ASGE DDW Videos from Around the World | 2026-ENDOSCOPIC GASTRIC REMODELING WITH PLICATION DEVICE USING DOUBLE CHANNEL SCOPE 4491076

ENDOSCOPIC GASTRIC REMODELING WITH PLICATION DEVICE USING DOUBLE CHANNEL SCOPE 4491076

Video Transcription

Video Summary

This video demonstrates a novel endoscopic gastric remodeling technique in a 58-year-old man with obesity and diabetes using a plication device with a double-channel scope. Because of a tight esophagus and prior dilations, the team advanced the system over guidewires. Using two forceps, they created deep anterior-to-posterior “mega-plications” along the greater curvature, aiming for serosa-to-serosa rather than standard mucosa-to-mucosa bites. Five to six rows were placed, shortening the stomach and reducing gastric volume. The method appeared technically feasible and may offer more durable results, but further studies are needed to confirm safety and efficacy.

Asset Subtitle

Endoscopy in Action
Submitted by Christopher Thompson

Keywords

endoscopic gastric remodeling

plication device

obesity and diabetes

mega-plications

greater curvature