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Endocinch treatment for GORD: where it stands
  1. Z Mahmood1,
  2. Y S Ang2
  1. 1Department of Gastroenterology, Westcumberland Hospital, Hensingham, Whitehaven, UK
  2. 2Department of Gastroenterology, Wigan Infirmary and Hope Hospital, University of Manchester, Manchester, UK
  1. Correspondence to:
    Dr Z Mahmood
    Department of Gastroenterology, Westcumberland Hospital, Hensingham, Whitehaven CA28 8JG, UK;

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We read with great interest the article by Schiefke and colleagues (Gut 2005;54:752–8) on the long term failure of endoscopic gastroplication (Endocinch). The authors reported more than 80% of patients had lost at least one suture and only 17% had all sutures in situ after 18 months (clip device). Loss of plications has been reported both with knot1 as well as clip devices (Gut 2005;54:752–8) used for anchoring sutures but seems to be more with the later. Further studies are needed to confirm above. However, a previous study did not find a significant difference between the mean tensile failure force (tissue tear out and suture disruption) for the knot compared with the clip device anchoring …

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  • Conflict of interest: None declared.