Obesity treatment devices, systems, and methods

• US 10,596,021 B2
• Filed: 12/23/2017
• Issued: 03/24/2020
• Est. Priority Date: 12/23/2016
• Status: Active Grant

• Current Assignee: Ganz Brake, LLC
• Original Assignee: Ganz Brake, LLC
• Inventors: Ganz, Alexander S., Ganz, Robert A.
• Primary Examiner(s): Ulsh, George J
• Application Number:
  US15/853,793
• Publication Number:
  US 20180177623A1
• Time in Patent Office: 822 Days
• CPC Class Codes: A61F 5/003 inflatable
• CPC Class Codes: A61F 5/0036 Intragastrical devices
• CPC Class Codes: A61F 5/0043 using injection ports
• CPC Class Codes: A61F 5/0089 Instruments for placement or removal

Abstract

Various devices, systems, and methods that can be used in the treatment of obesity and related illnesses are disclosed. In some instances, a portion of the bowel of an obese patient is distended for a therapeutically effective period. The distention may be achieved by introduction of an object that is of foreign origin relative to the body of the patient into the bowel of the patient. In some instances, the distention is achieved by a medical device that transitions from an undeployed state, in which the medical device is introduced into the bowel of the patient, to an expanded state in which the medical device distends the bowel by an amount sufficient to trigger an intestinal-gastric brake in the patient.

Claims

1. A method comprising:

treating obesity of a patient by distending a portion of the bowel of the patient that comprises at least a portion of the cecum of the patient for an amount of time sufficient to reduce a total weight of the patient by no less than 5 percent,

wherein distending the portion of the bowel comprises distending the cecum.

2. The method of claim 1, wherein the amount of time is sufficient to achieve a total weight loss of the patient of no less than 10 percent.

3. The method of claim 1, wherein the amount of time is sufficient to achieve an excess weight loss of the patient of no less than 10 percent.

4. The method of claim 1, wherein the amount of time is sufficient to achieve an excess weight loss of the patient of no less than 20 percent.

5. The method of claim 1, wherein the amount of time comprises no less than one month.

6. The method of claim 1, wherein the amount of time comprises no less than three months.

7. The method of claim 1, wherein the amount of time comprises no less than six months.

8. The method of claim 1, wherein distending the portion of the bowel reduces an appetite of the patient.

9. The method of claim 1, wherein distending the portion of the bowel triggers an intestinal-gastric brake in the patient.

10. The method of claim 1, further comprising distending the portion of the bowel without obstructing passage of material through the portion of the bowel.

11. The method of claim 1, further comprising reducing a flow capacity through a lumen defined by the portion of the bowel by no greater than 50 percent.

12. The method of claim 1, wherein distending the portion of the bowel comprises distending the portion of the bowel to an expanded configuration that is larger than a relaxed configuration of the portion of the bowel.

13. The method of claim 12, wherein the expanded configuration of the portion of the bowel is sufficiently large to trigger an intestinal-gastric brake in the patient.

14. The method of claim 1, wherein distending the portion of the bowel comprises contacting an inner surface of the portion of the bowel with an object that is of foreign origin relative to the body of the patient.

15. The method of claim 14, wherein the object comprises a natural object.

16. The method of claim 14, wherein the object comprises an artificial object.

17. The method of claim 14, wherein the object comprises a cage;

a balloon;

a stent;

or a quantity of one or more of adhesive, fiber, cellulose, hemicellulose, lignan, mucilage, beta-glucan, pectin, guar, polydextrose, starch, dextrin, inulin, psyllium, or bran.

18. The method of claim 14, further comprising:

advancing an endoscope into the patient toward the portion of the bowel; and

introducing the object into the portion of the bowel via the endoscope.

19. The method of claim 18, wherein the object is coupled with a catheter, and wherein the method further comprises advancing the catheter along or substantially parallel to a longitudinal axis of the endoscope.

20. The method of claim 19, wherein said advancing the catheter along or substantially parallel to the longitudinal axis of the endoscope comprises advancing the catheter through a channel of the endoscope.

21. The method of claim 19, wherein said advancing the catheter along or substantially parallel to the longitudinal axis of the endoscope comprises advancing the catheter adjacent to an exterior surface of the endoscope.

22. The method of claim 14, further comprising securing the object to the inner surface of the portion of the bowel.

23. The method of claim 22, wherein securing the object comprises adhering the object to the inner surface of the portion of the bowel.

24. The method of claim 22, wherein securing the object comprises tensioning the object against the inner surface of the portion of the bowel.

25. The method of claim 22, wherein contacting the inner surface of the portion of the bowel with the object comprises contacting the bowel about a full periphery of the object.

26. The method of claim 14, wherein contacting the inner surface of the portion of the bowel with the object comprises contacting the bowel about a full periphery of the object.

27. The method of claim 14, wherein contacting the inner surface of the portion of the bowel with the object comprises contacting the inner surface about only a portion of a periphery of the object.

28. The method of claim 27, wherein said distending a portion of the bowel comprises distending only a portion of a full periphery of the portion of the bowel.

29. The method of claim 14, further comprising assembling the object within the bowel of the patient.

30. The method of claim 29, wherein said assembling the object comprises attaching separate components of the object to each other within the bowel.

31. The method of claim 30, wherein said attaching separate components of the object to each other comprises adhering the separate components to each other.

32. The method of claim 14, further comprising expanding the object within the portion of the bowel.

33. The method of claim 32, wherein the object is self-expanding, the method further comprising permitting the object to self-expand within the portion of the bowel.

34. The method of claim 32, wherein said expanding the object comprises inflating the object.

35. The method of claim 32, wherein said expanding the object comprises inflating a balloon positioned at an interior of the object.

36. The method of claim 32, wherein said expanding the object comprises reorienting separate components of the object.

37. The method of claim 14, wherein the object comprises a medical device.

38. The method of claim 37, wherein the medical device comprises a body and a wall of the bowel comprises the inner surface of the portion of the bowel, and wherein the method further comprises contacting the wall of the bowel with the body of the medical device to distend the bowel.

39. The method of claim 37, wherein a wall of the bowel comprises the inner surface of the portion of the bowel, and wherein the method further comprises securing the medical device to the wall of the bowel.

40. The method of claim 39, wherein said securing comprises tensioning the medical device against the wall of the bowel.

41. The method of claim 37, wherein the medical device is configured to transition from an undeployed state to an expanded state, the method further comprising transitioning the medical device from the undeployed state to the expanded state within the portion of the bowel.

42. The method of claim 41, further comprising passing the medical device through a region of the bowel that is adjacent to the portion of the bowel while the medical device is in the undeployed state.

43. The method of claim 42, further comprising advancing a guidewire through the colon toward the portion of the bowel, wherein said passing the medical device through the region of the bowel that is adjacent to the portion of the bowel while the medical device is in the undeployed state comprises advancing the medical device along the guidewire.

44. The method of claim 43, wherein the medical device is coupled with a catheter, and wherein said passing the medical device through the region of the bowel that is adjacent to the portion of the bowel comprises advancing the catheter over the guidewire.

45. The method of claim 41, further comprising introducing the medical device into the patient through the rectum of the patient while the medical device is in the undeployed state.

46. The method of claim 41, further comprising:

advancing an endoscope into the patient toward the portion of the bowel; and

introducing the medical device into the portion of the bowel via the endoscope.

47. The method of claim 46, wherein said introducing the medical device into the portion of the bowel via the endoscope comprises advancing the medical device through or alongside the endoscope while the medical device is in the undeployed state.

48. The method of claim 46, wherein said introducing the medical device into the portion of the bowel via the endoscope comprises passing the medical device along or substantially parallel to a longitudinal axis of the endoscope while the medical device is in the undeployed state.

49. The method of claim 48, wherein said passing the medical device along or substantially parallel to the longitudinal axis of the endoscope comprises passing the medical device through a channel of the endoscope.

50. The method of claim 48, wherein said passing the medical device along or substantially parallel to the longitudinal axis of the endoscope comprises advancing the medical device adjacent to an exterior surface of the endoscope.

51. The method of claim 48, wherein the medical device is coupled to a catheter, and wherein said passing the medical device along or substantially parallel to the longitudinal axis of the endoscope comprises passing the catheter along or substantially parallel to the longitudinal axis of the endoscope.

52. The method of claim 51, further comprising expanding the medical device into contact with the inner surface of the portion of the bowel via the catheter.

53. The method of claim 52, wherein said expanding the medical device comprises inflating a balloon that is coupled to the catheter and positioned at an interior of the medical device.

54. The method of claim 52, wherein the medical device comprises a stent.

55. The method of claim 52, wherein said expanding the medical device comprises inflating the medical device.

56. The method of claim 55, wherein said inflating comprises:

passing fluid through the catheter; and

introducing the fluid into the medical device.

57. The method of claim 55, wherein the medical device comprises a balloon.

58. The method of claim 41, wherein the medical device is coupled with a catheter in the undeployed state, wherein the method further comprises advancing the catheter into the patient toward the portion of the bowel, and wherein said transitioning the medical device from the undeployed state to the expanded state is achieved via the catheter.

59. The method of claim 58, wherein said transitioning the medical device comprises moving an expansion element relative to the catheter to expand the medical device.

60. The method of claim 59, wherein the expansion element comprises a fluid for inflating a balloon that is coupled to the catheter at a position internal to the medical device, and wherein said moving the expansion element comprises passing the fluid through the catheter and into the balloon to expand the balloon.

61. The method of claim 59, wherein the expansion element comprises a fluid for inflating the medical device, and wherein said moving the expansion element comprises passing the fluid through the catheter into the medical device.

62. The method of claim 59, wherein the expansion element comprises a restrictive sleeve, and wherein said moving the expansion element comprises removing the restrictive sleeve from the medical device to permit the medical device to self-expand.

63. The method of claim 59, wherein the expansion element comprises an actuation wire coupled to the medical device.

64. The method of claim 41, wherein the medical device is coupled with an endoscope in the undeployed state, wherein the method further comprises advancing the endoscope into the patient toward the portion of the bowel, and wherein said transitioning the medical device from the undeployed state to the expanded state is achieved via the endoscope.

65. The method of claim 64, wherein said transitioning the medical device comprises moving an expansion element relative to the endoscope.

66. The method of claim 65, wherein the expansion element comprises a fluid for inflating the medical device, and wherein said moving the expansion element comprises passing the fluid through or alongside the endoscope.

67. The method of claim 66, wherein the endoscope defines a channel, and wherein said passing the fluid through or alongside the endoscope comprises passing the fluid through the channel.

68. The method of claim 66, wherein a removable covering that defines a lumen is coupled to the endoscope, and wherein said passing the fluid through or alongside the endoscope comprises passing the fluid through the lumen of the covering.

69. The method of claim 65, wherein the expansion element comprises a restrictive sleeve, and wherein said moving the expansion element comprises removing the restrictive sleeve from the medical device to permit the medical device to expand.

70. The method of claim 65, wherein the expansion element comprises an actuation wire coupled to the medical device.

71. The method of claim 41, wherein the medical device defines at least a portion of a passageway when in the expanded state, the method further comprising permitting material to pass through the passageway.

72. The method of claim 71, wherein the medical device comprises one or more of a plurality of openings in fluid communication with the passageway.

73. The method of claim 71, wherein the material that passes through the passageway comprises material that, in the absence of the medical device, would naturally pass through the portion of the bowel.

74. The method of claim 71, wherein the material that passes through the passageway comprises one or more of gas, semi-liquid, liquid, semi-solid, and solid material that naturally passes through the bowel.

75. The method of claim 41, wherein the medical device comprises an expandable frame.

76. The method of claim 75, wherein the expandable frame comprises a shape memory material.

77. The method of claim 41, wherein the medical device comprises a stent.

78. The method of claim 41, wherein the medical device comprises a cage.

79. The method of claim 41, wherein the medical device comprises a balloon.

80. The method of claim 41, wherein said transitioning the medical device from the undeployed state to the expanded state within the portion of the bowel comprises bringing the medical device into contact with the inner surface of the portion of the bowel.

81. The method of claim 80, further comprising transitioning the medical device from the expanded state to the undeployed state after the amount of time sufficient to reduce the total weight of the patient by no less than 5 percent has passed.

82. The method of claim 81, further comprising, after said transitioning the medical device from the expanded state to the undeployed state, removing the medical device from the patient while the medical device is in the undeployed state.

83. The method of claim 82, wherein said removing the medical device from the patient is achieved by passing the medical device through a channel of an endoscope.

84. The method of claim 41, further comprising removing the medical device from the patient after the amount of time sufficient to reduce the total weight of the patient by no less than 5 percent has passed.

85. The method of claim 37, wherein the medical device comprises a bioresorbable material.

86. The method of claim 85, further comprising permitting the bioresorbable material to naturally degrade within the patient until the medical device no longer contacts the inner surface of the portion of the bowel.

87. The method of claim 86, further comprising passing the medical device through the bowel and out of the patient after said permitting the bioresorbable material to naturally degrade.

88. The method of claim 86, wherein said permitting the bioresorbable material to naturally degrade occurs for a period of no less than one month.

89. The method of claim 86, wherein the medical device exhibits sufficient structural rigidity to tension the medical device against the inner surface of the portion of the bowel to achieve distention of the portion of the bowel prior to degradation of the bioresorbable material, and wherein the structural rigidity of the medical device is reduced as the bioresorbable material naturally degrades.

90. The method of claim 89, further comprising permitting the medical device to cease distention of the portion of the bowel upon sufficient degradation of the bioresorbable material.

91. The method of claim 90, further comprising passing the medical device through the bowel and out of the patient after said ceasing distention of the portion of the bowel.

92. The method of claim 90, wherein the medical device comprises a cage, a stent, or a balloon.

93. The method of claim 85, wherein the medical device comprises a balloon that comprises the bioresorbable material, the method further comprising permitting the bioresorbable material to naturally degrade within the patient until the balloon at least partially deflates.

94. The method of claim 93, wherein a wall of the balloon comprises the bioresorbable material, and wherein natural degradation of the bioresorbable material causes the wall to leak fluid from an interior of the balloon.

95. The method of claim 93, wherein a closure of the balloon comprises the bioresorbable material, and wherein natural degradation of the bioresorbable material causes fluid to leak from the balloon.

96. The method of claim 95, wherein the closure comprises a one-way valve.

97. The method of claim 93, further comprising passing the balloon through the bowel of the patient after the balloon at least partially deflates.

98. The method of claim 85, the method further comprising permitting the bioresorbable material to naturally degrade within the patient such that the medical device is broken down into a plurality of separate pieces.

99. The method of claim 98, further comprising passing each of the separate pieces through the bowel.

100. The method of claim 98, wherein the bioresorbable material holds together the separate pieces prior to degradation, and wherein degradation of the bioresorbable material releases the separate pieces from each other.

101. The method of claim 37, wherein the medical device comprises an eluting material, the method further comprising permitting the eluting material of the medical device to release one or more appetite suppressants.

102. The method of claim 101, wherein the one or more appetite suppressants are selected from the group consisting of:

one or more drugs, one or more nutrients, one or more hormones, one or more peptides, one or more neurotransmitters, one or more bacteria, and combinations thereof.

103. The method of claim 37, wherein the medical device is positioned solely in the cecum.

104. The method of claim 1, wherein said distending the portion of the bowel comprises intermittently distending the portion of the bowel.

105. The method of claim 104, wherein said intermittently distending the portion of the bowel comprises alternatingly distending the portion of the bowel and refraining from distending the portion of the bowel.

106. The method of claim 1, wherein said distending the portion of the bowel comprises partially distending the portion of the bowel.

107. The method of claim 106, wherein said partially distending the portion of the bowel comprises distending the portion of the bowel around only a portion of a full periphery thereof.

108. The method of claim 107, wherein said partially distending the portion of the bowel is achieved via a medical device.

109. The method of claim 108, wherein the medical device freely floats within the bowel.

110. The method of claim 1, wherein distending the portion of the bowel comprises distending only the cecum.

111. A method comprising:

treating obesity of a patient by distending a portion of the bowel of the patient that comprises at least a portion of the cecum of the patient for an amount of time sufficient to reduce an excess weight of the patient by no less than 10 percent, wherein the excess weight is calculated as a difference between an actual body weight of the patient and a weight necessary to achieve a body mass index of 24.9 for the patient, and

wherein distending the portion of the bowel comprises distending the cecum.

112. The method of claim 111, wherein distending the portion of the bowel comprises contacting an inner surface of the portion of the bowel with a medical device.

113. The method of claim 112, wherein a wall of the bowel comprises the inner surface of the portion of the bowel, and wherein the method further comprises securing the medical device to the wall of the bowel.

114. The method of claim 113, wherein said securing comprises tensioning the medical device against the wall of the bowel.

115. The method of claim 112, wherein the medical device is configured to transition from an undeployed state to an expanded state, the method further comprising transitioning the medical device from the undeployed state to the expanded state within the portion of the bowel.

116. The method of claim 115, further comprising:

advancing an endoscope into the patient toward the portion of the bowel; and

introducing the medical device into the portion of the bowel via the endoscope.

117. The method of claim 116, further comprising advancing the medical device through or alongside the endoscope while the medical device is in the undeployed state.

118. A method comprising:

treating obesity of a patient by distending a portion of the bowel of the patient that comprises at least a portion of the cecum of the patient for a period of no less than one month,

wherein distending the portion of the bowel comprises distending the cecum.

119. The method of claim 118, wherein distending the portion of the bowel comprises contacting an inner surface of the portion of the bowel with a medical device.

120. The method of claim 119, wherein a wall of the bowel comprises the inner surface of the portion of the bowel, and wherein the method further comprises securing the medical device to the wall of the bowel.

121. The method of claim 120, wherein said securing comprises tensioning the medical device against the wall of the bowel.

122. The method of claim 119, wherein the medical device is configured to transition from an undeployed state to an expanded state, the method further comprising transitioning the medical device from the undeployed state to the expanded state within the portion of the bowel.

123. The method of claim 122, further comprising:

advancing an endoscope into the patient toward the portion of the bowel; and

introducing the medical device into the portion of the bowel via the endoscope.

124. The method of claim 123, further comprising advancing the medical device through or alongside the endoscope while the medical device is in the undeployed state.

125. A method comprising:

introducing a medical device into the cecum of an obese patient;

distending the cecum via the medical device to reduce an appetite of the patient; and

leaving the medical device within the cecum while the medical device maintains the cecum in distention.

126. The method of claim 125, wherein said leaving the medical device within the cecum while the medical device maintains the cecum in distention takes place for an amount of time sufficient to reduce a total weight of the patient by no less than 5 percent.

127. The method of claim 125, wherein said leaving the medical device within the cecum while the medical device maintains the cecum in distention takes place for an amount of time sufficient to achieve a total weight loss of the patient of no less than 10 percent.

128. The method of claim 125, wherein said leaving the medical device within the cecum while the medical device maintains the cecum in distention takes place for an amount of time sufficient to achieve an excess weight loss of the patient of no less than 10 percent.

129. The method of claim 125, wherein said leaving the medical device within the cecum while the medical device maintains the cecum in distention takes place for an amount of time sufficient to achieve an excess weight loss of the patient of no less than 20 percent.

130. The method of claim 125, wherein said leaving the medical device within the cecum while the medical device maintains the cecum in distention takes place for no less than one month.

131. The method of claim 125, wherein said leaving the medical device within the cecum while the medical device maintains the cecum in distention takes place for no less than three months.

132. The method of claim 125, wherein said leaving the medical device within the cecum while the medical device maintains the cecum in distention takes place for no less than six months.

133. The method of claim 125, wherein distending the cecum of the patient triggers an intestinal-gastric brake in the patient.

134. The method of claim 125, further comprising distending the cecum via the medical device without the medical device obstructing passage of material through the cecum.

135. The method of claim 125, further comprising reducing a flow capacity through a lumen defined by the cecum by no greater than 50 percent.

136. The method of claim 125, wherein distending the cecum comprises distending the cecum to an expanded configuration that is larger than a relaxed configuration of the cecum.

137. The method of claim 136, wherein the expanded configuration of the cecum is sufficiently large to trigger an intestinal-gastric brake in the patient.

138. The method of claim 125, wherein the medical device comprises a body, and wherein the method further comprises contacting a wall of the cecum with the body of the medical device to distend the cecum.

139. The method of claim 138, further comprising securing the medical device to the wall of the cecum.

140. The method of claim 139, wherein said securing comprises tensioning the medical device against the wall of the cecum.

141. The method of claim 125, wherein the medical device is configured to transition from an undeployed state to an expanded state, the method further comprising transitioning the medical device from the undeployed state to the expanded state within the cecum.

142. The method of claim 141, further comprising passing the medical device through a region of the bowel that is adjacent to the cecum while the medical device is in the undeployed state.

143. The method of claim 142, further comprising advancing a guidewire through the colon toward the cecum, wherein said passing the medical device through a region of the bowel that is adjacent to the cecum while the medical device is in the undeployed state comprises advancing the medical device along the guidewire.

144. The method of claim 143, wherein the medical device is coupled with a catheter, and wherein said passing the medical device through the region of the bowel that is adjacent to the cecum comprises advancing the catheter over the guidewire.

145. The method of claim 141, further comprising introducing the medical device into the patient through the rectum of the patient while the medical device is in the undeployed state.

146. The method of claim 141, further comprising:

advancing an endoscope into the patient toward the cecum; and

introducing, via the endoscope, the medical device into the cecum.

147. The method of claim 146, wherein said introducing, via the endoscope, the medical device into the cecum comprises advancing the medical device through or alongside the endoscope while the medical device is in the undeployed state.

148. The method of claim 147, wherein said transitioning the medical device from the undeployed state to the expanded state within the cecum comprises bringing the medical device into contact with an inner surface of the cecum.

149. The method of claim 146, wherein said introducing, via the endoscope, the medical device into the cecum comprises passing the medical device along or substantially parallel to a longitudinal axis of the endoscope.

150. The method of claim 149, wherein said passing the medical device along or substantially parallel to the longitudinal axis of the endoscope comprises passing the medical device through a channel of the endoscope.

151. The method of claim 149, wherein said passing the medical device along or substantially parallel to the longitudinal axis of the endoscope comprises passing the medical device adjacent to an exterior surface of the endoscope.

152. The method of claim 149, wherein the medical device is coupled to a catheter, and wherein said passing the medical device along or substantially parallel to the longitudinal axis of the endoscope comprises passing the catheter along or substantially parallel to the longitudinal axis of the endoscope.

153. The method of claim 152, further comprising expanding the medical device into contact with a wall of the cecum via the catheter.

154. The method of claim 153, wherein said expanding the medical device comprises inflating a balloon that is coupled to the catheter and positioned at an interior of the medical device.

155. The method of claim 153, wherein the medical device comprises a stent.

156. The method of claim 155, wherein the stent is self-expanding.

157. The method of claim 153, wherein said expanding the medical device comprises inflating the medical device.

158. The method of claim 157, wherein said inflating comprises:

passing fluid through the catheter; and

introducing the fluid into the medical device.

159. The method of claim 157, wherein the medical device comprises a balloon.

160. The method of claim 141, wherein the medical device is coupled with a catheter in the undeployed state, wherein the method further comprises advancing the catheter into the patient toward the cecum, and wherein said transitioning the medical device from the undeployed state to the expanded state is achieved via the catheter.

161. The method of claim 160, wherein said transitioning the medical device comprises moving an expansion element relative to the catheter to expand the medical device.

162. The method of claim 161, wherein the expansion element comprises a fluid for inflating a balloon that is coupled to the catheter at a position internal to the medical device, and wherein said moving the expansion element comprises passing the fluid through the catheter and into the balloon to expand the balloon.

163. The method of claim 161, wherein the expansion element comprises a fluid for inflating the medical device, and wherein said moving the expansion element comprises passing the fluid through the catheter into the medical device.

164. The method of claim 161, wherein the expansion element comprises a restrictive sleeve, and wherein said moving the expansion element comprises removing the restrictive sleeve from the medical device to permit the medical device to self-expand.

165. The method of claim 161, wherein the expansion element comprises an actuation wire coupled to the medical device.

166. The method of claim 141, wherein the medical device is coupled with an endoscope in the undeployed state, wherein the method further comprises advancing the endoscope into the patient toward the cecum, and wherein said transitioning the medical device from the undeployed state to the expanded state is achieved via the endoscope.

167. The method of claim 166, wherein said transitioning the medical device from the undeployed state to the expanded state comprises moving an expansion element relative to the endoscope.

168. The method of claim 167, wherein the expansion element comprises a fluid for inflating the medical device, and wherein said moving the expansion element comprises passing the fluid through or alongside the endoscope.

169. The method of claim 168, wherein a removable covering that defines a lumen is coupled to the endoscope, and wherein said passing the fluid through or alongside the endoscope comprises passing the fluid through the lumen.

170. The method of claim 168, wherein the endoscope defines a channel, and wherein said passing the fluid through the endoscope comprises passing the fluid through the channel.

171. The method of claim 167, wherein the expansion element comprises a restrictive sleeve, and wherein said moving the expansion element comprises removing the restrictive sleeve from the medical device to permit the medical device to expand.

172. The method of claim 167, wherein the expansion element comprises an actuation wire coupled to the medical device.

173. The method of claim 141, wherein the medical device defines at least a portion of a passageway when in the expanded state, the method further comprising permitting material to pass through the passageway.

174. The method of claim 173, wherein the material that passes through the passageway comprises material that, in the absence of the medical device, would naturally pass through the cecum.

175. The method of claim 173, wherein the material that passes through the passageway comprises one or more of gas, semi-liquid, liquid, semi-solid, and solid material that naturally passes through the cecum.

176. The method of claim 141, wherein the medical device comprises an expandable frame.

177. The method of claim 176, wherein the expandable frame comprises a shape memory material.

178. The method of claim 141, wherein the medical device comprises a stent.

179. The method of claim 141, wherein the medical device comprises a cage.

180. The method of claim 141, wherein the medical device comprises a balloon.

181. The method of claim 141, further comprising transitioning the medical device from the undeployed state to the expanded state into contact with a wall of the cecum.

182. The method of claim 125, wherein the medical device comprises a bioresorbable material.

183. The method of claim 182, further comprising permitting the bioresorbable material to naturally degrade within the patient.

184. The method of claim 183, further comprising passing the medical device through the bowel of the patient and out of the patient after said permitting the bioresorbable material to naturally degrade.

185. The method of claim 182, wherein the medical device exhibits sufficient structural rigidity to tension the medical device against an inner surface of the cecum to achieve distention of the cecum, and wherein the structural rigidity of the medical device is reduced as the bioresorbable material naturally degrades.

186. The method of claim 185, further comprising permitting the medical device to cease distention of the cecum upon sufficient degradation of the bioresorbable material.

187. The method of claim 125, further comprising removing the medical device from the patient.

188. The method of claim 125, wherein the medical device comprises an eluting material, the method further comprising permitting the eluting material of the medical device to release one or more appetite suppressants.

189. The method of claim 188, wherein the one or more appetite suppressants are selected from the group consisting of:

one or more drugs, one or more nutrients, one or more hormones, one or more peptides, one or more neurotransmitters, one or more bacteria, and combinations thereof.

190. A method comprising:

treating obesity of a patient by distending the cecum of the patient for an amount of time sufficient to reduce a total weight of the patient by no less than 5 percent,

wherein distending the cecum comprises placing a medical device in contact with an inner surface of the cecum, and

wherein the medical device comprises an eluting material, the method further comprising permitting the eluting material of the medical device to release one or more appetite suppressants.

191. The method of claim 190, wherein the one or more appetite suppressants are selected from the group consisting of:

one or more drugs, one or more nutrients, one or more hormones, one or more peptides, one or more neurotransmitters, one or more bacteria, and combinations thereof.

192. A method comprising:

treating obesity of a patient by distending the cecum of the patient for an amount of time sufficient to reduce an excess weight of the patient by no less than 10 percent, wherein the excess weight is calculated as a difference between an actual body weight of the patient and a weight necessary to achieve a body mass index of 24.9 for the patient,

wherein distending the cecum comprises placing a medical device in contact with an inner surface of the cecum, and

wherein the medical device comprises an eluting material, the method further comprising permitting the eluting material of the medical device to release one or more appetite suppressants.

193. The method of claim 192, wherein the one or more appetite suppressants are selected from the group consisting of:

one or more drugs, one or more nutrients, one or more hormones, one or more peptides, one or more neurotransmitters, one or more bacteria, and combinations thereof.

194. A method comprising:

treating obesity of a patient by distending the cecum of the patient for a period of no less than one month,

wherein distending the cecum comprises placing a medical device in contact with an inner surface of the cecum, and

wherein the medical device comprises an eluting material, the method further comprising permitting the eluting material of the medical device to release one or more appetite suppressants.

195. The method of claim 194, wherein the one or more appetite suppressants are selected from the group consisting of:

one or more drugs, one or more nutrients, one or more hormones, one or more peptides, one or more neurotransmitters, one or more bacteria, and combinations thereof.