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The most appropriate procedure for the treatment of super obesity (BMI 50 kg/m ) is unknown. We aimed to evaluate the safety, long-term ( 5 years) weight loss, and adverse events between three commonly performed procedures, sleeve gastrectomy (SG), Roux-en-Y gastric bypass (RYG, and one anastomosis gastric bypass (OAG in super-obese patients. Between January 2002 and December 2015, 498 successive patients with super morbid obesity (BMI 5, who underwent SG or RYGB or OAGB, were recruited. Surgical outcome, weight loss