1. Gastric plications for weight loss: distal primary obesity surgery endoluminal through a belt-and-suspenders approach 
Pichamol Jirapinyo, MD, MPH, Christopher C. Thompson, MD, MSc 
VideoGIE 
Volume 3, Issue 10, Pages (October 2018)
DOI: /j.vgie
Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

2. Figure 1 Incisionless operating platform.
VideoGIE 2018 3, DOI: ( /j.vgie )
Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

3. Figure 2
Traditional primary obesity surgery endoluminal procedure involving placement of plications in the fundus and distal gastric body.
(From Jirapinyo P, Thompson CC. Endoscopic bariatric and metabolic therapies: surgical analogues and mechanisms of action. Clin Gastroenterol Hepatol 2017;15: Used with permission.)
VideoGIE 2018 3, DOI: ( /j.vgie )
Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

4. Figure 3
Distal primary obesity surgery endoluminal procedure via a belt-and-suspenders approach involving placement of plications solely in the gastric body, sparing the fundus. Blue lines represent the belt plications, which reduce the circumference of the stomach. Green lines represent the suspender plications, which reduce the length of the stomach.
VideoGIE 2018 3, DOI: ( /j.vgie )
Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

5. Figure 4
Distal belt plications at the distal gastric body along the posterior surface extending to the anterior aspect of the greater curvature.
VideoGIE 2018 3, DOI: ( /j.vgie )
Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

6. Figure 5
First row of suspender plications at the midgastric body along the anterior aspect of the greater curvature.
VideoGIE 2018 3, DOI: ( /j.vgie )
Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

7. Figure 6
Second row of suspender plications at the midgastric body along the posterior aspect of the greater curvature.
VideoGIE 2018 3, DOI: ( /j.vgie )
Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

8. Figure 7 Proximal belt plications at the proximal gastric body.
VideoGIE 2018 3, DOI: ( /j.vgie )
Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

9. Figure 8
Final view of the stomach after the distal primary obesity surgery endoluminal procedure.
VideoGIE 2018 3, DOI: ( /j.vgie )
Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions