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In restrictive surgery, bands or staples are used to restrict the amount of food that a person can comfortably ingest by making the stomach smaller. In this type of surgery, a stomach pouch is created and the small intestine is made smaller. These changes limit the amount of food that is absorbed which is why the surgery is called malabsorptive. Combined restrictive and malabsorptive surgery involves restrictive surgery, making a stomach pouch, and a bypass, the malabsorptive surgery, in which part of the small intestine is bypassed. The small intestine is bypassed because this is where most of the body's digestion and absorption of food take place...
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