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When sleeve gastrectomy may not be the right choice Surgeons may advise against sleeve gastrectomy, or recommend a different operation, in situations such as: Severe gastro-oesophageal reflux disease (GERD), particularly with a large hiatus hernia, where gastric bypass is often preferred Severe oesophagitis or Barrett’s oesophagus Uncontrolled psychiatric illness, untreated eating disorders, or active substance dependence Medical conditions that make general anaesthesia or major surgery unsafe Pregnancy, or planned pregnancy within the next 12 to 18 months None of these are necessarily permanent exclusions
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Size:5 mg
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