الفهرس 
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Abstract
Obesity is becoming a global public health problem as its prevalence rises. It is significantly related to many metabolic syndrome-related medical problems. Today, several bariatric/metabolic surgeries are available, and the number of procedures performed grows every year. Initially, SG was a component of biliopancreatic diversion with a duodenal switch. Later, to reduce surgical risk in high-risk patients, SG was mostly performed in patients with severe obesity (BMI >50kg/m2) as the first step of a two-step procedure followed by a second bariatric-metabolic procedure after initial weight loss. Currently, SG is an accepted stand-alone bariatric-metabolic procedure for management of morbid obesity and its associated co-morbidities. The procedure’s popularity may be owing to its technical simplicity combined with favourable outcomes. The procedure’s efficacy has been shown in both short and mid-term results. The efficacy of a bariatric-metabolic procedure can only be fully assessed after a long term of follow up. However, there are just a few studies reporting a long-term follow-up available in the literature today. Thus, the aim of this study was to evaluate patients that received SG between 2009 and 2014 with a follow-up of at least 5 years in the Gastrointestinal Surgery Center (GISC) at Mansoura University to evaluate the long-term outcomes of LSG with regard to weight loss and comorbidity resolution. This study included ninety-two patients who underwent LSG at the Gastrointestinal Surgical Centre, Mansoura University, between January 2009 and December 2014. The female to male ratio was 2.4:1. The mean age upon surgery was 33.99 ± 9.48 years. The mean Body Mass Index (BMI) of the cases was 51.43 ± 7.84 kg/m2. The vast majority of procedures (85.9%) were free of intraoperative complications. Staple line bleeding occurred in 8 patients (8.69%), stapler failure occurred in 3 patients (3.3%), and one patient suffered an injury to the surrounding structure.