Evidence map›Paper›PMID 28664427›Full record

Trial reportSurgical endoscopy2018

Safety and efficacy of the endoscopic duodenal-jejunal bypass liner prototype in severe or morbidly obese subjects implanted for up to 3 years.

Nicolás Quezada, Rodrigo Muñoz, Carla Morelli, Dannae Turiel, Julián Hernández, Fernando Pimentel, Alex Escalona

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Surgical endoscopy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
4.5field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Article
  6. Article
  7. Bariatric and Metabolic Endoscopy: A New Paradigm.Clinical and translational gastroenterology · 2021
    Review
  8. Article
  9. Observational
  10. Article
  11. Article
  12. Review
  13. Endoscopic Treatments for Obesity.Current treatment options in gastroenterology · 2017
    Review
  14. Procedures and devices for bariatric and metabolic endoscopy.Therapeutic advances in gastrointestinal endoscopy
    Review
  15. Overview of bariatric and metabolic endoscopy interventions.Therapeutic advances in gastrointestinal endoscopy
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Nicolás QuezadaDepartment of Digestive Surgery, School of Medicine Pontificia Universidad Católica de Chile, Diagonal Paraguay 362, Cuarto Piso, Santiago, Chile. nfquezada@gmail.com.
Rodrigo MuñozDepartment of Digestive Surgery, School of Medicine Pontificia Universidad Católica de Chile, Diagonal Paraguay 362, Cuarto Piso, Santiago, Chile.
Carla MorelliDepartment of Digestive Surgery, School of Medicine Pontificia Universidad Católica de Chile, Diagonal Paraguay 362, Cuarto Piso, Santiago, Chile.
Dannae TurielDepartment of Digestive Surgery, School of Medicine Pontificia Universidad Católica de Chile, Diagonal Paraguay 362, Cuarto Piso, Santiago, Chile.
Julián HernándezDepartment of Digestive Surgery, School of Medicine Pontificia Universidad Católica de Chile, Diagonal Paraguay 362, Cuarto Piso, Santiago, Chile.
Fernando PimentelDepartment of Digestive Surgery, School of Medicine Pontificia Universidad Católica de Chile, Diagonal Paraguay 362, Cuarto Piso, Santiago, Chile.
Alex EscalonaUniversidad de los Andes, Santiago, Chile.
Pontificia Universidad Católica de Chile · CLUniversidad de Los Andes, Chile · CL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe duodenal-jejunal bypass liner (DJBL) is an endoscopic device that mimics the duodenal-jejunal exclusion component of the Roux-en-Y gastric bypass. Previous studies assessing the efficacy of the DJBL have shown 10-40% excess weight loss (%EWL) and improvements in obesity-associated comorbidities. The aim of this study was to evaluate the safety and efficacy of a new DJBL prototype over a 3-year period.

methodsMorbidly obese subjects were enrolled in a single-arm, open-label, prospective trial. The subjects were offered the opportunity to continue with the trial annually and signed a new consent form. The primary endpoint was safety. The secondary endpoints were changes in weight and biochemical parameters from baseline.

resultsThe DJBL was implanted endoscopically in 80 subjects (age: 35±10 years; 69% female; weight: 109±17 kg; BMI: 42±5.4 kg/m

conclusionThis study shows significant and sustained weight loss after 3 years of treatment with the new DJBL. However, the high frequency and severity of AEs preclude the use of this prototype for periods longer than 1 year.

Indexed as

Endoscopy, GastrointestinalProstheses and ImplantsAdolescentAdultBariatric SurgeryFemaleFollow-Up StudiesHumansMaleMiddle AgedObesity, MorbidPostoperative ComplicationsProspective StudiesTime FactorsTreatment OutcomeWeight LossBariatricEndobarrierEndoscopyObesity

Identifiers

PMID28664427
OpenAlexW2733281306

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.