This is just a gastrostomy tube running backwards. For those with an incompetent esophagus a g-tube may be a viable alternative to starvation, but where is the market for this? After some thought it occurs to me that the people who would want to have this option available are not obese patients, but the people you did not elect who run the private insurance industry for profit, who are finding themselves under pressure to provide really expensive alternatives like bypass surgery and gastric banding as it becomes clear that those methods improve metabolic control in diabetes etc. Now they can say, we will not cover a roux-en-Y, but if you want a hole in your side, we can arrange that for cheap. Take it or leave it fatty, and tell your lawyer he doesn't have a case anymore. Bonus for everyone!