Two or Six cm From Pylorus at Laparoscopic Sleeve Gastrectomy

Randomized controlled trial comparing between two technique of laparoscopic sleeve gastrectomy for treatment of morbid obesity. In the first technique the investigators started dissection of gastrocolic ligament 6 cm from pylorus and in the second one the distance was only 2 cm. The main primary outcome measure was weight loss.

Inclusion Criteria:

• morbid obesity with body mass index more than 40 or 35 with at least one comorbidity

Exclusion Criteria:

• extreme of age less than 18 or over 65 years contraindications to laparoscopy