Abstract: Endoscopic devices methods and devices are provided for attaching opposed walls of tissue. The methods and devices can be used to deliver a plurality of fasteners to opposed tissues, and suture extending through the fasteners can be used to pull the tissues together. The suture can be pre-woven through the fasteners, thus allowing for a quick and simply deployment. While the various methods and devices disclosed herein can be used in a variety of procedures, in certain exemplary embodiments the methods and devices are used to pull together opposed walls of the stomach to form a stomach pouch within the stomach which reduces the rate of gastric emptying.