English to Spanish Medical Medical (general) gastroenterology

Placement of a percutaneous endoscopic gastrostomy tube. A, Under conscious sedation, pass a lighted endoscope into the
stomach. Indent the skin with a fi nger to determine the optimal puncture site where the stomach and abdominal wall are closest, with no bowel between. B, Fill a syringe with saline and advance it percutaneously to the selected entry point until the tip of the needle is seen entering from the gastric lumen through the endoscope. If air is aspirated and no needle tip is seen, the needle is in the bowel, not the stomach. C, Push and pull the scope/snare/feeding tube combination into position. D, Pull the head of the feeding tube into contact with the gastric mucosa. E, Use an external bolster or crossbar to keep the tube snug against the skin and gastric wall, but not so tight that it causes ischemia of the intervening tissue.