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Studies are summarized in the Table 1. The duodenal-jejunal bypass sleeve is secure and effective for weight loss and hyperglycemia. However, city walk medical centre the weight reduction obtained by clinical trials of the duodenal-jejunal bypass sleeve is disappointing. Though this gadget will not be thought of a main process for obesity treatment, duodenal-jejunal bypass sleeve trials confirmed wonderful glycemic control in most patients and diabetes decision in some patients. The EndoBarrier® was accepted in Europe and is indicated to deal with patients with sort 2 diabetes and obesity for 12 months. Machine migration continues to be the most important safety concern. It is undergoing clinical trials within the USA.

The enhancements and advances made within the design of the other balloons (the ReShape Duo, the Obalon and the Elipse) modifying the basic Orbera configuration, could possibly be summarized as follows: The ReShape Twin balloon system[30,47] has been re-designed as two smaller, impartial silicone spheres of 450 mL each, joined by a central, brief, non-speaking versatile silicone shaft. This flexible balloon configuration allows them to conform to the natural anatomy of the stomach, while decreasing the possibility of balloon intestinal migration ought to one of the balloons unintentionally deflate[5,47,56,57]. Unfortunately, Apollo Endosurgery discontinued this product line after buying ReShape Medical Inc, CA, in 2018.