The Investigators propose suture plication placement at the distal gastric body drives a significant portion of weight loss in endoscopic sleeve and sutures only need to be placed in the distal gastric body. Therefore, in this pilot study, the investigators aim to compare "belt" with "belt and suspenders" plication pattern using the Endomina system to determine percent total weight loss.
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Percent TWL (%TWL)
Timeframe: Baseline, 6 months, 12 months
Adverse Events
Timeframe: 6 months, 12 months