Abstract — Background: A recent meta-analysis of staple line complications (SLC) in primary bariatric/metabolic procedures showed significantly lower (p<0.05) SLC rates for bovine pericardium (Peri-Strips Dry/Peri-Strips Dry with Veritas (PSD/PSD-V); Baxter Healthcare, Deerfield, IL) compared to biocompatible glycolide copolymer buttress (Seamguard; W.L. Gore & Associates, Inc, Flagstaff, AZ), suture reinforcement (oversewing), and…