An apparatus is positioned in a hollow viscus organ and functions as a template for creating a lumen of a desired shape and size in the organ from the tissue of the organ. The apparatus is comprised of an elongate, flexible tube having opposite proximal and distal ends. The tube has several lumens or pathways that extend through the interior of the tube between the proximal and distal ends of the tube. A directional, steerable feature extends through one of the lumens of the tube. An anchor feature is provided at the tube distal end and is manually operable from the tube proximal end. An exterior surface dimension adjustable feature is provided adjacent the tube distal end. A suction communication feature is provided along at least a portion of
