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This increases the likelihood of: Gastric ulceration , including at or near the staple line Upper gastrointestinal bleeding from the gastric sleeve Perforation , a rare but life-threatening complication Gastro-oesophageal reflux , which is already more common after sleeve gastrectomy It is important to note that the strongest evidence for NSAID-associated ulceration and bleeding in bariatric patients relates to gastric bypass surgery

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