Evidence mapPaperPMID 29450844Full record

Trial reportObesity surgery2018

EndoBarrier®: a Safe and Effective Novel Treatment for Obesity and Type 2 Diabetes?

Nisha Patel, Aruchuna Mohanaruban, Hutan Ashrafian, Carel Le Roux, James Byrne, John Mason, James Hopkins, Jamie Kelly, Julian Teare

Open access · hybridAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Obesity surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
5.7field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Advances and future directions in endoscopic bariatric therapies.World journal of gastrointestinal endoscopy · 2025
    Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Endobariatrics: a Still Underutilized Weight Loss Tool.Current treatment options in gastroenterology · 2023
    Review
  10. Measures of glucose homeostasis during and after duodenal exclusion using a duodenal-jejunal bypass liner in a normoglycemic, nonobese canine model.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2022
    Article
  11. Article
  12. Article
  13. Article
  14. Observational
  15. Article
  16. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 1 country.

Nisha PatelSt Mary's Hospital, Imperial College London, Praed Street, London, W2 1NY, UK.ORCID http://orcid.org/0000-0001-8061-0113
Aruchuna MohanarubanSt Mary's Hospital, Imperial College London, Praed Street, London, W2 1NY, UK.
Hutan AshrafianSt Mary's Hospital, Imperial College London, Praed Street, London, W2 1NY, UK.
Carel Le RouxMetabolic Medicine, Charing Cross Hospital, Imperial College London, Fulham Palace Road, London, W6 8RF, UK.
James ByrneUniversity Hospital Southampton NHS Foundation Trust, Southampton General Hospital, Tremona Road, Southampton, Hampshire, SO16 6YD, UK.
John MasonTrafford Hospitals, Central Manchester University Hospitals NHS Foundation Trust, Moorside Road, Davyhulme, Manchester, M41 5SL, UK.
James HopkinsNorth Bristol NHS Trust, Southmead Hospital Bristol, Southmead Road, Westbury-on-Trym, Bristol, BS10 5NB, UK.
Jamie KellyUniversity Hospital Southampton NHS Foundation Trust, Southampton General Hospital, Tremona Road, Southampton, Hampshire, SO16 6YD, UK.
Julian TeareSt Mary's Hospital, Imperial College London, Praed Street, London, W2 1NY, UK. j.teare@imperial.ac.uk.
St Mary's Hospital · GBSouthampton General Hospital · GBCharing Cross Hospital · GBNorth Bristol NHS Trust · GBTrafford General Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsObesity associated with diabetes mellitus is a significant worldwide problem associated with considerable health care costs. Whilst surgical intervention is effective, it is invasive, costly and associated with complications. This study aims to evaluate the safety and efficacy of the EndoBarrier®, a duodenal-jejunal sleeve bypass as an alternative treatment of diabetes mellitus in obese patients. MATERIALS AND

methodsThis was a multi-centre, non-randomised trial recruiting obese patients with type 2 diabetes from three sites in the UK. Eligible participants had a BMI of 30-50 kg/m

resultsForty-five patients were recruited and 31 patients (69%) completed the 12-month study period. Significant reductions in weight (95%CI 0.62-29.38; p < 0.05) and BMI (95%CI 1.1-8.7; p < 0.005) were documented 12 months after device insertion. The mean HbA1c was significantly reduced (95%CI 0.1-1.6; p < 0.05) after the device insertion period and reductions in metabolic parameters (fasting insulin and glucose levels) were also documented during the study. Adverse events were also assessed in all patients, the vast majority of which were reported as mild.

conclusionsThe EndoBarrier® appears to be a safe and effective treatment strategy in overweight patients with poor glycaemic control despite medical therapy, or in those who are eligible but decline bariatric surgery.

Indexed as

AdultBariatric SurgeryDiabetes Mellitus, Type 2DuodenumEndoscopy, GastrointestinalFastingFemaleHumansHyperglycemiaInsulinJejunumMaleMiddle AgedObesityObesity, MorbidOverweightInsulinBariatric surgeryBypass surgeryDuodenal-jejunal sleeveObesityType 2 diabetes

Identifiers

PMID29450844
PMCPMC6018591
OpenAlexW2791382640

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.