Patent ID: 8678994

Claim:
A surgical method comprising positioning an adjustable gastric band having two ends that can be joined around a portion of a stomach, wherein said surgical method is carried out using endoscopic devices introduced through natural body openings without creating any incisions in the abdominal wall for the introduction of said endoscopic devices, wherein the adjustable gastric band is applied around the portion of the stomach using a transgastric procedure carried out by introducing the adjustable gastric band and all surgical tools endoluminally, wherein said surgical method comprises steps of introducing the gastric band and an endoscopic device into the stomach without creating an incision in the abdominal wall, using said endoscopic device to cut a hole in a wall of said stomach, withdrawing said endoscopic device from said stomach, and introducing into said stomach a second endoscopic device having a stapler mounted on a tip of said second endoscopic device, and using said stapler to close said hole.