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Abstract Background: Laparoscopic sleeve gastrectomy (LSG) is considerably utilized as a bariatric method for treating morbid obesity through the reduction of stomach volume. The present study attempted to assess the volumetric changes of gastric reservoir one year after LSG using multi-slice spiral computed tomography (MSCT) as well as to verify their association with weight loss. Methods: The current study is a prospective study of 30 consecutive morbid obese patients managed with laparoscopic sleeve gastrectomy. All patients were referred to abdominal MSCT besides volumetric measurement of gastric pouch one month and 12 months postoperatively after the LSG. Results: There were statistically substantial differences throughout the whole period of follow-up (P-value ≤0.05) regarding the ratio of excess weight loss, weight loss, and decreased BMI, in addition to the ratio of excess body mass index loss (% EBMIL) after LSG. Substantial elevation of the overall volume of the gastric reservoir (82.9 SD11 and 171.6 SD23.6 ml at 1 and 12 months, respectively) was observed. However, the current findings did not demonstrate any significant association (r= 0.131, P= 0.491) between excess weight loss percentage and the increase in gastric reservoir volume 1 year postoperatively. Conclusion: Sleeve dilatation is a common finding following sleeve gastrectomy (SG) even after conducting a narrow gastric pouch, yet dilatation was not correlated with insufficient weight loss after one year postoperative. |