CURRENT RESEARCH IN DIABETES & OBESITY JOURNAL JUNIPER PUBLISHERS Authored by Mohamed Bekheit Abstract Laparoscopic sleeve gastrectomy is a relatively quick and straightforward procedure that offers high weight loss with few complications. Amongst the bariatric procedures, however, it has been reported that LSG has a higher incidence of gastroesophageal reflux which leads to poorer quality of life and increased risk of gastro-esophageal cancers. The proposed mechanisms behind this are many including modification of the oesophageal sphincter, increased gastric pressure gradients and changes to gastric anatomy. It appears that sleeve gastrectomies have the effect of modifying the gastric emptying time which is a potential risk factor that could affect the incidence and severity of reflux disease. A faster gastric emptying time would lead to less of a pressure gradient and also less time for gastric contents to reflux. Gastric emptying after a slee