It is recommended to perform a three-point gastropexy that approximates an equilateral triangle to help ensure secure and uniform attachment
of the gastric wall to the anterior abdominal wall. An alternate pattern will need to be identified if placing a low volume balloon gastrostomy tube. For
additional suture security, a knot may be tied in the suture strand at the surface of the suture lock.
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The best angle of insertion is a 45-degree angle to the surface of the skin.
(continued)
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4
Maintain a 45-degree angle to the skin while dilating so as not to kink the guidewire.
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