Figure 3

Steps in the fully endoscopic jejunal bypass with duodenal exclusion procedure. (A) View of jejunal wall though the recently deployed GJ-LAMS. (B) Atraumatic removal of GJ-LAMS with grasper after 14 weeks of GJ-LAMS indwell. (C) View of jejunal wall through mature GJA after removal of the GJ-LAMS at the end of 13 weeks of indwell. (D) Mucosal abrasion before DED placement at Week 11. (E) DED immediately after deployment in the pylorus at Week 1. (F) DED shortly before atraumatic removal after 22 weeks of indwell. Tissue ingrowth is evident.