- Wedge resection
- Stay sutures or atraumatic graspers used to elevate the lesion
- A wedge of stomach including the lesion and surrounding margin is excised
- Ideally avoid narrowing the gastric lumen
- Can be done with linear staplers or hand-sewn technique
- Closure
- Stapled or hand-sewn in two layers
- Care taken to prevent stenosis or kinking
- Leak test (air or methylene blue via NG tube) may be done to check for perforation