there's there's relative contraindications to the operations but in general if we're treating a patient with a high pressure tube so it's harder to get larger amounts of food into the stomach and two by removing a hormone called ghrelin s
instant keto pelled GH r e le ya Li and ghrelin is made out here in the stretchy the sleeve gastrectomy Andrew my gastric bypass with gastric bypass you're dividing the top portion of the stomach away from the rest of the stomach dividing the distal intestine and bringing that distal test and testing up and sewing it to that little gastric pouch and then reconnecting that proximal intestine to intestine down here because the pancreas is over here and bile and so forth you need those things for digestion in duodenal switch you do much like the sleeve gastrectomy but just beyond where what's called the pylorus or the
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