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A,Red circles denote classic initial and end suture extent, with the red line denoting the approximate resultant luminal narrowing. Green circles denote modified ESG initial and end suture extent at the 11 o’clock and 6 o’clock positions with the green line denoting the less resultant volume restriction of the open accordion's modified ESG. B, Endoscopic view of initial suture placement. Note the size of the lumen restriction at <50%.
