Abstract
The endoscopically implanted DJBL is a 60-cm impermeable fluoropolymer device which prevents food from making contact with the proximal intestine, thus inducing considerable weight loss and improving type 2 diabetes mellitus (T2DM). Weight and HbA1c levels have been reported to increase post-explant. This study aimed to investigate the safety, feasibility and effectiveness of DJBL re-implantation in patients whose glucose levels relapse after explantation, and to assess how reimplantation affects BMI and T2DM control. This prospective, observational study was conducted at DGD Clinics Sachsenhausen (Dept. of Gastroenterology), Frankfurt, Germany, from 2014 – 2016.
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