Duodenal Mucosal Resurfacing (DMR)

What is Duodenal mucosal resurfacing (DMR)?

Duodenal mucosal resurfacing (DMR) is a procedure used to treat the lining of the duodenum, the first part of the small intestine.

It is usually carried out as a day case and involves the ablation of the duodenal mucosa. It is an innovative treatment which removes the need for incisions, stitches or implants.

It is used to treat poorly controlled type 2 diabetes and is a very new and exciting treatment option for patients and doctors alike.

The DMR Procedure

THE DMR procedure involves inserting a flexible camera (endoscope) into the mouth and passing it down through the stomach, to the duodenum in the small intestine. This is a procedure that gastroenterologists are well experienced in and is endoscopy is used regularly for a range of different explorative and diagnostic purposes. In DRM, the endoscope is used to insert catheters through the mouth into the duodenum to treat issues with the lining. Heated balloons are attached to the end of the catheters and this thermal treatment modifies the cell lining of the duodenum. These cells are responsible for absorbing glucose and the body’s hormonal response to glucose control.

The procedure is designed to safely and effectively alter the inner surface of the duodenum to alter how your body processes the sugar from your diet. This process should in turn, improve blood sugar control, vital for type 2 diabetes patients.

Before and After the Procedure

Dr Rehan Haidry carries out DMR for the benefit of many patients under his care. He is in charge of the UCLH clinical trial of the procedure.. He and his team will provide tailored advice to your individual circumstances befbore the procedure, ensuring you have all the information you need. The procedure is usually carried out as a day case but we always recommend brining an overnight bag just in case.

After the procedure has been carried out, the team will meet with you to discuss how it went and you will be monitored closely. The next steps will also be explained and if you need to take any medication, including dietary medications, these will also be prescribed.

Dr Haidry’s Experience with the DMR procedure

Dr Haidry is a highly experienced consultant with specialist expertise in the DMR procedure, having written papers on the subject as well as providing the treatment for many patients. You can book a consultation to discuss this form of treatment and other options for Type 2 Diabetes at any of Dr Haidry’s clinics.

To make an enquiry or appointment please contact Dr Rehan Haidry's secretary