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When gastric sleeve may be preferred: Patients without severe GERD Those preferring a procedure without intestinal rerouting Patients seeking a somewhat lower long-term vitamin deficiency risk When gastric bypass may be preferred: Patients with moderate to severe GERD or Barretts oesophagus Those with poorly controlled type 2 diabetes seeking metabolic benefits Patients who may benefit from the malabsorptive component What Is Gastric Sleeve Surgery