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Bariatrics rationale
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== '''Operation selection:''' == * RYGB ** GORD (mild GORD is ok for sleeve, technically reflux oesophagitis means RYGB is better) ** Severe T2DM ** BMI 40-55 * SG ** Multiple and severe comorbidities ** Multiple surgeries (mesh) ** Prior EtOH abuse - increased risk of etoh abuse post-bypass ** Risk of loss to F/U ** BMI <40 ** BMI >55 (as part of a planned staged procedure with RYGB) * Duodenal switch ** Inadequate weight loss after a technically sound RYGB
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