The EndoBarrier™ Gastrointestinal Liner is a breakthrough treatment designed to help patients regain metabolic control of Type 2 Diabetes and to aid in weight loss.

This is a new class of treatment that fits between pharmaceutical regimens and surgery. It is performed easily and quickly without any incisions and just a few hours in hospital.

Based on the growing body of clinical evidence, EndoBarrier™ has the potential to dramatically change the treatment approach for people who are obese or have Type 2 Diabetes.

What is EndoBarrier™?



The EndoBarrier™ Gastrointestinal Liner is a breakthrough treatment designed to help patients regain metabolic control of Type 2 Diabetes and to aid in weight loss.

This is a new class of treatment that fits between pharmaceutical regimens and surgery. It is performed easily and quickly without any incisions and just a few hours in hospital. Based on the growing body of clinical evidence, EndoBarrier™ has the potential to dramatically change the treatment approach for people who are obese or have Type 2 Diabetes.

Clinical experience has found that EndoBarrier™ can provide immediate relief from Type 2 Diabetes in patients with significantly elevated HbA1c. In addition, most patients experience clinically significant weight loss. This is believed to have a long term effect in managing insulin resistance as well as a positive impact on cardiovascular risk factors, including elevated lipid levels and high blood pressure.


Is Endobarrier™ suitable for me?



You can benefit from Endobarrier™ if:

  • Your BMI is over 30 and you are living with Type 2 Diabetes.
  • Your BMI is over 30 and you are at risk of developing Type 2 Diabetes.
  • Your BMI is over 30 and you would like to lose weight.
  • You meet all of the criteria and you are prepared to follow certain diet and lifestyle modifications.

The twin epidemics

Type 2 Diabetes and obesity have become modern day epidemics that are growing at an alarming rate around the world.

According to the International Diabetes Federation more than 250 million people are living with diabetes and by 2025 it is expected that this figure will increase to over 380 million people.

Each year more than 3.8 million people die from diabetes-related causes. This is the equivalent of one death every 10 seconds.

High rates of obesity, sedentary lifestyles, and stress are major contributory factors in the development of Type 2 Diabetes.

According to the International Association for the Study of Obesity the prevalence of adult obesity has risen three fold in many countries since the 1980s.

There are around 525 million obese (BMI 30+) adults worldwide and 1.5 billion adults who are overweight (BMI 25+).

Around 700 million adults are expected to be obese by 2015.

Obesity is a major contributory factor in the development of Type 2 Diabetes.


The procedure



The EndoBarrier™ is placed in the GI tract endoscopically (via the mouth) to create a barrier between food and the wall of the intestine and to delay the mixing of digestive enzymes with the food.

Preventing food from coming into contact with the intestinal wall and delaying digestion will alter the activation of hormonal signals that originate in the intestine. This gives the same effect as a gastric bypass, but without the surgery and without changing the anatomy of the stomach, thereby avoiding many of the risks.

The device is positioned in the duodenal bulb and fastened into place with an anchor. The liner extends approximately 2 feet through the small intestine.
The EndoBarrier™ is removed after the treatment period. Using a custom retrieval system, removal of the device takes around 15 minutes.


Aftercare



Immediately after the procedure you’ll be required to stick to a liquid only diet, progressing to blended then soft foods. After six weeks you will return to normal foods.

You will have lots of support to help you through this time. One of our bariatric nurses will contact you daily for the first week and then our nutritional support team will take over.

The NOSC support team will keep you motivated and help you address issues around food that you may want to work through.

The NOSC medical team will monitor your progress whilst working in conjunction with your diabetes care provider.










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