Malabsorptive procedures reduce the size of the stomach. However, the pouch is a bit larger than with other procedures. The pouch is connected to the lower part of the small intestine. Connecting to the lower part of the small intestine means that absorption of calories and nutrients is reduced greatly. There are three malabsorptive procedures: Biliopancreatic Diversion with Duodenal Switch, Biliopancreatic Diversion, and Extended Roux-en-Y gastric bypass surgery.

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