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Weight Loss Surgery and Ulcers

Weight loss surgery, also known as bariatric surgery, has become an increasingly popular option for individuals struggling with obesity. It offers the promise of significant weight loss and improved health. However, like any medical procedure, weight loss surgery is not without its potential complications. One such complication that has gained attention is the development of ulcers.

In this comprehensive blog post, we will delve into the world of weight loss surgery and ulcers. We'll explore the types of weight loss surgeries, their benefits, and the risk of ulcers associated with them. Additionally, we will discuss the causes, symptoms, and management of ulcers in individuals who have undergone weight loss surgery.


Part 1: Types of Weight Loss Surgery

Before we can understand the connection between weight loss surgery and ulcers, it's crucial to have a clear understanding of the various types of bariatric procedures. The three most common weight loss surgeries are:

Gastric Bypass Surgery (Roux-en-Y): This procedure involves creating a small pouch at the top of the stomach and rerouting the small intestine to this pouch. This restricts the amount of food a person can eat and reduces calorie absorption.

Sleeve Gastrectomy: During this surgery, a significant portion of the stomach is removed, leaving a banana-shaped sleeve. This reduces the stomach's capacity and results in less calorie intake.

Adjustable Gastric Banding (Lap-Band): In this procedure, an inflatable band is placed around the upper part of the stomach, creating a small pouch. The band can be adjusted to control food intake.

Part 2: The Benefits of Weight Loss Surgery

Weight loss surgery is not only about shedding excess pounds; it also offers numerous health benefits. Some of the positive outcomes of these procedures include:

Significant Weight Loss: Bariatric surgery can lead to substantial weight loss, which is often difficult to achieve through diet and exercise alone.

Improved Metabolism: Weight loss surgery can enhance insulin sensitivity and help manage conditions like type 2 diabetes.

Resolution of Obesity-Related Health Issues: Many patients experience a reduction or resolution of conditions such as sleep apnea, high blood pressure, and high cholesterol after weight loss surgery.

Enhanced Quality of Life: With improved health and self-esteem, patients often report a better quality of life after their surgery.

Part 3: Ulcers and Weight Loss Surgery

While weight loss surgery offers significant benefits, it can also increase the risk of developing peptic ulcers. Peptic ulcers are open sores that develop on the inner lining of the stomach or the upper part of the small intestine. The following factors contribute to the development of ulcers post-bariatric surgery:

Changes in Stomach Acidity: After surgery, the stomach's acid production may increase, leading to an environment where ulcers are more likely to form.

Medications: Many patients receive nonsteroidal anti-inflammatory drugs (NSAIDs) to manage postoperative pain. NSAIDs can irritate the stomach lining and contribute to ulcer development.

Smoking: Smoking is a known risk factor, and many individuals who undergo weight loss surgery continue to smoke.


Part 4: Symptoms of Ulcers After Weight Loss Surgery

It is important to recognize the symptoms after weight loss surgery to ensure timely diagnosis and treatment:

Abdominal Pain: A burning or gnawing pain in the abdomen, usually in the upper part, is a typical symptom of ulcers.

Nausea and Vomiting: Some individuals may experience nausea and vomiting, which can be persistent.

Loss of Appetite: A diminished appetite is another common sign of ulcers.

Weight Loss: Unintended weight loss may occur due to discomfort and a reduced appetite.

Dark Stool or Vomit: If an ulcer is bleeding, it can lead to the passage of dark, tarry stools or bloody vomit.

Part 5: Managing Ulcers After Weight Loss Surgery

Once ulcers are diagnosed, effective management is essential. Here are some strategies for managing ulcers in individuals who have undergone weight loss surgery:

Medications: Proton pump inhibitors (PPIs) and H2 blockers are commonly prescribed to reduce stomach acid and promote ulcer healing.

Lifestyle Modifications: Patients are advised to quit smoking and avoid alcohol. They should also steer clear of NSAIDs.

Dietary Adjustments: A diet that includes soft, non-irritating foods can help ease discomfort during the healing process.

Follow-Up Care: Regular follow-up appointments with healthcare providers are crucial to monitor ulcer healing and ensure proper treatment.

Surgical Intervention: In rare cases, surgery may be necessary to treat complications of ulcers, such as perforation or bleeding.



Weight loss surgery has proven to be an effective option for individuals battling obesity, offering numerous benefits for improved health and quality of life. However, it's essential to be aware of potential complications such as peptic ulcers. Understanding the causes, symptoms, and management of ulcers after weight loss surgery is crucial for the long-term success of the procedure.

Patients should maintain open communication with their healthcare providers, follow their recommendations, and make necessary lifestyle changes to reduce the risk of developing ulcers. With proper care and attention, the potential risks can be minimized, allowing individuals to enjoy the full benefits of their weight loss surgery.

Remember that this blog provides general information and is not a substitute for professional medical advice. If you or someone you know is considering weight loss surgery or is experiencing symptoms of ulcers, it is essential to consult with a healthcare professional for personalized guidance and care.

How Weight Loss Surgery Can Transform the Lives of Individuals with type 2 Diabetes

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What is type 2 diabetes?

Type 2 diabetes is a chronic medical condition that affects millions of people worldwide. It is characterized by high blood sugar levels and is often associated with obesity and a sedentary lifestyle. While managing Type 2 diabetes typically involves medication, lifestyle changes, and monitoring blood sugar levels, some individuals may consider weight loss surgery as a potential solution to improve their health and quality of life. In this comprehensive blog post, we will explore the relationship between Type 2 diabetes and weight loss surgery, discussing the various surgical options, their benefits, and the potential risks involved.

Type 2 Diabetes

Section 1: Understanding Type 2 Diabetes

To appreciate the impact of weight loss surgery on Type 2 diabetes, it is essential to understand the condition itself.

1.1 What is Type 2 Diabetes? Type 2 diabetes, also known as adult-onset diabetes, is a chronic metabolic disorder characterized by insulin resistance and elevated blood sugar levels. It accounts for the majority of diabetes cases globally and often occurs in individuals who are overweight or obese. Over time, uncontrolled Type 2 diabetes can lead to serious health complications, including heart disease, kidney problems, nerve damage, and vision impairment.

1.2 Causes and Risk Factors Type 2 diabetes develops when the body becomes resistant to insulin, a hormone that regulates blood sugar. Several factors contribute to its development, including genetics, obesity, physical inactivity, and poor dietary choices. People with a family history of diabetes and those from certain ethnic backgrounds are also at a higher risk.

Section 2: Traditional Treatments for Type 2 Diabetes

2.1 Lifestyle Modifications Managing Type 2 diabetes often involves lifestyle changes such as a healthy diet, regular exercise, and weight loss. These strategies can help improve blood sugar control and reduce the risk of complications.

2.2 Medications When lifestyle changes are insufficient to manage blood sugar levels, healthcare providers may prescribe medications such as metformin, sulfonylureas, or insulin. These drugs can help regulate blood sugar, but they may have side effects and do not address the root cause of the disease.

2.3 The Limitations of Traditional Treatments While lifestyle changes and medications can be effective in managing Type 2 diabetes, they may not provide a long-term solution for everyone. For some individuals, particularly those with severe obesity, these methods may not yield significant results.

Section 3: Weight Loss Surgery for Type 2 Diabetes

3.1 Bariatric Surgery Options Weight loss surgery, also known as bariatric surgery, has emerged as a promising treatment for individuals with Type 2 diabetes and severe obesity. Several surgical procedures are available, with the most common ones being:

Gastric Bypass (Roux-en-Y)

Sleeve Gastrectomy

Adjustable Gastric Banding (Lap-Band)

Biliopancreatic Diversion with Duodenal Switch (BPD/DS)

Each of these surgeries works differently to reduce the size of the stomach and, in some cases, reroute the digestive system, leading to weight loss and, in many cases, improvements in diabetes control.

3.2 The Mechanism Behind Improvement The relationship between weight loss surgery and Type 2 diabetes improvement is not fully understood, but several theories exist. Some potential mechanisms include changes in gut hormones, insulin sensitivity, and reduced fat accumulation in the liver.

3.3 Benefits of Weight Loss Surgery for Type 2 Diabetes

3.3.1 Significant Weight Loss Weight loss surgery can lead to substantial and sustained weight loss, which is often difficult to achieve through diet and exercise alone. This weight loss can have a profound impact on diabetes management.

3.3.2 Improved Blood Sugar Control Many individuals experience a significant reduction in their blood sugar levels after weight loss surgery. Some even achieve remission, meaning their diabetes is under control without the need for medications.

3.3.3 Reduced Medication Dependency Following successful weight loss surgery, many patients can reduce or eliminate their diabetes medications, which not only saves money but also reduces the risk of medication-related side effects.

3.3.4 Enhanced Quality of Life Beyond the medical benefits, weight loss surgery often leads to improved overall quality of life. Patients report increased energy levels, better mobility, and reduced health complications.

Type 2 Diabetes

Section 4: Who Is a Candidate for Weight Loss Surgery?

4.1 Eligibility Criteria Not everyone with Type 2 diabetes is a candidate for weight loss surgery. Eligibility criteria typically include:

A BMI (Body Mass Index) of 35 or higher with obesity-related health problems, or a BMI of 40 or higher without comorbidities.

A history of unsuccessful attempts at sustained weight loss through traditional methods.

Commitment to making long-term lifestyle changes.

4.2 Consultation and Evaluation Candidates for weight loss surgery should undergo a comprehensive evaluation that includes physical and psychological assessments to determine their suitability for the procedure.

Section 5: Risks and Considerations

5.1 Surgical Risks Weight loss surgery, like any surgical procedure, carries risks, including infection, bleeding, and adverse reactions to anesthesia. Patients must understand and accept these potential complications.

5.2 Nutritional Considerations Following weight loss surgery, patients must adhere to a strict dietary regimen and may require nutritional supplementation. Vitamin and mineral deficiencies can occur, and lifelong monitoring is essential.

Section 6: Post-Surgery Lifestyle Changes

6.1 Dietary Modifications Patients must adapt to significant changes in their eating habits following weight loss surgery. These changes include smaller meal portions, nutrient-dense foods, and avoiding high-calorie, low-nutrient choices.

6.2 Exercise and Physical Activity Regular physical activity remains important for overall health and can complement the effects of weight loss surgery. Exercise helps maintain muscle mass, enhance metabolic rate, and improve weight loss results.

Section 7: Success Stories and Real-Life Testimonials

In this section, we'll share inspiring success stories of individuals who have undergone weight loss surgery to manage their Type 2 diabetes. These personal accounts will shed light on the transformative power of bariatric surgery.

Type 2 Diabetes

Section 8: Conclusion

Weight loss surgery has emerged as a promising solution for individuals with Type 2 diabetes who are struggling to manage their condition through traditional methods. While not without risks, the potential benefits, including significant weight loss, improved blood sugar control, and enhanced quality of life, make it a viable option for many. However, it's crucial that candidates consult with healthcare professionals to determine the most appropriate treatment plan for their specific needs. With the right approach and a commitment to long-term lifestyle changes, weight loss surgery can be a life-changing step toward better health for those living with Type 2 diabetes.

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Gastric Sleeve with Hiatal Hernia. What you need to know?

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Gastric Sleeve Qualifications: Who's Eligible?

Obesity is a growing global concern, with over 650 million adults classified as obese in 2016, according to the World Health Organization. As the prevalence of obesity continues to rise, so does the demand for effective weight loss solutions. One such solution is the gastric sleeve surgery, also known as sleeve gastrectomy, which has gained popularity for its remarkable results in helping individuals shed excess pounds and regain their health. However, not everyone is a suitable candidate for this procedure. In this comprehensive guide, we will explore the qualifications for gastric sleeve surgery, providing valuable insights for individuals considering this life-changing weight loss option.

Gastric Sleeve Qualifications

Gastric Sleeve Qualifications

Section 1: Understanding Gastric Sleeve Surgery

Before delving into the qualifications for gastric sleeve surgery, it's essential to understand what this procedure entails.

1.1 What is Gastric Sleeve Surgery?

Gastric sleeve surgery is a minimally invasive bariatric procedure that involves the removal of a large portion of the stomach. The result is a smaller, banana-shaped stomach, which limits the amount of food a person can eat. This surgical alteration not only reduces the quantity of food intake but also influences appetite-regulating hormones, ultimately helping patients lose weight. Gastric sleeve surgery is known for its effectiveness in achieving substantial and sustainable weight loss.

1.2 Why Choose Gastric Sleeve Surgery?

There are several reasons individuals opt for gastric sleeve surgery as their preferred weight loss method:

1.3 The Importance of Gastric Sleeve Qualifications

While gastric sleeve surgery offers numerous benefits, it is not a one-size-fits-all solution. To ensure patient safety and maximize the procedure's success, strict qualifications are in place. Let's explore these qualifications in detail.

Section 2: Gastric Sleeve Qualifications Surgery

2.1 BMI (Body Mass Index) Requirements

One of the primary qualifications for gastric sleeve surgery is the individual's Body Mass Index (BMI). BMI is a measure of body fat based on height and weight. It serves as a guideline to determine whether someone is overweight, obese, or severely obese. The BMI requirement for gastric sleeve surgery typically falls within the range of 35 to 40 or higher. This means that you may qualify for the procedure if:

It's crucial to remember that BMI alone may not be the only factor considered when evaluating a patient's suitability for gastric sleeve surgery.

2.2 Age Requirements

Age plays a significant role in determining eligibility for gastric sleeve surgery. Most bariatric surgeons have a minimum age requirement, typically set at 18 years old. This age restriction is in place because the surgery can have a profound impact on physical and emotional development. Furthermore, the long-term effects of the procedure may not be fully understood in younger patients.

2.3 Weight Loss History

Bariatric surgeons often look at a patient's weight loss history as part of the qualification process. If an individual has made previous attempts to lose weight through diet, exercise, and other non-surgical methods, it can demonstrate their commitment to lifestyle changes. Some insurance providers may require documentation of prior weight loss attempts before approving gastric sleeve surgery.

2.4 Psychological Evaluation

Before undergoing gastric sleeve surgery, patients are typically required to undergo a psychological evaluation. This evaluation assesses the patient's mental and emotional readiness for the significant lifestyle changes that come with the procedure. It's important to have realistic expectations and a support system in place to navigate the emotional challenges of post-surgery life.

2.5 Health Assessment

In addition to BMI and psychological readiness, individuals seeking gastric sleeve surgery must undergo a thorough health assessment. This evaluation includes a review of medical history, current health conditions, and any medications or supplements being taken. Some pre-existing health conditions may affect eligibility or require additional precautions before surgery.

2.6 Commitment to Lifestyle Changes

Qualifying for gastric sleeve surgery isn't solely about meeting specific physical criteria. Patients are also expected to demonstrate a commitment to making lasting lifestyle changes. These changes may include adopting a healthier diet, engaging in regular physical activity, and attending follow-up appointments with healthcare providers.

2.7 Weight Loss Surgery Consultation

Individuals interested in gastric sleeve surgery should schedule a consultation with a bariatric surgeon. During this consultation, the surgeon will assess the patient's specific case and discuss the risks, benefits, and expected outcomes of the procedure. It's an opportunity for the patient to ask questions and gain a better understanding of the surgical process.

Section 3: Special Considerations

3.1 Obesity-Related Health Conditions

Some individuals with a lower BMI may still qualify for gastric sleeve surgery if they have severe obesity-related health conditions. These conditions may include type 2 diabetes, heart disease, sleep apnea, or hypertension. The presence of such conditions can influence the decision to move forward with surgery, as addressing obesity can have a significant impact on managing these health issues.

3.2 Adolescents and Teenagers

While the typical age requirement for gastric sleeve surgery is 18, there are cases where the procedure is performed on adolescents and teenagers. These cases are carefully considered and involve a thorough assessment of the patient's physical and emotional maturity. The decision to perform gastric sleeve surgery on younger individuals is usually made in consultation with pediatric specialists and mental health professionals.

3.3 Pregnancy and Future Family Planning

Women who are planning to become pregnant in the near future may need to postpone gastric sleeve surgery. Pregnancy and significant weight loss can interact in complex ways, so it's essential to discuss family planning with your healthcare provider.

3.4 Medical Conditions and Medications

Certain medical conditions or medications may affect a patient's eligibility for gastric sleeve surgery. For example, uncontrolled mental health conditions, substance abuse issues, or certain blood clotting disorders may require additional consideration or management before surgery can proceed.

3.5 Insurance Coverage

Insurance coverage for gastric sleeve surgery can vary widely. While many insurance providers do cover bariatric procedures when specific criteria are met, it's essential to check your policy and understand the requirements for approval. Some insurers may necessitate documented attempts at non-surgical weight loss methods or proof of obesity-related health conditions.

Section 4: The Benefits of Gastric Sleeve Surgery

As we discuss the qualifications for gastric sleeve surgery, it's important to also highlight the potential benefits of the procedure:

4.1 Significant Weight Loss

Gastric sleeve surgery offers one of the most effective ways to lose weight and maintain that weight loss over time. Patients often experience rapid weight reduction in the first year after the surgery, which can lead to a healthier, more active lifestyle.

4.2 Resolution of Health Conditions

Weight loss through gastric sleeve surgery can lead to the resolution or significant improvement of obesity-related health conditions such as type 2 diabetes, hypertension, and sleep apnea. This can result in a reduced need for medications and a higher quality of life.

4.3 Improved Quality of Life

Many individuals who undergo gastric sleeve surgery report enhanced quality of life, including increased mobility, self-esteem, and overall well-being. They often find it easier to engage in physical activities, enjoy social interactions, and achieve personal and professional goals.

4.4 Long-term Results

Gastric sleeve surgery provides long-term results, with many patients maintaining a significant portion of their weight loss for years. The procedure's success is attributed to both the reduced stomach size and the associated changes in appetite-regulating hormones.

4.5 Psychological Benefits

Gastric sleeve surgery can have a positive impact on mental health, as individuals often experience increased self-confidence and reduced anxiety or depression associated with obesity.

Section 5: Potential Risks and Complications

It's important to acknowledge that any surgical procedure carries risks, and gastric sleeve surgery is no exception. Patients should be aware of the potential complications, even if they meet the qualifications for the procedure. Some common risks and complications include:

5.1 Infection

Infection at the incision sites is a potential risk following gastric sleeve surgery. This risk is minimized through proper surgical techniques and post-operative care.

5.2 Bleeding

While rare, bleeding can occur during or after the surgery. Surgeons take precautions to minimize this risk.

5.3 Leaks

Gastric sleeve surgery involves stapling and sealing the stomach. In rare cases, leaks can occur along the stapled line, leading to infection and other complications. Proper surgical technique and post-operative monitoring are essential for minimizing this risk.

5.4 Nutritional Deficiencies

After gastric sleeve surgery, patients must adhere to a strict dietary regimen to ensure they receive essential nutrients. Failure to do so can lead to nutritional deficiencies, which may require supplementation.

5.5 Stomach Ulcers

Ulcers can develop in the remaining portion of the stomach following surgery. Medications and dietary adjustments can help manage this risk.

5.6 Gastroesophageal Reflux Disease (GERD)

Some patients may experience or exacerbate symptoms of GERD after gastric sleeve surgery. This condition may require medication or additional treatment.

5.7 Gallstones

Weight loss after gastric sleeve surgery can increase the risk of gallstone formation. Surgeons may recommend gallbladder removal if necessary.

5.8 Psychological Challenges

The emotional and psychological challenges of adjusting to post-surgery life are significant. Patients may experience feelings of loss or mourning related to changes in eating habits and body image.

Section 6: Preparing for Gastric Sleeve Surgery

If you meet the qualifications for gastric sleeve surgery and decide to proceed, thorough preparation is essential. Here are some key steps to take before the surgery:

6.1 Find a Skilled Bariatric Surgeon

Selecting an experienced and qualified bariatric surgeon is crucial. Research potential surgeons, read reviews, and schedule consultations to find the right fit for your needs.

6.2 Attend Informational Seminars

Many bariatric centers offer informational seminars or workshops to help patients understand the surgical process, lifestyle changes, and expectations. Attending these events can be highly beneficial.

6.3 Meet Insurance Requirements

If you plan to use insurance to cover the cost of the surgery, ensure you meet all the necessary requirements and documentation.

6.4 Build a Support System

Prepare your support system by sharing your decision with friends and family. Their support can be invaluable during your weight loss journey.

6.5 Complete Pre-operative Evaluations

Follow your surgeon's recommendations for pre-operative evaluations, which may include medical assessments, dietary counseling, and psychological evaluations.

6.6 Follow Pre-operative Diet Guidelines

Many surgeons recommend a pre-operative diet to reduce the size of the liver, making surgery safer and more accessible. It's crucial to adhere to these guidelines strictly.

Section 7: Life After Gastric Sleeve Surgery

After successfully meeting the qualifications and undergoing gastric sleeve surgery, the real work begins in maintaining a healthy lifestyle. Here are some key aspects of life after the procedure:

7.1 Post-operative Diet

Patients must adhere to a strict post-operative diet to facilitate healing and adjust to their reduced stomach size. The diet typically progresses from liquids to soft foods and, eventually, regular foods in small portions.

7.2 Regular Exercise

Incorporating regular physical activity is essential for long-term success. Consult with a fitness professional to create an exercise plan tailored to your individual needs and abilities.

7.3 Support Groups

Joining support groups for bariatric patients can provide emotional support and practical advice on managing life after gastric sleeve surgery.

7.4 Follow-up Appointments

Regular follow-up appointments with your surgeon and healthcare team are vital to monitor your progress and address any concerns or complications.

7.5 Emotional and Psychological Well-being

Continue to work on your emotional and psychological well-being by seeking support from mental health professionals or support groups. Addressing the emotional aspects of your journey is just as important as the physical ones.

Gastric Sleeve Qualifications


Gastric sleeve surgery can be a life-changing solution for individuals struggling with obesity and its associated health issues. However, the qualifications for this procedure are essential to ensure patient safety and maximize the likelihood of a successful outcome. It's crucial to meet the required BMI criteria, undergo a comprehensive health evaluation, and demonstrate a commitment to lifestyle changes. While the surgery comes with potential risks and complications, the benefits, including significant weight loss and improved health, are often well worth it. If you're considering gastric sleeve surgery, consult with a qualified bariatric surgeon to determine your eligibility and embark on a journey toward a healthier, happier life.

Gastric Sleeve vs Gastric Bypass Surgery: Discover Which Option Is Right for You!

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Gastroparesis and the Role of Bariatric Procedures: A Comprehensive Guide to Finding Relief

A condition that affects the stomach's ability to empty properly, can be a challenging and debilitating gastrointestinal disorder. It leads to various distressing symptoms such as nausea, vomiting, abdominal pain, and early satiety, making it difficult for individuals to enjoy regular meals and maintain adequate nutrition. While conventional treatments provide some relief, they may not always be effective for everyone. In recent years, bariatric procedures, primarily designed for weight loss, have emerged as a potential option for individuals with gastroparesis who have not found relief through traditional treatments. In this comprehensive guide, we will explore gastroparesis, its causes, symptoms, and the role of bariatric procedures in managing this condition.


Section 1: Understanding Gastroparesis

1.1 What is Gastroparesis?

Often referred to as "stomach paralysis," is a gastrointestinal disorder characterized by delayed gastric emptying. In a healthy digestive system, food moves from the stomach to the small intestine at a regular pace. However, in gastroparesis, this process is impaired due to dysfunction in the stomach's muscles or nerves, leading to slowed or incomplete emptying.

1.2 Causes

The exact cause can vary among individuals, but common causes and risk factors include:

1.3 Symptoms

Gastroparesis presents a range of distressing symptoms, including:

Section 2: Traditional Treatment

2.1 Dietary Modifications

Conventional treatments often begin with dietary adjustments, which may include:

Section 2: Bariatric Procedures for Gastroparesis

2.1 Gastric Bypass Surgery

Gastric bypass surgery, commonly performed for weight loss, has shown promise in improving gastroparesis symptoms. In this procedure, a small stomach pouch is created, and a portion of the small intestine is bypassed. How does this benefit patients?

2.2 Gastric Sleeve Surgery

The gastric sleeve procedure involves removing a portion of the stomach, leaving a smaller, tube-like structure. This surgery offers potential benefits for gastroparesis patients:

2.3 Adjustable Gastric Banding (Lap-Band)

Adjustable gastric banding, often referred to as the Lap-Band procedure, involves placing an inflatable band around the upper part of the stomach. How can this benefit the patients?

Section 3: Benefits, Considerations, and Risks

3.1 Benefits of Bariatric Procedures for Gastroparesis

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