Endoscopic Suture Revision of dilated stoma (gastrojejunostomy anastamosis) after Roux-en-Y gastric bypass weight loss surgery:
Case 1:

Top left; ablative de-epithelization of dilated stoma, top right preparing for first suture placement, bottom left afer first figure of eight suture cinched and bottom right end result with stoma reduction.
Case 2:
Endoscopic suture fixation of fully covered esophageal metal stent:

Endoscopic suture fixation of proximal end of stent in the esophagus, 1st suture placement with Apollo Overstitch device

Final appearance after placement of 3 separately cinched sutures securing the proximal end of the fully covered stent to prevent distal migration.