title: The feasibility of delivering a duodenal-jejunal bypass liner (EndoBarrier) endoscopically with patients under conscious sedation.
abstract: BACKGROUND
  The endoscopically placed duodenal-jejunal bypass liner (DJBL) or EndoBarrier gastrointestinal liner has been designed for the treatment of type 2 diabetes mellitus and simultaneous achievement of weight loss by obese patients. This study was performed to determine the safety, efficacy, and feasibility of delivering the DJBL with the patient under conscious sedation (CS). The primary end points of the study were safety and complications. The secondary end points were delivery time (min), amount of propofol (mg) used, and the total hospital stay (h).
  
  
  METHODS
  This prospective study compared placement of the DJBL with the patient under propofol sedation and placement with the patient under general anesthesia (GA). The study included 56 patients, with 28 patients in each group.
  
  
  RESULTS
  Both groups were comparable in terms of age, gender, and body mass index. All the devices were placed successfully, and no complications occurred in either group. Comparison of the CS group with the GA group respectively showed a mean total operation time of 29 versus 56 min, a mean propofol use of 170 versus 258 mg, and a mean hospital stay of 11 versus 22 h.
  
  
  CONCLUSIONS
  Delivery of the DJBL to patients under CS is feasible, safe, and efficient in terms of time and cost. Because of possible complications during the procedure, the authors recommend placement of the DJBL with the patient under CS in proximity to the operating room.
authors: Department of Surgery, Rijnstate Hospital, Arnhem, The Netherlands, p.koehestanie@gmail.com.
authors: Parviez
authors: P
authors: Koehestanie
authors: Bark
authors: B
authors: Betzel
authors: Kemal
authors: K
authors: Dogan
authors: Frits
authors: F
authors: Berends
authors: Ignace
authors: I
authors: Janssen
authors: Edo
authors: E
authors: Aarts
authors: Marcel
authors: M
authors: Groenen
authors: Peter
authors: P
authors: Wahab
mesh_terms: D015992:Body Mass Index; D016292:Procedural Sedation; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000601:surgery*; D004386:Duodenum / Q000601:surgery; D004724:Endoscopy / Q000295:instrumentation* / Q000379:methods; D005260:Female; D006801:Humans; D007581:Jejunoileal Bypass / Q000295:instrumentation* / Q000379:methods*; D007583:Jejunum / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000150:complications / Q000601:surgery*; D061646:Operative Time; D015742:Propofol; D011446:Prospective Studies; D053441:Suture Anchors; D016896:Treatment Outcome
chemical_list: D015742:Propofol
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