The Princess Grace Hospital
42-52 Nottingham Place W1U 5NY London
Duodenal mucosal resurfacing (DMR)
A TREATMENT FOR DIABETES TYPE 2 AND METABOLIC DISEASES
Minimally invasive endoscopic procedure to treat abnormalities in the gut that contribute to metabolic diseases.
What is duodenal mucosal resurfacing?
Duodenal mucosal resurfacing (DMR), also known by the brand name Revita (DMR), is a day case procedure involving hydrothermal ablation of the duodenal mucosa.
This results in the subsequent mucosal cell regeneration without the need for incisions, stitches or implants - making this treatment a first of its kind.
Our procedure uses an endoscopic technique to treat the lining of the duodenum, leading to an increase in blood glucose control and 'good' cholesterol, while reducing liver fat content and weight in patients with type 2 diabetes.
Need to know
The procedure is carried out under sedation at The London Endoscopy Centre, and is similar to an upper GI endoscopy. A long flexible tube with a balloon catheter is inserted orally towards the duodenum. DMR is then carried out to safely remove the lining to encourage new growth of cells.
The procedure is viewed on a video screen and monitored via the endoscope throughout.
Your consultant will be able to provide you with exact details on how to prepare for the procedure.
The procedure is usually carried out in a day case setting. Whilst it is unlikely that you will be required to stay overnight, we would still recommend bringing an overnight bag.
Your consultant and nursing teams will meet with you to discuss how your procedure went. They will also discuss the next steps, what to do when you get home, and advise you of any side effects that you may experience. You will then be taken through the discharge process, after which you will be able to return home.
Where possible, we suggest someone accompanies you during your procedure so they can assist your journey home. We generally advise you do not immediately commence physical activity which may compromise your treatment. For example, refrain from driving a vehicle, riding a bicycle or going for a run, and adhere to any dietary requirements as advised by your consultant.
Paying for medical treatment
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Patient stories
Yvette's story: From back pain to hip replacement surgery
Yvette (54) a journalist from Kent, started experiencing pain in her hip seven years ago in 2015. An ex-national gymnast who had been incredibly active and flexible her whole life, Yvette felt concerned about the growing discomfort impacting her quality of life, and so sought help from her GP.
A new hip and straight back into the spin of things
David’s gym video shows him repeatedly pushing up to 100kg on a single leg press – not particularly unusual for this keen cyclist, former competitive squash player and all-round fitness enthusiast. What is unusual is that 52-year-old David had hip surgery just 12 weeks earlier.
Michael's MAKO hip surgery to treat his arthritis
73 year-old Michael, an avid walker and charity worker, was diagnosed with arthritis in January 2021. After facing long waiting times and increasing pain that was becoming more frequent, he started to look elsewhere for treatment.
This content is intended for general information only and does not replace the need for personal advice from a qualified health professional.