The invention relates to improved means for preventing buckling and
therefore eversion of thin-walled, flexible, floppy gastrointestinal
liners implanted in the digestive tract of an animal. The implantable
devices include an anchor adapted for attachment within a natural body
lumen and a thin-walled, floppy sleeve open at both ends and defining a
lumen therebetween. A substantial length of the sleeve has material
characteristics that result in the sleeve being prone to buckling and
therefore eversion in the presence of retrograde pressures. Exemplary
anti-buckling mechanisms provide an increased stiffness and/or an
increased friction coefficient between the anchor and the proximal end of
the sleeve to resist buckling and therefore eversion. In some
embodiments, the anti-buckling mechanism is as a wire coupled along the
substantial length of the sleeve.