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Evolving bariatric options
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== '''Duodenal-jejunal bypass liner''' == Plastic sleeve that is anchored between duodenal bulb and proximal jejunum * Fully reversible, placed endoscopically * Prevents food and chyme contacting duodenum * Somewhat analogous to RYGB in functional effect * Meta-analysis - total weight loss of 19% at explant (1 year - should not be left in longer due to risks of side effect), and EWL of 37% * Also appears to help with diabetes Adverse effects - pain, nausea, vomiting * Sometimes severe, leading to early removal * Migration/obstruction, liver abscesses, pancreatitis have been reported
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