{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,25]],"date-time":"2026-10-25T00:14:26Z","timestamp":1792887266392,"version":"4.5.0"},"reference-count":40,"publisher":"Springer Science and Business Media LLC","issue":"8","license":[{"start":{"date-parts":[[2023,7,2]],"date-time":"2023-07-02T00:00:00Z","timestamp":1688256000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,7,2]],"date-time":"2023-07-02T00:00:00Z","timestamp":1688256000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["OBES SURG"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purposes<\/jats:title>\n                <jats:p>Classical gastrointestinal anastomoses are formed with sutures and\/or metal staples, resulting in significant bleeding and leak rates. This study evaluated the feasibility and safety of the novel magnet anastomosis system (MS) to create a side-to-side duodeno-ileal (DI) diversion for weight loss and type 2 diabetes (T2D) resolution.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Materials and Methods<\/jats:title>\n                <jats:p>Patients with severe obesity (body mass index (BMI)\u2009\u2265\u200935\u00a0kg\/m<jats:sup>2<\/jats:sup> with\/without T2D (HbA1<jats:sub>C<\/jats:sub>\u2009\u2265\u20096.5%)) underwent the study procedure, a side-to-side MS DI diversion, with a standard sleeve gastrectomy (SG). A linear magnet was delivered by flexible endoscopy to a point 250\u00a0cm proximal to the ileocecal valve; a second magnet was positioned in the first part of the duodenum; the bowel segments containing magnets were apposed, initiating gradual anastomosis formation. Laparoscopic assistance was used to obtain bowel measurements, obviate tissue interposition, and close mesenteric defects.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Between November 22 and 26, 2021, 5 female patients (mean weight 117.6\u2009\u00b1\u20097.1\u00a0kg, BMI (kg\/m<jats:sup>2<\/jats:sup>) 44.4\u2009\u00b1\u20092.2) underwent side-to-side MS DI\u2009+\u2009SG. All magnets were successfully placed, expelled without re-intervention, and formed patent durable anastomoses. Total weight loss at 12\u00a0months was 34.0\u2009\u00b1\u20091.4% (SEM); excess weight loss, 80.2\u2009\u00b1\u20096.6%; and BMI reduction, 15.1. Mean HbA1<jats:sub>C<\/jats:sub> (%) dropped from 6.8\u2009\u00b1\u20090.8 to 4.8\u2009\u00b1\u20090.2; and glucose (mg\/dL), from 134.3\u2009\u00b1\u200917.9 to 87.3\u2009\u00b1\u20096.3 (mean reduction, 47.0\u00a0mg\/dL). There was no anastomotic bleeding, leakage, obstruction, or infection and no mortality.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Creation of a side-to-side magnetic compression anastomosis to achieve duodeno-ileostomy diversion in adults with severe obesity was feasible and safe, achieved excellent weight loss, and resolved type 2 diabetes at 1-year follow-up.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Trial Registration<\/jats:title>\n                <jats:p>Clinicaltrials.gov Identifier: NCT05322122.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Graphical Abstract<\/jats:title>\n                \n              <\/jats:sec>","DOI":"10.1007\/s11695-023-06708-x","type":"journal-article","created":{"date-parts":[[2023,7,2]],"date-time":"2023-07-02T06:01:40Z","timestamp":1688277700000},"page":"2282-2292","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":44,"title":["First-in-Human Side-to-Side Magnetic Compression Duodeno-ileostomy with the Magnet Anastomosis System"],"prefix":"10.1007","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6068-0333","authenticated-orcid":false,"given":"Michel","family":"Gagner","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Abuladze","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Levan","family":"Koiava","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. 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David Abuladze is a consultant for GT Metabolic Solutions without remuneration. Levan Koiava declares no conflict of interest. Jane Buchwald is a GT consultant with GT stock options; she received grants from Ethicon, Inc.; M.I.D.; Society of Bariatric and Metabolic Surgeons of Kazakhstan; Holy Family Hospital, Israel; and the American College of Surgeons. Nathalie Van Sante was an employee of GT Metabolic Solutions, Inc., during the study and drafting of the manuscript. Todd Krinke is a GT employee with stock options.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of Interest"}}]}}