Proximal or Distal, is there really that great of difference?

Seems to me that all seem to have the same successes and the same problems. But boy, some have had great results with just a small amount being bypassed so why would you choose the distal and risk the malnutrition problems? I really am asking this for my family member who is considering surgery. I've already had mine, and do understand what she is saying after reading so many profiles, Thanks in advance.

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