STEP 4Gastroplication

A gastroplication sutured with single stitches aborally to the insertion site of the tube is formed. If possible a reinforcing gastroplication of 8 cm aborally to the insertion of the tube in the gastric wall is recommended.

The gastric serosa is fixed with the abdominal wall by drawing the stomach upward and bringing the orifice of the tube distal to the gastroplication to an extraperitoneal location.

The cuff of the tube is then fixed to the skin.

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