Background Bariatric surgical operation is taken into consideration to be the handiest remedy for extreme obesity. Durability is the main requirement for the broad usage of bariatric surgery. According to several factors, the present work tries to match the SG and RYGB techniques. Methods This is a retrospective work that studied 200 morbid obese patients randomized and categorized into two groups according to the treatment method: the laparoscopic sleeve gastrectomy (LSG) and LRYGB groups, within the period from 2014 to 2019 and matched weight dissipation, complications, quality of life, and adverse events. Results BMI had a mean value of 39.66 ± 3.770 kg/m2 in the RYGB group versus 39.38 ± 3.648 kg/m2. No significant differences were found according to comorbidity, height, and weight. There was no significant difference between the study groups according to complications and morbidity—no recorded unexpected histopathology results in the excised LSG specimens. Conclusion There was no significant change in weight dissipation, fluctuations in comorbidities, increase in Quality of Life (QoL), and complications for pathological obesity patients according to the treatment methods of laparoscopic SG (sleeve gastrectomy) and RYGB at 2-years postoperative follow-up.

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Background_ Age, creatinine and ejection fraction (ACEF) score has been established as a predictor of clinical outcomes in patients undergoing primary Percutaneous Coronary Intervention. Its utility in patients undergoing elective percutaneous coronary intervention is yet unexplored. AIM OF WORK__This study aims to investigate the risk factors associated with Acute Kidney Injury development in patients with ST segment Elevation undergoing primary PCI or with Coronary Artery Disease undergoing elective PCI.We investigates the applicability of ACEF score on patients undergoing elective PCI Patients and Methods__ calculating ACEF score for 80 patients divided into two groups: group I will include 40 patients for primary PCI and group II will include 40 patients for elective PCI with fixation of type (meglumine-ioxitalamate) and amount (≤300 ml) of the contrast used. Results__ 8 patients from 80 had AKI; 4 patients from each group .There was no significant difference between both groups regarding smoking, history of diabetes mellitus, hypertension, dyslipidemia and family history of IHD in primary PCI group versus elective PCI group. Conclusion__ A fully pre-procedural risk prediction model would be useful to facilitate precautionary measures for patients at a high risk of Contrast Induced Nephropathy. ACEF risk score incorporate only 3 variables, which may make it more acceptable for clinical use, because of its simplicity.ACEF score can be used to predict AKI in patients undergoing primary PCI as well as elective PCI.