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  • 1. Introduction
  • 2. Insufflation and Access to the Abdomen
  • 3. Abdominal Exploration
  • 4. Advance Endoscope to Stomach and Insufflate
  • 5. Thread Wire into Stomach and out Through the Mouth
  • 6. Use the Wire to Pull the Tube into the Stomach and out Through the Abdominal Wall
  • 7. Oppose Stomach and Abdominal Walls Without Tension and Secure Tube
  • 8. Closure
  • 9. Post-op Remarks
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