A recent article (Clin Gastroenterol Hepatol 2013; 11: 1517-20) reports on the effects of the duodenal-jejunal bypass liner (DJBL) on improvement in parameters of nonalcoholic liver disease (NAFLD). The study enrolled 17 patients who had obesity and type 2 diabetes mellitus.
The following link provides more details on this technique (from a 2009 study) and provides a picture (Figure 2) of the 60 cm sleeve that is placed endoscopically:
Radiographic appearance of endoscopic duodenal … – GI Dynamics
These studies indicate that less invasive approaches may develop as alternatives to bariatric surgery.
Related blog links:
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