Background: Laparoscopic mini‑gastric bypass (MGBP) is gaining popularity among the bariatric
procedures today, andlaparoscopic sleevegastrectomy(SG) as a single‑stageprocedure forthe treatment 
of morbid obesity is becoming increasingly popular. Patients and methods: Between October 2014 
and July 2018, 100 obese patients were randomized, operated upon, and followed up for 24 months 
in Al Minia University Hospital. A total of 50 patients underwent SG, and 50 patients underwent 
MGBP. The mean BMI of all patients was 47.8 ± 5.5 kg/m2, their mean age was 30 ± 8.3 years, and
80% of them were female. Patients were followed up at 1, 3, 6, 9, 12, 15, 18, 21 and 24 months. 
Results: Age, sex, BMI, and comorbidities were equal. The mean operative time for SG was 86.9 ± 
51.6 min and that for MGBP was 108.4 ± 41.8 min; the percentage of 1‑year excess weight loss was
similar (76.2 ± 4.49% for SG and 80.3 ± 8.3% for MGBP). The comorbidities were significantly 
improved after both procedures, except for type 2 diabetes mellitus, which showed a higher 
resolution rate after MGBP. Conclusion: Laparoscopic SG regarding excess weight loss is 
comparable to laparoscopic MGBP in short‑termfollow‑up (2 year) with less metabolic effect. Further
long‑termstudies are needed.