Preoperative Ultrasound as a Predictor for Difficulty in Bariatric Surgery

Preoperative Ultrasonographic Liver Size as a Predictor for Difficulty in Bariatric Surgery

the left lobe of the liver in obese patient usually fatty and enlarged and may cause difficulty during bariatric surgery. the aim of this study is to test the impact of routine preoperative ultrasound to evaluate the size of left lobe of the liver as a preoperative predictor for difficulty

the left lobe of the liver in obese patient usually fatty and enlarged and may cause difficulty during bariatric surgery. the aim of this study is to test the impact of routine preoperative ultrasound to evaluate the size of left lobe of the liver as a preoperative predictor for difficulty. two equal groups of patients are operated by laparoscopic sleeve gastrectomy with loop bipartition, in one group routine abdominal ultrasound is done, in the other group ultrasound not routinely done.

Inclusion Criteria:

• Morbidly obese patient with BMI more than 40 with or without co-morbidity
• Morbidly obese patient with BMI more than 35 with co-morbidity

Exclusion Criteria:

• Unfit patients for laparoscopy
• patients refuse to share in the study
• revisional surgery for obesity
• previous upper abdominal surgery