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hey dr mcgowan here letamp;#39;s talk about esg and suture durability so iamp;#39;ve previously addressed the issue of whether sutures can actually break in a somewhat silly video but discussing the point that these sutures are really strong and itamp;#39;s very unlikely that you can generate enough force to physically break a suture by overeating for instance the sutures themselves are a sturdy polypropylene material and theyamp;#39;re anchored on either side by a metal anchor on one end and a plastic cinch device on the other and thatamp;#39;s a very sturdy setup however thatamp;#39;s not to say they canamp;#39;t come loose and thatamp;#39;s an important distinction that i want to discuss in a little bit more detail so if the sutures themselves are not placed correctly to begin with they can actually loosen or pull out over time and that would cause the esg to fail and really this is ultimately a technical issue itamp;#39;s a technique thing so when weamp;#39;re doi