Endobarrier

Introduction

The EndoBarrier is a medical device, which is worn inside of the body for the treatment of type 2 diabetes and obesity. It is a thin plastic sleeve which lines the first 60cm of the small intestine, causing food to be absorbed further down in the intestine. The body reacts to food in a different way when the first part of the small intestine is blocked. This helps aid weight loss and reduction of blood sugar levels in patients with type 2 diabetes.

Please note that this device has been withdrawn from the market till further notice.

How is the EndoBarrier fitted?

The EndoBarrier works by preventing the body from digesting food within the upper part of the small intestine. Cutting out this part of digestion means that the body reacts differently to food you eat. You feel fuller after a smaller meal. The liner also changes the way the body manages blood sugar so that in most patients their blood sugar level rapidly come down into the normal range.

Indications

The Endobarrier is suitable for people:

  • With type 2 diabetes.
  • Aged over 18 years old.
  • If you have struggled to lose weight by other methods.
  • If you do not want to have weight loss surgery.

Preoperative Instructions

Fasting for 12 hours before the procedure. Avoid any blood thinning tablets for 7-10 days if your doctor agrees. If you have had history of ulcers in the stomach or the oesophagus then this surgery may not be suitable for you. 

Procedure

The procedure can be performed in under an hour, with the patient under anaesthetic. The sleeve is inserted via the mouth, through the stomach to the small intestine where it is fixed in place by a sprung metal anchor to prevent it slipping out.

Postoperative Instructions

Clear fluid diet for 24 hours, then free fluid diet for 2 weeks and gradually soft diet for 2 weeks.

Risks

  • Perforation.
  • Bleeding.
  • Migration.
  • Failure.

Treatment Alternatives

Other Laparoscopic or Endoscopic bariatric surgery.