Impact of Pyloric Injection of Magnesium Sulfate and Lidocaine Mixture on Outcome After Sleeve Gastrectomy

Inclusion Criteria: * Patients that aged between18 and 65 years. * American Society of Anesthesiologists (ASA) class I - III. * Morbidly-obese patients who failed to achieve and maintain a clinically significant weight loss through supervised non-surgical methods for at least 6 months. * Surgery was conducted as the first line of treatment in case of patients with BMI ≥ 50 kg/m2 (super obese). Exclusion Criteria: * Obesity secondary to endocrine disorders. * History of any previous bariatric procedure. * Impaired intellectual capacity or major psyciatric disorder. * Sweet eaters who would not adopt a change of postoperative eating habits. * Lack of willingness and motivation to embrace postoperative lifestyle changes. * Substance abuse. * Pregnancy or expected pregnancy in the following 12 to 18 months. * Severe gastroesophageal reflux disease