Single Anastomosis Sleeve Jejunal (SAS-J) Bypass

Single Anastomosis Sleeve Jejunal (SAS-J) Bypass as A Treatment for Morbid Obesity

The purpose of this study is to determine the efficacy of single anastomoses sleeve jejunal bypass as a treatment for morbid obesity

in this study the investigators aim to test a new technique ( single anastomoses sleeve jejunal as a treatment for morbid obesity Which is a modification of Single anastomoses sleeve ileal bypass with short biliary limb ( about one third of the small intestine from the Duodeno-jejunal junction

Inclusion Criteria:

• obese patients with BMI more than 40
• patients fit for laparoscopic surgery
• give approval to share in the study

Exclusion Criteria:

• patients refused to share in the study
• patients unfit for surgery
• patients aged less than 18 and older than 50
• patients with BMI less than 50
• patient with previous upper abdominal surgery either for obesity or other diseases
• patients with preoperative GERD clinically or by investigation