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Steps of endoscopic sleeve gastroplasty and the U‐pattern of suturing. (a) Stomach is inspected; (b) the overstitch suturing device is introduced into the stomach through the mouth; (c) the tissue is captured for suturing starting at the distal body; (d) a continuous "U" shaped suturing is performed; (e) the sutured tissues are pulled together and tightened; and (f) the stomach is narrowed after ESG.
