Conventional Vs Tailored Limb Lengths in Laparoscopic Roux-en Y Gastric Bypass Surgery

Inclusion Criteria:

1. Age: 18-65 years

2. Body Mass Index (BMI): BMI ≥ 40 kg/m² or BMI ≥ 35 kg/m² with at least one obesity-related comorbidity (e.g., type 2 diabetes, hypertension, obstructive sleep apnea).

3. ASA - less than or equal to 3

4. Informed Consent: Ability and willingness to provide written informed consent andcomply with procedures.

5. Previous Weight Loss Attempts: Documentation of previous attempts at weight lossthrough diet, exercise, or medical management.

Exclusion Criteria:

1. Previous Bariatric Surgery: Prior bariatric or major gastrointestinal surgery thatmight affect the outcome of RYGB.

2. Severe Cardiopulmonary Conditions: Significant cardiac or pulmonary conditions thatpose a high surgical risk (e.g., severe congestive heart failure, severe chronicobstructive pulmonary disease).

3. Uncontrolled Psychiatric Disorders: Severe psychiatric illness or substance abuseissues that are not well-controlled, including eating disorders.

4. Pregnancy: Current pregnancy or plans to become pregnant within 12 monthspost-surgery.

5. Malignancy: Active malignancy or history of malignancy requiring treatment in thepast 5 years (excluding non-melanoma skin cancer).

6. Severe Liver Disease: Cirrhosis or significant liver dysfunction (e.g., Child-Pugh Bor C).

7. Inability to Comply: Patients who are unable or unwilling to comply with thepostoperative follow-up schedule and dietary requirements.

8. Chronic Use of Medications: Chronic use of medications known to affect weight ormetabolism significantly, such as corticosteroids or antipsychotics.

9. Other Medical Conditions: Any other medical condition or surgical finding that, inthe opinion of the investigators, would make the patient unsuitable for the study.