Naturally Banded Versus Synthetic Banding of Sleeve Gastrectomy
to compare banding sleeve gastrectomy using silicone ring Versus using natural flap ( round ligament of the liver)
- EligibilityCriteria: Inclusion Criteria:  obese patients with BMI more than 40 with or without co-morbidity or more than 35 with co-morbidity patients fit for laparoscopic surgery give approval to share in the study  Exclusion Criteria:  patients refused to share in the study patients unfit for surgery patients aged less than 18 and older than 65 patient with previous upper abdominal surgery either for obesity or other diseases revisional bariatric procedures - HealthyVolunteers: No - Gender: All - MinimumAge: 18 Years - MaximumAge: 65 Years - StdAgeList: Adult, Older Adult