This thing is actually called the Endobarrier sleeve and is actually pretty old news (except in the NHS - where they have never heard of it!.) I think the full story is as follows but I could be wrong in the detail. About 7 years ago some US doctors noticed that a weight loss operation called a "Duodenal Exclusion" (NHS never heard of this either!) was reversing around 98% of Type 2 diabetes within days - long before any weight loss effect. A major trial of was then carried out in Brazil where the same results were achieved except the cure rate was nearer to 70%. The operation then spread back to the US, France and Italy - AS A T2 DIABETES CURE - NHS still in denial!
Subsequently, an American company figured out that the same effect could be achieved by by-passing the Duodenum - rather than cutting it out. They came up with the Endobarrier sleeve which works ALMOST as well. There are some drawbacks, however. Firstly, it can slip and fail and where it does not it needs replacing annually. The cost of the initial insertion and of subsequent replacements is around £5,000 per time mainly in royalties to the US patent holder. I understand that the proper Duodenal Exclusion operation costs around £10,000 and is permanent.
The only viable use for this sleeve as way of reducing extreme obesity prior to the operation in patients who are to obese for safe and successful surgery.
A UK trial has recently finished and if you want to know more here are the contact details (from an Erik Simon):
Thank you for your interest in the Endo Barrier clinical trail.
We now have closed the call centre to new candidates.
All further inquiries can now be made to 0844 412 0020 or
[email protected]
Please would you let us all know if you find any NHS people who are doing something about this