The ESD Flexible Endoscopic Suturing device. It uses the same principal of tightening the junction between the esophagus and the stomach by the placement of sutures. This device has been approved by the FDA and is being studied for the treatment of GERD. The image and the video display the step of sucking enough tissue (mucosa, sub mucosa and muscularis) The needle is then fired into the sucked tissue. We applied the first suture with the first needle and at the same time we removed the valve of suction and in this way it free the tissue from the pincer and we prepared the field for the second suture which is one centimeter away from the first one.
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