Magnetic Compression Anastomosis Procedure for Partial Jejuno-ileal Diversion: Evaluating the Feasibility of a Novel Endoscopic Magnetic Metabolic Interventional Therapy

This study is testing a new endoscopic (non-surgical) procedure that uses small magnetic devices to create a shortcut connection in the small intestine, partially bypassing part of the gut. This is intended to treat type 2 diabetes and obesity — similar to bypass surgery but done through a scope with no large incisions. **You may be eligible if...** - You are 25–65 years old with a BMI of 30–50 - You have type 2 diabetes (diagnosed 6 months to 10 years ago) and are taking at least oral diabetes medication, OR - You previously had sleeve gastrectomy or another metabolic surgery and have experienced weight regain or ongoing type 2 diabetes - Your fasting blood sugar is below 200 mg/dL and your HbA1c is above 6.5% - You agree not to have other bariatric (weight loss) surgery for 1 year **You may NOT be eligible if...** - You are pregnant, breastfeeding, or planning to become pregnant within 9–12 months - You use injectable insulin or injectable GLP-1 medication - You have type 1 diabetes - You have uncontrolled high blood pressure, high cholesterol, or sleep apnea - You have a pacemaker or defibrillator - You have Crohn's disease, celiac disease, bowel cancer, or significant intestinal adhesions - You have serious diabetes complications (heart disease, kidney disease, retinopathy) Talk to your doctor to see if this trial is right for you.