Abstract
Background and AimsTo demonstrate a novel approach to endoluminal antral gastroplasty using a transgastric trocar (Endo-TAGSS, Shawnee, KS) and laparoscopic non-cutting stapler. MethodsNon-survival study performed successfully in two domestic pigs. Following placement of the Endo-TAGGS device, a laparoscopic stapler was introduced through the trocar and used to place staples along the anterior wall, greater curvature, and posterior wall, resulting in imbrication and reduction of the gastric antrum. Post-procedure, a diagnostic necropsy was performed. ResultsThe endoluminal antral gastroplasty was performed successfully without immediate complications. ConclusionsEndo-TAGSS-assisted endoscopy can overcome limitations of current endoscopic techniques by allowing for use of larger diameter laparoscopic surgical devices in endoscopy, which permitted antral gastroplasty in this study
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