Patent ID: 8623009
Filing Date: 2014-01-07
Classification: A61B

Abstract:
1. A method of perorally repairing a defect occurring after gastric bypass surgery in a patient with post-gastric bypass weight regain or a failure to achieve a sustained weight loss, wherein the defect comprises a fistula located between the patient's gastric pouch and a defunctionalized portion of the stomach or a dilated gastrojejunal anastomosis, the method comprising damaging tissue portions adjacent to the defect; removing at least some of the damaged tissue portions; perorally advancing a suturing device into the patient adjacent to the defect; gathering a first fold of tissue along a rim of the defect; operating the suturing device to advance a suture material, staple, or clip through the first fold of tissue; gathering a second fold of tissue along the rim of the defect, adjacent to the first fold of tissue; operating the suture device to advance a suture material, staple, or clip through the second fold of tissue; and bringing together the first and second folds of tissue to at least partially reduce the defect to decrease the passage of food through the defect.