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Anchoring sutures ("T"-fasteners) are placed
at two positions to prevent the stomach from falling away from
the abdominal wall. These sutures are removed 2 weeks postoperatively.
|In principle the same as an open gastrostomy,
but with the added placement of a 3 or 5 mm scope via an umbilical
incision, insufflation of the peritoneal cavity for direct visualization.
The catheter (primary button or balloon-tipped g-tube) is introduced
into a peel-away sheath, which is itself introduced after gradual
dilatation of a percutaneous-transgastric needle tract.
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