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Abstract Background: Bariatric surgeries have now a surge in popularity in treatment of morbid obesity patients. Multi-slice computed tomography has an increasing role in management of this patients{u2019} group through the availability and efficiency of post processing reconstructive facilities of MSCT software in 3D reconstruction. Methods: Eighty five patients who underwent bariatric surgery did abdominal MSCT. The examination was done postoperatively. The 3D volume rendering were done on dedicated workstations. Results: 3D-GCT which demonstrated one or several problems in 31 patients: staple-line disruption (n=2), fistulous tract formation ± cyst (n=5), gastric dilatation (n=5), leak (n=12), port infection (n=3), pouch dilatation (n=2) and subcutaneous emphysema, pneumo-mediastinum & pneumopericardium (n=2). This influenced the choice of the best strategy in each patient. For that reason, we suggest 3D MSCT with pouch volumetry as a new diagnostic method in problematic patients after bariatric surgery. Conclusion: Bariatric surgery is increasingly performed to control morbid obesity secondary to failed medical approaches. As a result, imaging plays an important role in postoperative evaluation and management. 3D-GCT is useful as a decision-making aid in patients with failure or complications after bariatric surgery |