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Abstract
Background: Laparoscopic sleeve gastrectomy (LSG) has taken the bariatric surgical scene by storm over the past 5 to 10 years. LSG effectively treats most of the co-morbid medical problems associated with obesity. The one exception is GERD. Patients with GERD experience less resolution of their symptoms after LSG than do patients with LAGB, even when the LABG patients lost less weight overall. Conclusion: pyloromyotomy has reduced the gastric pressure to an extent that was adequate to relieve heart burn & other symptoms of GERD but only in the immediate post operative period, was not sustained for a long period & also it was not enough to prevent staple line leak