Evidence-based recommendations on endoluminal gastroplication for gastro-oesophageal reflux disease. This involves an endoscopic fastening device being inserted through the mouth and into the stomach, along with an endoscope for constant visualisation. The device is used to attach the fundus to the anterior and left lateral wall of the distal oesophagus slightly above the oesophagogastric junction. Is this guidance up to date? Next review: 2026 Guidance development process How we develop NICE interventional procedures guidance Coding and clinical classification codes for this guidance. This guidance replaces NICE interventional procedures guidance on endoluminal gastroplication for gastro-oesophageal reflux disease (IPG404).