endoscopy through PEG

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Retrograde Gastroplicature - Final Effect

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The gastroplicature was finished. (Retrograde Gastroplicature) A Trans-Gastric-Trasfistula post Gastrostomy, Retrograde suturing of the cardias. The flexible Ti-Knot Device has been placed the titanium...

Ti-Knot Device - Passage Through Overtube

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The flexible Ti-Knot Device is being passed to the over-tube to will perform the knot.

Ti-Knot Device - Preparation

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Flexible Ti-Knot Device. The flexible Ti-Knot Device will be use to place the titanium clip throughout 2 treads to perform the knot.

Withdrawal Of The Needle Through Mouth- Gastroplicature

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Withdrawal of the semicircular surgical needle throughout the mouth. Due to the protection of the over-tube there is no danger of injuries that could be caused by the needle.

Withdrawal Of The Needle Through Overtube- Gastroplicature

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The semicircular needle is withdrawn throughout the over-tube.

Retrograde Gastroplicature - Suturing - 3/3

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In this video image it is observed the joint of two tissues, which will be knotted.

Retrograde Gastroplicature - Suturing - 2/3

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And by the same maneuver we finished the gastroplicature.

Retrograde Gastroplicature - Suturing - 1/3

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We proceeded to perform the stitches and our new technique. And with the mouth-esophagus-stomach endoscopy in retroflexion the procedure is observed.

Introduction Of The Needle Holder Into The Gastrostomy...

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The neddle holder is introduced throughout the fistula.

Modified Needle Holder For Gastroplicature -...

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A modified laparoscopic needle holder. In the working table a needle holder is observed which previous was enlarged from 30 cm to 70 cm. We used this modified laparoscopic needle holder to perform...