ULTRASOUND AS A FIRST LINE INVESTIGATION OF CHOICE IN DIAGNOSIS OF ACUTE CHOLICYSTITIS

Abstract

Background:Bariatric surgery proved to be the only successful treatment option leading to long-term weight loss with improvement of obesity related comorbid ities. The Laparoscopic Sleeve Gastrectomy (LSG) is now one of the most popular bariatric procedure worldwide with rising prevalence over last decade, while the Mini Gastric Bypass (M GB) is now gaining some popularity as a relatively new bariatric procedure Methods:The study involved forty patients; twenty of them had Laparoscopic Sleeve Gastrectomy (LSG), and twen ty of them had Laparoscopic Mini Gastric Bypass (M GB). The patients were selected according to National Institute of Health (NIH) guidelines. All procedures were performed by the same team of experienced bariatric surgeons. all the patients had a one-year period of follow up after surgery and were evaluated for weight loss, morbid ity (early, and late), impact on obesity associated diseases and effect on quality of life (Qo L). Results:The two groups were matched considering the demographic data. Operative time was significantly longer in M GB group (P = 0.001), with mean operative time in M GB group was 74.75, while in LSG group was 53.25 min. One patient (5%) fro m LSG group developed stenosis and was managed by endoscopic balloon dilatation. Mean excess weight loss % after one year was 66.99% (± 1.739%) for LSG group and 67.76% (± 1.813%) for M GB group. The Qo L after one year was varied between good and very good in both groups, with 70% of LSG group lie in very good category, and 75% of M GB group lie in the very good category. Conclusion:Both studied laparoscopic techniques; LSG and M GB were safe and effective, with similar results as regards significant weight loss and improvement of obesity-associated medical comorbid ities and quality of life, with acceptable morbidity.