Tubing is placed along the GI tract endoscopically (via the mouth) to create a barrier between food and the wall of the intestine.

Why you might need it

The EndoBarrier® is a medical device for the treatment of type 2 diabetes and obesity which is worn inside of the body. The EndoBarrier® is a piece of sophisticated- clinical grade plastic tubing which coats the lining of the stomach and intestine. The tubing is placed along 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.

Placing the tube here means food cannot be as easily digested through the walls of the intestine so less fat, sugar and salt than normal is taken in. Food has to be absorbed further down the intestine. The body reacts to food in a different way when the first part of the small intestine is blocked, the barrier delays absorption and alters the activation of hormonal signals that originate in the intestine. This gives a similar effect as a gastric bypass, but without the surgery and without changing the anatomy of the stomach, thereby avoiding many of the risks.

Treatment options should always be discussed with your consultant but the Endobarrier may be particularly helpful for individuals with Type 2 diabetes who are unlikely to be able to cope with the trauma of gastric surgery.

The EndoBarrier® gastrointestinal liner is designed to help patients regain metabolic control of Type 2 Diabetes and to aid weight loss. 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. 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.

Who will do it?

Our patients are at the heart of what we do and we want you to be in control of your care. To us, that means you can choose the consultant you want to see, and when you want. They'll be with you every step of the way.

All of our consultants are of the highest calibre and benefit from working in our modern, well-equipped hospitals.

Our consultants have high standards to meet, often holding specialist NHS posts and delivering expertise in complex sub-specialty surgeries. Many of our consultants have international reputations for their research in their specialised field.

Before your treatment

You will have a formal consultation with a healthcare professional. During this time you will be able to explain your medical history, symptoms and raise any concerns that you might have.

We will also discuss with you whether any further diagnostic tests, such as scans or blood tests, are needed. Any additional costs will be discussed before further tests are carried out.

Preparing for your treatment

We've tried to make your experience with us as easy and relaxed as possible.

For more information on visiting hours, our food, what to pack if you're staying with us, parking and all those other important practicalities, please visit our patient information pages.

Our dedicated team will also give you tailored advice to follow in the run up to your visit.

The procedure

The patient is put under anaesthetic and the thin plastic tube is inserted through the mouth and stomach and down into the top two feet of the small intestine, where it is fixed in place by a sprung metal anchor.

Why choose Spire?

We are committed to delivering excellent individual care and customer service across our network of hospitals, clinics and specialist care centres around the UK. Our dedicated and highly trained team aim to achieve consistently excellent results. For us it's more than just treating patients, it's about looking after people.

How much does it cost?

A fixed price for this treatment may be available on enquiry and following an initial consultation.

You can trust Spire Edinburgh Hospitals Murrayfield and Shawfair Park to provide you with a single, fixed price (1) so there are no surprises. And, through our carefully chosen partner (2) you can even be considered for interest free finance.

We’re here to help you with making these important choices, so you’re then free to concentrate on your treatment and on getting back to being you.

(1) Important: Please read Spire’s terms and conditions for full details of what’s included and excluded in your fixed price* when paying for yourself.

(2) Zebra Finance Ltd trading as Zebra Health Finance , Lincoln House, Stephensons Way, Wyvern Business Park, Derby, DE21 6LY. 

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Important to note

The treatment described on this page may be adapted to meet your individual needs, so it's important to follow your healthcare professional's advice and raise any questions that you may have with them.