View of Pylorus
View of pylorus. Bubbles indicating bile provide a clue to the location of the distal stomach when orientation of the side-viewing endoscope is difficult.
Manual compression proximal and distal
Manual compression proximal and distal to a selected segment allow insufflation. The lesion is visualized both by the endoscopist and by transillumination. (Reprinted with permission from Scott Conner CEH, Dawson DL. Operative Anatomy. Philadelphia: Lipp
Endoscopic verification
Endoscopic verification of adequate positioning of the bumper, which should be snug but not tight against the gastric wall.
PEG tube
The PEG tube is pulled back into the stomach. Endoscopic verification of placement is essential.