Endoscopic verification of adequate positioning of the bumper, which should be snug but not tight against the gastric wall.
The PEG tube is pulled back into the stomach. Endoscopic verification of placement is essential.
The braided suture is snared by the endoscopist and will be drawn back through the esophagus to exit through the mouth.
A. Transillumination and finger depression of the abdominal wall confirm juxtaposition of the inflated stomach and the anterior abdominal wall. B. The site selected will generally be approximately halfway between costal margin and umbilicus.