Gastric Procedures for Obesity
Gastric Procedures for Obesity
This is a prospective case series study; all morbidly obese patients that need surgical
 management in Royal Alexandra Hospital will be provided 3 surgical options: Laparoscopic
 Sleeve Gastrectomy (LSG), laparoscopic Roux-en-Y gastric bypass (LR-en-Y), and laparoscopic
 gastric banding (LGB), safety and effectiveness will be compared among the 3 groups. The
 outcome measures will be percentage of excess weight loss, BMI, operative time, hospital
 stays, complications and improvement of comorbidities.
Inclusion Criteria:

 -  morbid obese patients aged from 18-65,

 -  BMI > 40 kg/m2 or BMI> 35 kg/m2 with severe comorbidities: diabetes, sleep apnea,
 hypertension etc.

 Exclusion Criteria:

 -  psychiatric illness,

 -  substance abuse,

 -  previous gastrointestinal surgery, and

 -  any patient who transfers from laparoscopic to convention procedure.