for example the lower esophagus and the fundus of the stomach are first placed adjacent to one another next a first restraint is placed near the outside surface of one of the tissues and a second restraint is placed near the outside surface of the other tissue an irritant is then placed between the two adjacent tissues the restraints and consequently the tissue surfaces are then drawn together as the touching irritated tissue surfaces heal they will become bonded to one another and their need for the mechanical fastening of the restraints to secure them together will be diminished application_number US 10523502 A description the present apparatus and method can be used in the endoluminal treatment of gastro esophageal reflux disease fig1 illustrates a patient 39 s body 100 with an upper esophagus 140 a lower esophagus 110 a stomach 150 and a fundus 130 as is previously known 0026 fig2 a through 2f illustrate a pointed carrier 215 with anchors 205 210 and 220 contained therein as employed in an embodiment of the present invention the pointed carrier 215 has a proximal end not shown and a distal pointed end 225 after securing the esophageal pathway the pointed carrier 215 which may be 50 centimeters or more in length is inserted by the surgeon into.