{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T23:20:14Z","timestamp":1787959214010,"version":"build-2784847793"},"reference-count":16,"publisher":"Georg Thieme Verlag KG","issue":"CP","license":[{"start":{"date-parts":[[2026,8,16]],"date-time":"2026-08-16T00:00:00Z","timestamp":1786838400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Beijing Natural Science Foundation","award":["7242125"],"award-info":[{"award-number":["7242125"]}]},{"name":"Elite Medical Professionals Project of China-Japan Friendship Hospital","award":["NO.ZRJY2023-QM09"],"award-info":[{"award-number":["NO.ZRJY2023-QM09"]}]},{"name":"General Program of National Natural Science Foundation of China","award":["82470857"],"award-info":[{"award-number":["82470857"]}]},{"name":"China-Japan Friendship Hospital National High Level Hospital Clinical Research Funding","award":["2025-NHLHCRF-DLYJ-RCT-05"],"award-info":[{"award-number":["2025-NHLHCRF-DLYJ-RCT-05"]}]},{"name":"\"Kunlun Talents High-end Innovation and Entrepreneurial Talents\" project of Qinghai Province","award":["202308210043"],"award-info":[{"award-number":["202308210043"]}]},{"name":"Capital's funds for health improvement and research","award":["2026-2-4063"],"award-info":[{"award-number":["2026-2-4063"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endosc Int Open"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Objectives The incidence of regaining weight after laparoscopic sleeve gastrectomy (LSG) is high. TONGEE duodenum-jejunal bypass liner (DJBL) has been proven to reduce the weight of obese patients. The present study aims to investigate the effect of TONGEE DJBL on weight loss in patients who have regained weight after LSG.<\/jats:p>\n                  <jats:p>Methods A cohort study with two nonrandomized groups was conducted at the China-Japan Friendship Hospital in Beijing. The recruitment period was from August 2023 to September 2025 for patients with simple obesity undergoing DJBL treatment and those who had regained weight after LSG surgery. We then compared the weight loss effects of the two groups using univariate and multivariate analyses.<\/jats:p>\n                  <jats:p>Results A total of 30 patients with simple obesity and 16 patients who had regained weight after LSG surgery were recruited. The incidence of complications in the two groups, total weight loss percentage (10.98 \u00b1 5.96 vs10.36\u00b1 3.78, 95% CI: 8.84, 13.11), and excess weight loss percentage (50.87 \u00b1 37.28 vs 50.38 \u00b1 29.16, 95% CI: 37.54, 64.22) do not have statistical difference (P &gt; 0.05). Three months after TONGEE DJBL surgery, both groups of patients showed a decrease in body fat percentage and an increase in muscle percentage.<\/jats:p>\n                  <jats:p>Conclusions TONGEE DJBL can be used as an endoscopic treatment option for patients who regain weight after LSG surgery.<\/jats:p>","DOI":"10.1055\/a-2936-2289","type":"journal-article","created":{"date-parts":[[2026,8,16]],"date-time":"2026-08-16T22:31:37Z","timestamp":1786919497000},"source":"Crossref","is-referenced-by-count":0,"special_numbering":"S","title":["Innovative Solutions for Obesity: Evaluating gastric bypass stents in Postlaparoscopic Sleeve Gastrectomy Weight Management"],"prefix":"10.1055","volume":"14","clinical-trial-number":[{"clinical-trial-number":"nct06801496","registry":"10.18810\/clinical-trials-gov"}],"author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1351-8410","authenticated-orcid":false,"given":"Zhengqi","family":"Li","sequence":"additional","affiliation":[{"name":"China-Japan Friendship Hospital, Beijing, China","place":["Beijing"],"department":["Department of General Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuntao","family":"Nie","sequence":"additional","affiliation":[{"name":"China-Japan Friendship Hospital, Beijing, China","place":["Beijing"],"department":["Department of General Surgery & Obesity and Metabolic Disease Center"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pengpeng","family":"Wang","sequence":"additional","affiliation":[{"name":"China-Japan Friendship Hospital, Beijing, China","place":["Beijing"],"department":["Department of General Surgery & Obesity and Metabolic Disease Center"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Baoyin","family":"Liu","sequence":"additional","affiliation":[{"name":"China-Japan Friendship Hospital, Beijing, China","place":["Beijing"],"department":["Department of General Surgery & Obesity and Metabolic Disease Center"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Biao","family":"Zhou","sequence":"additional","affiliation":[{"name":"China-Japan Friendship Hospital, Beijing, China","place":["Beijing"],"department":["Department of General Surgery & Obesity and Metabolic Disease Center"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nianrong","family":"Zhang","sequence":"additional","affiliation":[{"name":"China-Japan Friendship Hospital, Beijing, China","place":["Beijing"],"department":["Department of General Surgery & Obesity and Metabolic Disease Center"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siqi","family":"Wang","sequence":"additional","affiliation":[{"name":"China-Japan Friendship Hospital, Beijing, China","place":["Beijing"],"department":["Department of General Surgery & Obesity and Metabolic Disease Center"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sai","family":"Chou","sequence":"additional","affiliation":[{"name":"China-Japan Friendship Hospital, Beijing, China","place":["Beijing"],"department":["Department of General Surgery & Obesity and Metabolic Disease Center"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhe","family":"Wang","sequence":"additional","affiliation":[{"name":"China-Japan Friendship Hospital, Beijing, China","place":["Beijing"],"department":["Department of General Surgery & Obesity and Metabolic Disease Center"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hua","family":"Meng","sequence":"additional","affiliation":[{"name":"China-Japan Friendship Hospital, Beijing, China","place":["Beijing"],"department":["Department of General Surgery & Obesity and Metabolic Disease Center"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,8,28]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"2906","DOI":"10.1007\/s11695-016-2204-2","article-title":"Bariatric surgery in China: how is this new concept going?","volume":"26","author":"X Du","year":"2016","journal-title":"Obes Surg"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"2968","DOI":"10.1007\/s11695-017-2727-1","article-title":"Status of laparoscopic sleeve gastrectomy in China: a National Survey","volume":"27","author":"S Lin","year":"2017","journal-title":"Obes Surg"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"1326","DOI":"10.1007\/s11695-016-2152-x","article-title":"Weight regain following sleeve gastrectomy-a systematic review","volume":"26","author":"M Lauti","year":"2016","journal-title":"Obes Surg"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1007\/s11892-023-01498-z","article-title":"Weight regain after bariatric surgery: scope of the problem, causes, prevention, and treatment","volume":"23","author":"S F Noria","year":"2023","journal-title":"Curr Diabetes Rep"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"3586","DOI":"10.1007\/s11695-018-3399-1","article-title":"Update: 10 years of sleeve gastrectomy-the first 103 patients","volume":"28","author":"D M Felsenreich","year":"2018","journal-title":"Obes Surg"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"1106","DOI":"10.2337\/dc17-1985","article-title":"Effect of the duodenal-Jejunal bypass liner on Glycemic control in patients with type 2 diabetes with obesity: a meta-analysis with secondary analysis on weight loss and hormonal changes","volume":"41","author":"P Jirapinyo","year":"2018","journal-title":"Diabetes 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Ruban","year":"2022","journal-title":"Ann Surg"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"e89","DOI":"10.2337\/dc22-1952","article-title":"Endoscopic duodenal-Jejunal bypass liner treatment for type 2 diabetes and obesity: Glycemic and cardiovascular disease risk factor improvements in 1,022 patients treated worldwide","volume":"46","author":"R EJ Ryder","year":"2023","journal-title":"Diabetes Care"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1111\/den.14409","article-title":"Prospective study of a new endoscopic duodenal-jejunal bypass sleeve in obese patients with nonalcoholic fatty liver disease (with video)","volume":"35","author":"M Ren","year":"2023","journal-title":"Digest Endocs"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"21","DOI":"10.21037\/tgh.2020.03.09","article-title":"Endoscopic bariatrics: current therapies and future directions","volume":"7","author":"D Reja","year":"2022","journal-title":"TRANSL Gastroent Hep"},{"key":"ref13","first-page":"11","article-title":"EndoBarrier implantation rapidly improves insulin sensitivity in obese individuals with type 2 diabetes mellitus","author":"A Obermayer","year":"2021","journal-title":"Biomolecules"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1016\/S0140-6736(22)01280-6","article-title":"Endoscopic sleeve gastroplasty for treatment of class 1 and 2 obesity (MERIT): a prospective, multicentre, randomised trial","volume":"400","author":"B K Abu Dayyeh","year":"2022","journal-title":"Lancet"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"1497","DOI":"10.1016\/j.soard.2020.05.021","article-title":"Revision surgery after sleeve gastrectomy: a nationwide study with 10 years of follow-up","volume":"16","author":"A Lazzati","year":"2020","journal-title":"Surg Obes Relat Dis"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"993","DOI":"10.1007\/s11154-023-09806-4","article-title":"How to address weight regain after bariatric surgery in an individualized way","volume":"24","author":"R V Cohen","year":"2023","journal-title":"Rev Endocr Metab Dis"}],"container-title":["Endoscopy International 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