Posmotri

Hi all, I did a research on bariatric procedures and surgeries, and found that I am interested in the intestinal barrier sleeve (aka duodenal-endoluminal sleeve aka removable gut sleeve) procedure. Even though it seems pretty effective, the least dangerous (besides the gastric balloon, maybe) and reversible, it is not popular compared to other types (no idea why, but it's not well known to public). In short, it is a two feet long flexible tube (barrier, sleeve - not to confuse with the famous "sleeve" bariatric surgery where the stomach is cut!) which is put in the upper part of the small intestine and physically prevents the food from absorption. I.e. its action is similar to a malabsorption surgery, but without the surgery (the tube is inserted by endoscopy, through the mouth, and could be removed in the same way at any time). You can find more info if you google "intestinal barrier sleeve". So, I have 3 questions: 1. Why is this procedure not widespread despite its attractiveness? 2. Has anybody in this forum did it (or wants to do)? Any ideas, impressions, considerations? 3. Any hospitals in Eastern Canada (or North-East USA, or Mexico) which perform the procedure? Search for "intestinal barrier sleeve Canada" only brings information about the classic sleeve surgery. Thanks to all in advance! To the moderator: since the procedure has no dedicated sub-forum, I've put it here. Please move to the correct sub-forum if I was wrong.