• Local Treatment of Diabetic Foot Ulcers by Hyperoil™: An Unexpected Outcome
    Ahmed Salah Arafa *, Ahmed yehia , Alaa fiad
  • Evaluation of the Effect of Pulsed Electromagnetic Field Therapy in the Treatment of Chronic Wounds
    1Magdy Salah El-Din Hussain, 1Hisham Wefky Anwar, 2Mostafa Mahmoud El Nakib, 1Amr Essam Mosaad*
  • Sandwich Vacuum Bogota versus Conventional Bogota Bag as Temporary Abdominal Closure (TAC) Techniques
    Doaa Ahmed Mansour M.D., FRCS Eng
  • Bleomycin Sclerotherapy for Management of Cervicofacial and Axillary Lymphatic Malformations in Children
    Moutaz Ragab1,Mohamed Hamed Abouelfadl1, Mahmoud M. Marei 1
  • Efficacy and Safety of Systemic Beta Blockers for the Treatment of Infantile Hemangioma
    Moutaz Ragab, Mahmoud M. Marei ,Mohamed Hamed Abouelfadl
  • Comparison between Mass Ligation of Testicular Vessels versus Testicular Artery Sparing during Laparoscopic Bilateral Varicocelectomy
    Wadie Boshra MD, MRCS, Mohammed Attia Elsayed MD, Ahmed S. M. Omar MD.
  • Study of Splenic Injury in Belharzail Hepatic Fibrosis Patients Subjected To Blunt Abdominal Trauma
    Mahmoud Alhussinia, M. Ashraf Balbaab, Ahmed Tarek Awada, Tamer Abdelbakia
  • Choledochal Cysts in Adults: The Clinicopathological Features and Surgical Outcomes in a Single Institute.
    Ahmed El-Gendi1, Mohamed El-Shafei2, Essam Bedewy3
  • Banded Versus Non-Banded Sleeve Gastrectomy “Comparative Study”
    Elsobky A, MD
  • Ultrasound guided sclerotherapy injection of subulcer venous plexus for treatment of chronic venous ulcer
    Ahmed Sawaby1, Islam Atta2, Amr El Abd3,Mohsen Ahmed Abdelmohsen4
  • Impact of Roux-en-Y gastric bypass and sleeve gastrectomy on three common co-morbidities in morbidly obese Egyptian patients: A randomized comparative study
    Ayman M. A. Osman1 MD, MRCS (Eng); Hytham H. Mohey1 M.Sc.; Ahmed M. Ghobashy1 MD
  • Is transfer of surgically risk necrotizing enterocolitis to tertiary center is important from the start?
    Nezar A. Abo Halawa1*, Ahmed El-Abd Ahmed2, Sawsan A. Elkhateeb3, Galal H. Galal3
  • Delayed Primary Closure of Exomphalos Major in a Limited Resource Area
    Nezar A. Abo Halawa1*, Mohamed Yousef Batikhe2
  • Bilateral Thoracoscopic Sympathectomy for Primary Palmar Hyperhidrosis, Which Level: T3 or T4?
    Wadie Boshra MD, MRCS, Abdallah Hamed Ibrahim Khalil MD, Fawzy Salah Fawzy MD, MRCS
  • Comparative study between Tunneled central venous catheter and Infraclavicular Arterio-arterial Prosthetic loop as an access for Hemodialysis in End stage renal disease (ESRD)
    Hussein Ali Mustafa Abdel-Motaleb, Mohammed Ahmed Mohammed Ismail, Islam Mohamed Nabil Atta & Ahmed Mohammed Ahmed Abdel-Rahim*
  • Significance of Metastatic Positive Lateral Group of Lymph Nodes in Patients Undergoing Axillary Dissection for Breast Carcinoma
    Reem Mohamed Ali Abd El Reheem El Masry1, Sameh Abd Allah Maaty2, Anwar A. El Shenawy3, Fawzy Salah Fawzy2
  • Impact of Roux-en-Y gastric bypass and sleeve gastrectomy on three common co-morbidities in morbidly obese Egyptian patients: A randomized comparative study

    Ayman M. A. Osman1 MD, MRCS (Eng); Hytham H. Mohey1 M.Sc.; Ahmed M. Ghobashy1 MD
    1Department of General Surgery, Faculty of Medicine, Cairo University, Egypt.

    Objectives: Several co-morbidities may be associated with obesity. The aim of this prospective, randomized, uncontrolled study is to compare between laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic sleeve gastrectomy (LSG) in terms of their impact on 3 common obesity-related comorbidities: hypertension, diabetes mellitus (DM) and gastroesophageal reflux disease (GERD). Methods: Over a 20-month period, 50 morbidly obese patients were randomly allocated into one of two groups (A & B). Group A patients (n=25) underwent LRYGB, whereas group B patients (n=25) underwent LSG. Patients were followed up for 6 months. Primary endpoints included percentage of excess weight loss (%EWL) and impact on 3 obesity-related co-morbidities: hypertension, DM and GERD. Results: The %EWL was significantly higher in group A at 6 months postoperatively (61.1 ± 11.95 kg/m2 ) compared to group B (57.17 ± 8.36 kg/m2 ); P=0.007. The rates of remission of hypertension were higher in group A (60%) compared to group B (25%). Complete resolution or improvement of type 2 DM was achieved in both groups. Four / 5 patients with preoperative GERD symptoms in group A (80%) had complete relief of their symptoms at 6 months, compared to 3 / 6 patients in group B (50%). Conclusion: Both LRYGB and LSG are effective in terms of short-term weight loss. However, LRYGB provides better weight loss at 6 months after surgery. Both LRYGB and LSG are associated with excellent and comparable rates of type 2 DM resolution / improvement, but the rates of remission of hypertension and relief of GERD symptoms appear to be higher after LRYGB. Keywords: Obesity; Roux-en-Y gastric bypass; sleeve gastrectomy; co-morbidities.