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Abstract
Morbid obesity has become a big health problem due to its multiple co- morbidities. Bariatric surgery provides the only long term effective option for weight loss in morbidly obese individuals. Laparoscopic Sleeve Gastrectomy (LSG) has become very popular procedure among bariatric surgeons. Bleeding from the staple line and gastric leakage are the main early complications. Staple line reinforcement has been suggested to reduce these postoperative complications. In this study we compared bleeding and leakage incidence and gastric pouch volume measured by CT volumetry 1 month after operation between (58 patients with staple line invagination by continuous suturing and 87 patients without invagination) during laparoscopic sleeve gastrectomy. It is concluded that there is no significant difference between two techniques on the incidence of bleeding and leakage and on gastric pouch volume, male gender was significantly liable to bleed more than female gender and increased BMI {u2265}49.7 kg/m2 is associated with increased probability of bleeding incidence in patients with invagination of the staple line