Methods and devices for endosonography-guided fundoplexy

Abstract

The present invention relates to a tissue securement system, device and method for endoscopy or endosonography-guided transluminal interventions whereby a litigation or anchor is placed and secured into soft tissue. An objective of this invention is to provide a method to reduce gastroesophageal reflux by endosonography-guided intervention. Specifically, endosonography is used to insert a litigation element through the esophageal wall, through the diaphragmatic crus and into the fundus of the stomach. This litigation element placed from the esophagus and around the angle of His that may create a barrier to gastroesophageal reflux.

What is claimed is: 
     
         1 . A tissue securement apparatus for creating a gastric fundoplexy comprising:
 a hollow needle with proximal and distal end portions, the needle comprising a needle body and a detachable needle tip; and   a stylet positioned coaxially inside the needle body with a connecting element positioned inside the needle and extending from the proximal needle end portion to the distal needle end portion, said connecting element coupled to the needle tip at one end, the needle configured to be inserted through an esophageal and fundal wall and then withdrawn to leave behind the distal portion of the connecting element in the fundus.