Laparoscopic Internal Gastric Banding, New Simple and Costless Weight Loss Procedure

Study the Effectiveness and Safety of Laparoscopic Internal Gastric Banding, New Simple and Costless Weight Loss Procedure, in Comparison to Laparoscopic Sleeve Gastrectomy

The purpose of this study is to study the effectiveness of laparoscopic internal gastric banding as a treatment for morbid obesity in comparison to laparoscopic sleeve gastrectomy

In this study 190 morbidly obese patients will be included and will randomly assign into 2 groups, group 1 will be operated by laparoscopic internal gastric banding and group 2 by laparoscopic sleeve gastrectomy, the patients will be followed up for 1 year to evaluate the effectiveness and drawbacks of laparoscopic internal gastric banding in comparison to laparoscopic sleeve gastrectomy, the investigators preparing to submit our study protocol to our institution ethical committee for approval to start the study

Inclusion Criteria:

• BMI more than 40 with or without co-morbidity or more than 35 with co-morbidity
• Approval to share in the study
• Patients fit for laparoscopic surgery

Exclusion Criteria:

• Patient age less than 18 or more than 50 years old
• Refusal to share in the study
• Unfit for surgery
• patients with gastroesophageal reflux disease clinically or by investigation