The obesity is the big problem now a day and classify as a disease so early diagnosis can help to treated easily.There are many method to treated the obesity include diet program with physical activity or surgical intervention ,the most popular surgical intervention is longitudinal sleeve gastrectomy (LSG) and the most serious ,potentially life-threatening complications of laparoscopic sleeve gastrectomy (LSG) are staple-line leakage and perioperatative bleeding Oversewing (reinforcement) the LSG staple line vs nonoversewing to reduce perioperative bleeding and postoperative gastric leak was evaluated. From 2013 till 2016 through 224 cases .100 of them underwant longitudinal sleeve gastrectomy by use endo GIA tristiplar cartilage purple in colour coviden (group A) and 124 cases by use the same type of cartilage with reinforcement (oversewing) the stiplar site by using V-LOC 3/0 absorbable ,so the result appear as decrease incidence of leak and bleeding perioperatively .
Keywords: Bariatricsurgery .Laparoscopic .Sleeve gastrectomy Morbidobesity .Gastricleak .Staple-line reinforcement, v-loc.
