 40 morbidly obese patients were operated upon for laparoscopic sleeve gastrectomy 20 without inversion of staple line & 20 with inversion of staple line and are followed up afterwards to evaluate and post-operative leakage rate in the early six month. It is concluded that laparoscopic sleeve gastrectomy is a safe, acceptable and effective surgical procedure for the treatment of morbid obesity with accepted range of complications . Reinforcement of staple line has no significant impact on percentage of suture line bleeding or leakage or on the operative time or hospital stay.This technique can be restricted to special individual cases depending on the operative findings. However, more intense practice and wide range of cases are required for more precise assessment