Magnetic Compression Research Articles

Direct Observations of a Shock Traversing Preceding Two Coronal Mass Ejections: Insights from Solar Orbiter, Wind, and STEREO Observations

The three successive coronal mass ejections (CMEs) that erupted from 2023 November 27–28, provide the first opportunity to shed light on the entire process of a shock propagating through, sequentially compressing, and modifying two preceding CMEs using in situ data from Solar Orbiter, Wind, and STEREO-A. We describe the interaction of the three CMEs as follows: CME-1 and CME-2 interacted with each other at distances close to the Sun. Subsequently, the shock (S3) driven by CME-3 caught up with and compressed ICME-2 before 0.83 au, forming a typical shock–ICME interaction event observed by the Solar Orbiter. The S3 continued to propagate, crossing ICME-2 and propagating into ICME-1 as observed by Wind, and completely overtaking both ICME-1 and ICME-2 at STEREO-A. The interaction between S3 and the preceding two ICMEs leads to a clear compression of preceding ICMEs including an increase in magnetic field (∼150%) and a reduction in the interval of ICMEs. It presents direct and compelling evidence that a shock can completely traverse two preceding CMEs, accompanied by a significant decrease in shock strength (magnetic compression ratio decrease from 1.74 to 1.49). Even though the three ICMEs interact significantly in the heliosphere, their magnetic field configurations exhibit coherence at different observation points, especially for ICME-3. Those results highlight the significant implications of shock–CME interactions for CME propagation and space weather forecasting.

Implementation of magnetic compressional effects at arbitrary wavelength in the global version of GENE

The global tokamak code GENE has been extended including the effect of magnetic compression caused by B1,|| turbulent fluctuations of the magnetic field parallel to the equilibrium one. This paper outlines the basic structure of the algorithm, valid at arbitrary wavelengths of the gyrokinetic fluctuations, with emphasis on the numerical construction of the so-called “gyrodisk-integral” operators necessary for the model. The numerical implementation is successfully verified against radially local simulations, recovering excellent agreement. Global tokamak simulations are presented as well. The upgrade enables studying a large variety of new physical scenarios at high plasma-β, such as kinetic ballooning modes, MHD-like modes or the interaction of B1,|| with fast particle modes, reducing the gap between gyrokinetic models and physically realistic systems.

Harnessing magnetic forces: Discovery and development of biliary strictures treatment with compression anastomosis

Magnetic compression anastomosis (MCA) is emerging as a promising alternative that uses magnetic force to create an anastomosis bypassing the stenosis in biliary strictures (BSs) where techniques such as percutaneous transhepatic biliary drainage and endoscopic retrograde cholangiopancreatography with stent placement are inadequate in the presence of complete obstruction or severe stenosis. MCA offers potential benefits such as less operative trauma, shorter hospital stay and lower complication rates. By placing magnets proximal and distal to the stenosis, necrosis of fibrotic tissue occurs, creating a new anastomosis. Investigating the role of MCA in the treatment of BS is crucial because of its potential to revolutionize care, improve outcomes and reduce healthcare costs. It offers an alternative for patients who are not suitable for conventional surgery. A comprehensive review of the principles, techniques, outcomes and applications of MCA is essential to inform clinicians, researchers and policy makers and to guide future research and clinical practice to optimize patient care for BSs.

Invariant regimes of Spencer scaling law for magnetic compression of rotating FRC plasma

Abstract The scaling laws for the magnetic compression of a toroidally rotating field reversed configuration (FRC) have been investigated in this work. The magnetohydrodynamics (MHD) simulations of the magnetic compression on rotating FRCs employing the NIMROD code (Sovinec et al 2004 J. Comput. Phys. 195 355), are compared with the Spencer’s one-dimensional (1D) theory (Spencer et al 1983 Phys. Fluids 26 1564) for a wide range of initial flow speeds and profiles. The toroidal flow can influence the scalings directly through the alteration of the compressional work as also evidenced in the 1D adiabatic model, and indirectly by reshaping the initial equilibrium. However, in comparison to the static initial FRC equilibrium cases, the pressure and the radius scalings remain invariant for the magnetic compression ratio B w 2 / B w 1 up to 6 in presence of the initial equilibrium flow, suggesting a broader applicable regime of the Spencer scaling law for FRC magnetic compression. The invariant scaling has been proven a natural consequence of the conservation of angular momentum of both fluid and magnetic field during the dynamic compression process.

On the 1/f Spectrum in Slow Solar Wind Turbulence: The Role of Alfvénicity

The slow solar wind has been recently observed to have a number of intervals that are dominated by large-scale Alfvénic fluctuations, especially within 1 au, with similar turbulence characteristics to those found in fast wind streams, including a 1/f range. These results suggest that the slow solar wind exists in at least two flavors: the typical slow wind that generally does not exhibit a 1/f range and an Alfvénic wind that is more similar to fast wind streams. The Alfvénic slow wind is usually differentiated from the typical slow wind (not dominated by Alfvénic fluctuations) by the normalized cross helicity, σ c . Values of ∣σ c ∣ near unity are associated with Alfvénic fluctuations, whereas values near zero are typically thought of as non-Alfvénic. This classification by cross helicity excludes the case of solar wind fluctuations dominated by balanced Alfvénic turbulence, i.e., the turbulence regime where there is equal energy flux of counterpropagating fluctuations propagating along the mean field. We use a large statistical analysis to isolate intervals of slow wind at 1 au in a 20 yr period of Wind data. These intervals are sorted into subsets corresponding to the type of slow wind via the mean values of their magnetic compressibility and cross helicity. Our analysis finds several intervals of low-cross-helicity slow wind dominated by balanced Alfvénic turbulence, which possess similar characteristics found in high-cross-helicity streams. Our results support the conclusion that a 1/f spectrum may be a property associated with streams dominated by Alfvénic turbulence, whether the turbulence is balanced or imbalanced.

Mineral composition, pore structure and mechanical properties of coal measure strata rocks: A case study of Pingdingshan Coalfield

The microstructure and mechanical properties of coal measure rocks (CMR) are critical factors in the successful geological storage of CO2. While previous research has predominantly focused on coal seams, the overlying and underlying bedrock strata are equally significant yet often overlooked. This study addresses this gap by selecting coal and adjacent strata from the Twelve Mine as representative samples. A comprehensive suite of analyses was conducted, including thin section identification, X-ray diffraction (XRD), nuclear magnetic resonance (NMR), uniaxial compression, and acoustic emission tests. These analyses were used to determine the mineralogical composition and pore structure characteristics of the CMR, elucidate the mechanical failure mechanisms of different CMR types, and explore the relationships between rock strength, mineral composition, and pore characteristics. The findings indicate that the primary minerals in coal are clay minerals, while mudstone is composed predominantly of clay minerals and quartz, sandstone is rich in quartz and feldspar, and limestone contains significant amounts of calcite. The porosity of CMR varies between 1.73 % and 10.12 %, with 82.72 % of the pores being micro- to mesopores and the remaining 17.28 % being macropores. The pore structures exhibit fractal characteristics, with the fractal dimension of mesopores ranging from 2.581 to 2.902, and that of macropores from 2.968 to 2.997. Coal predominantly fails through a combination of tensile and shear failure mechanisms, mudstone and limestone through tensile failure, and sandstone through shear failure. Furthermore, the results suggest that rock strength is positively correlated with quartz content and negatively correlated with kaolinite content and porosity. In terms of their influence on coal rock strength, the factors in descending order of impact are kaolinite, quartz, calcite, microporosity, macroporosity, dolomite, and mesoporosity. Thus, while the mechanical properties of these rocks are primarily governed by their mineralogical composition, the pore structure also plays a significant role.

Study on the Impact of Pole Spacing on Magnetic Flux Leakage Detection under Oversaturated Magnetization.

Magnetic flux leakage (MFL) inspection employs leakage magnetic fields to effectively detect and locate pipeline defects. The spacing between magnetic poles significantly affects the leakage magnetic field strength. While most detectors typically opt for moderate pole spacing for routine detection, this study investigates the propagation characteristics of MFL signals at small pole spacings (under specimen oversaturated magnetization) and their impact on MFL detection. Through finite element simulation and experiments, it reveals a new signal phenomenon in the radial MFL signal By at small pole spacings, the double peak-valley (DPV) phenomenon, characterized by outer and inner peaks and valleys. Theoretical analysis based on the simulation results elucidates the mechanisms for this DPV phenomenon. Based on this, the impact of defect size, pipe wall thickness, and magnetic pole and rigid brush height on MFL signals under small magnetic pole spacings is examined. It is demonstrated that, under a smaller magnetic pole spacing, a potent background magnetic field manifests in the air above the defect. This DPV phenomenon is generated by the magnetic diffusion and compression interactions between the background and defect leakage magnetic fields. Notably, the intensity of the background magnetic field can be mitigated by reducing the height of the rigid brush. In contrast, the pipe wall thickness and magnetic pole height exhibit a negligible influence on the DPV phenomenon. The emergence of the DPV precipitates a reduction in the peak-to-valley difference within the MFL signal, constricting the depth range of detectable defects. However, the presence of DPV increases the identification of defects with smaller opening sizes. These findings reveal the characterization of the MFL signal under small pole spacing, offering a preliminary study on identifying specific defects using unconventional signals. This study provides valuable guidance for MFL detection.

Generation of Superhard X-Ray Radiation at The Compressing of Aluminum Wire Arrays

At the S-300 generator (2 MA, 400 kV, 100 ns), the appearance of superhard X-ray radiation was observed during magnetic compression of cylindrical nested aluminum arrays with a linear mass of ~350 μg/cm, consisting of aluminum wires with a diameter of 15 μm. At the final compression phase of the arrays, a compact pinch is formed, consisting of a large number of hot spots located along the axis. This phase is accompanied by the emission of soft X-rays with a duration of ~10 ns. Simultaneously with the pulses of soft X-ray radiation, superhard X-ray radiation with an energy exceeding 450 keV was discovered. Superhard X-ray radiation was measured with shielded scintillation detectors with lead filters 20–70 mm thick. The main cause of overvoltage on the plasma column appears to be constriction instability.

Shocks in the warm neutral medium

Context. Atomic and molecular line emissions from shocks may provide valuable information on the injection of mechanical energy into the interstellar medium (ISM), the generation of turbulence, and the processes of phase transition between the warm neutral medium (WNM) and the cold neutral medium (CNM). Aims. In this series of papers, we investigate the properties of shocks propagating in the WNM. Our objective is to identify the tracers of these shocks, use them to interpret ancillary observations of the local diffuse matter, and provide predictions for future observations. Methods. Shocks propagating in the WNM are studied using the Paris-Durham shock code, a multi-fluid model built to follow the thermodynamical and chemical structures of shock waves at steady-state in a plane-parallel geometry. The code, designed to take into account the impact of an external radiation field, is updated to treat self-irradiated shocks at intermediate (30 < VS < 100 km s−1) and high velocity (VS ⩾ 100 km s−1), which emit ultraviolet (UV), extreme-ultraviolet (EUV), and X-ray photons. The couplings between the photons generated by the shock, the radiative precursor, and the shock structure are computed self-consistently using an exact radiative-transfer algorithm for line emission. The resulting code is explored over a wide range of parameters (0.1 ⩽ nH ⩽ 2 cm−3, 10 ⩽ VS ⩽ 500 km s−1, and 0.1 ⩽ B ⩽ 10 μG), which covers the typical conditions of the WNM in the solar neighborhood. Results. The explored physical conditions lead to the existence of a diversity of stationary magnetohydrodynamic solutions, including J-type, CJ-type, and C-type shocks. These shocks are found to naturally induce phase transition between the WNM and the CNM, provided that the postshock thermal pressure is higher than the maximum pressure of the WNM and that the maximum density allowed by magnetic compression is greater than the minimum density of the CNM. The input flux of mechanical energy is primarily reprocessed into line emissions from the X-ray to the submillimeter domain. Intermediate- and high-velocity shocks are found to generate a UV radiation field that scales as VS3 for VS < 100 km s−1 and as VS2 at higher velocities, and an X-ray radiation field that scales as VS3 for VS ⩾ 100 km s−1. Both radiation fields may extend over large distances in the preshock depending on the density of the surrounding medium and the hardness of the X-ray field, which is solely driven by the shock velocity. Conclusions. This first paper presents the thermochemical trajectories of shocks in the WNM and their associated spectra. It corresponds to a new milestone in the development of the Paris-Durham shock code and a stepping stone for the analysis of observations that will be carried out in forthcoming works.

Preliminary study of a new magnetic compression technique for circumcision in dogs: An experimental animal model

IntroductionTraditional/ritual/medical circumcision can be associated with considerable intraoperative blood loss and a prolonged postoperative healing course. This study investigated the feasibility of the magnetic compression technique (MCT) for circumcision in beagle dogs. MethodsA set of magnetic rings including a daughter magnetic ring (DMR) and a parent magnetic ring (PMR) were designed for circumcision. In eight beagle dogs as the animal model, the DMR was placed between the penis and the foreskin through the glans, and then the PMR was placed outside the penis. The DMR and PMR automatically attracted together to compress the foreskin. The necrosis of the prepuce of the anterior penis was observed daily. The operation time and time to magnetic ring shedding were recorded. Healing of the foreskin stump was visually observed. ResultsThe magnetic rings were successfully installed in all eight dogs, and the operation process was without complication. The average operation time was 3.13 ± 0.92 min (range, 2–4.5 min). Postoperative X-rays showed good attraction of the magnetic rings. Daily post-operative observation showed progressive ischemic necrosis of the anterior foreskin and mild edema of the proximal foreskin. The dogs were generally in good condition and urinated freely. The magnetic rings fell off spontaneously 8–12 days after the operation, and the stump of the foreskin healed well. ConclusionThe MCT may be a new approach for circumcision in a canine model, which suggests its potential for use in humans.

Effect of tissue tension on magnetic compression anastomosis of digestive tract

With the increasing application of magnetic compression anastomosis (MCA) in gastrointestinal anastomosis, we identified an interesting phenomenon that an anastomosis is more prone to stenosis after endoscopic gastrointestinal MCA. We hypothesized that the increase in tissue tension during endoscopic procedures is the cause of anastomotic stenosis. In this study, we investigated the effect of tissue tension on gastroduodenal bypass MCA in Sprague–Dawley (SD) rats. Twenty SD rats were divided into the study group (high-tension group, n = 10) and control group (no tension group, n = 10), wherein the rats underwent complete gastroduodenal bypass magnetic anastomosis under high tension and no tension of the digestive tract, respectively. Anastomotic specimens were obtained 4 weeks after the operation, and anastomotic diameters of the two groups were observed and measured. The histological difference was observed by hematoxylin & eosin and Masson staining. The operation was successfully completed in all rats, and all survived until 4 weeks postoperatively. Anastomotic measurements revealed that the anastomosis diameter was significantly smaller in the study group than in the control group, and there were three cases of severe anastomotic stenosis. Histological observation showed that the amount of collagen fibers in the anastomosis was greater in the study group than in the control group. The results suggest that the high-tension state of the digestive tract is an important factor leading to anastomotic stenosis, and thus, we put forward the Yan-Zhang’s Tissue Tension Theory of MCA to explain this phenomenon.

Improving the performance of magnetorheological elastomer-based adaptive isolator through integrated compression-torsion structure

In this paper, a novel magnetorheological elastomer (MRE) isolator with a compression-torsion structure was developed to address existing challenges related to stiffness variation, damping force, and magnetic control range. Through performance testing of the vibration isolator prototype and theoretical analysis based on traditional magnetic dipole model of the MRE, the effects of applied magnetic field and compression displacement on the performance of the designed MRE isolator were systematically evaluated. The results showed that integrating the compression-torsion structure not only enhances the magneto-induced mechanical performance of the MRE but also improves the overall performance of the entire MRE isolator. The output force of the MRE isolator with a compression-torsion structure generally surpasses than that of the MRE isolator lacking this feature. The isolator’s stiffness can vary by up to 119% compared to its initial stiffness when a 2 A current is applied at a compression displacement of 0.5 mm. The proposed design, combining the compression-torsion structure and the MRE isolator, offers new insights for future research and applications in the realm of MRE isolators.

Kinetic‐Scale Current Sheets in the Solar Wind at 5 AU

AbstractWe present statistical analysis of 16,903 current sheets (CSs) observed over 641 days aboard Ulysses spacecraft at 5 AU. We show that the magnetic field rotates across CSs through some shear angle, while only weakly varies in magnitude. The CSs are typically asymmetric with statistically different, though only by a few percent, magnetic field magnitudes at the CS boundaries. The data set is classified into about 90.6% non‐bifurcated and 9.4% bifurcated CSs. Most of the CSs are proton kinetic‐scale structures with the half‐thickness of non‐bifurcated and bifurcated CSs within respectively 200–2,000 km and 500–5,000 km or 0.5–5λp and 0.7–15λp in units of local proton inertial length. The amplitude of the current density, mostly parallel to magnetic field, is typically within 0.05–0.5 nA/m2 or 0.04–0.4JA in units of local Alfvén current density. The CSs demonstrate approximate scale‐invariance with the shear angle and current density amplitude scaling with the half‐thickness, and . The matching of the magnetic field rotation and compressibility observed within the CSs against those in ambient solar wind indicate that the CSs are produced by turbulence, inheriting its scale‐invariance and compressibility. The estimated asymmetry in plasma beta between the CS boundaries is shown to be insufficient to suppress magnetic reconnection through the diamagnetic drift of X‐line. The presented results will be of value for future comparative analysis of CSs observed at different distances from the Sun.

Magnetic compression anastomosis for treatment of malignant complete esophageal stricture (with video)

Magnetic compression anastomosis for treatment of malignant complete esophageal stricture (with video)

Comparative study on the establishment efficacy of four types of animal models of rectovaginal fistula in rabbits

Various surgical methods have so far been developed for treating rectovaginal fistula (RVF), each with its own advantages and disadvantages. The lack of standardized animal models of RVF is a major reason for the failure to establish a unified and effective surgical method for the treatment of RVF. This study aimed to explore the feasibility of an RVF animal model by magnetic compression and compare it with the traditional modeling method. Thirty-two female Japanese white rabbits were randomly divided into four groups: A, B, C, and D, based on how the rectovaginal septum was treated. The operation time, intraoperative blood loss, and model success rate of each group were determined. The experimental animals were euthanized 2 weeks after the operation. Their rectovaginal septum specimens were obtained. RVF was observed by the naked eye. The fistula size was measured. Histological changes of fistula were observed by hematoxylin and eosin and Masson staining. All rabbits completed the RVF model and survived 2 weeks after the operation. Groups A and B had no bleeding, while groups C and D had < 0.5 mL of bleeding. The magnet detached in 4–6 days in group A, while it remained in place for 2 weeks after surgery in group B. Only one group D rabbit had a plastic hose for 2 weeks after surgery. The RVFs of groups A and C healed by themselves. In group B, the fistula was well formed. In group D, fistula healing was observed in three animals and the diameter of the fistulas was only 2.82–4.64 mm in the other four animals. Groups B and D had a scar on the inner surface of fistulas. Our study shows that the magnetic compression technique based on the T-shaped magnet is a highly useful method to establishing a continuous and stable RVF model in rabbits.

Establishment of acquired tracheoesophageal fistula using a modified magnetic compression technique in rabbits and its postmodeling evaluation.

Previous studies have validated the efficacy of both magnetic compression and surgical techniques in creating rabbit tracheoesophageal fistula (TEF) models. Magnetic compression achieves a 100% success rate but requires more time, while surgery, though less frequently successful, offers rapid model establishment and technical maturity in larger animal models. To determine the optimal approach for rabbit disease modeling and refine the process. TEF models were created in 12 rabbits using both the modified magnetic compression technique and surgery. Comparisons of the time to model establishment, success rate, food and water intake, weight changes, activity levels, bronchoscopy findings, white blood cell counts, and biopsies were performed. In response to the failures encountered during modified magnetic compression modeling, we increased the sample size to 15 rabbit models and assessed the repeatability and stability of the models, comparing them with the original magnetic compression technique. The modified magnetic compression technique achieved a 66.7% success rate, whereas the success rate of the surgery technique was 33.3%. Surviving surgical rabbits might not meet subsequent experimental requirements due to TEF-related inflammation. In the modified magnetic compression group, one rabbit died, possibly due to magnet corrosion, and another died from tracheal magnet obstruction. Similar events occurred during the second round of modified magnetic compression modeling, with one rabbit possibly succumbing to aggravated lung infection. The operation time of the first round of modified magnetic compression was 3.2 ± 0.6 min, which was significantly reduced to 2.1 ± 0.4 min in the second round, compared to both the first round and that of the original technique. The modified magnetic compression technique exhibits lower stress responses, a simple procedure, a high success rate, and lower modeling costs, making it a more appropriate choice for constructing TEF models in rabbits.

Primary repair of esophageal atresia Gross type C via thoracoscopic magnetic compression anastomosis: Is it the best option?

Magnetic compression anastomosis is a promising treatment option for patients with complex esophageal atresia; but, at the present time, should not be the first therapeutic option in those cases where the surgeon can perform a primary anastomosis of the two ends of the esophagus with acceptable tension.

On the Heating of the Slow Solar Wind by Imbalanced Alfvén-wave Turbulence from 0.06 to 1 au: Parker Solar Probe and Solar Orbiter Observations

In this work we analyze plasma and magnetic field data provided by the Parker Solar Probe and Solar Orbiter missions to investigate the radial evolution of the heating of Alfvénic slow wind by imbalanced Alfvén-wave (AW) turbulent fluctuations from 0.06 to 1 au. in our analysis we focus on slow solar-wind intervals with highly imbalanced and incompressible turbulence (i.e., magnetic compressibility C B = δ B/B ≤ 0.25, plasma compressibility C n = δ n/n ≤ 0.25, and normalized cross helicity σ c ≥ 0.65). First, we estimate the AW turbulent dissipation rate from the wave energy equation and find that the radial profile trend is similar to the proton heating rate. Second, we find that the scaling of the empirical AW turbulent dissipation rate Q W obtained from the wave energy equation matches the scaling from the phenomenological AW turbulent dissipation rate Q CH09 (with Q CH09 ≃ 1.55Q W ) derived by Chandran & Hollweg based on the model of reflection-driven turbulence. Our results suggest that, as in the fast solar wind, AW turbulence plays a major role in the ion heating that occurs in incompressible slow-wind streams.

Study on Microscopic Characteristics and Rock Mechanical Properties of Tight Sandstone after Acidification–Supercritical CO2 Composite Action: Case Study from Xujiahe Formation, China

Acidified CO2 fracturing is a viable method for increasing production in deep, tight sandstone reservoirs. However, the potential mechanism of changes in pore structure and mechanical properties of sandstone under acidified CO2 supercritical composite is not clear. Understanding this mechanism is important for the study of crack initiation and extension in tight sandstone reservoirs. This study utilizes sandstone samples from the Xujiahe Formation reservoir in Rongchang District as experimental specimens. The primary focus is to analyze the changes in pore structure and mechanical properties of these samples after acidification–supercritical CO2 composite action. Nuclear magnetic resonance (NMR) and uniaxial compression tests are employed as the main investigative techniques. The results show that there was a physicochemical synergy between the acidification–supercritical CO2 composite effect; the crack initial stress, damage stress, and peak stress of the sandstone after 16 MPa supercritical CO2 acidification treatment were reduced by 20%, 49.5%, and 49.8%, respectively; the crack volumetric strain accelerated and the sandstone evolved from brittle to ductile damage; and the larger pore space and microcracks of the sandstone increased significantly after the treatment, which can be attributed to the gradual dissolution of intergranular cement leading to the formation of new pores connected to the existing pore network. The change mechanism of sandstone after acidification–supercritical CO2 compound treatment is also proposed.

Feasibility experiment of a novel deformable self-assembled magnetic anastomosis ring (DSAMAR) for gastrointestinal anastomosis through a natural orifice

Although the application of magnetic compression anastomosis is becoming increasingly widespread, the magnets used in earlier studies were mostly in the shape of a whole ring. Hence, a deformable self-assembled magnetic anastomosis ring (DSAMAR) was designed in this study for gastrointestinal anastomosis. Furthermore, its feasibility was studied using a beagle model. The designed DSAMAR comprised 10 trapezoidal magnetic units. Twelve beagles were used as animal models, and DSAMARs were inserted into the stomach and colon through the mouth and anus, respectively, via endoscopy to achieve gastrocolic magnamosis. Surgical time, number of failed deformations, survival rate of the animals, and the time of magnet discharge were documented. A month later, specimens of the anastomosis were obtained and observed with the naked eye as well as microscopically. In the gastrocolic anastomosis of the 12 beagles, the procedure took 65–120 min. Although a deformation failure occurred during the operation in one of the beagles, it was successful after repositioning. The anastomosis was formed after the magnet fell off 12–18 days after the operation. Naked eye and microscopic observations revealed that the anastomotic specimens obtained 1 month later were well-formed, smooth, and flat. DSAMAR is thus feasible for gastrointestinal anastomosis under full endoscopy via the natural orifice.