This video was taken with a laparoscope. The video shows the inside appearance of a gastrostomy tube replacement through an old gastrostomy tract. The stomach is adhered to the abdominal wall. Tract formation is complete after about 4 to 6 weeks of the gastrostomy tube placement.
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The g-tube enters the abdomen from outside the body and goes directly into the stomach. The stomach is tented up from the CO2 insufflating the abdomen which allows space for the camera. The adherence of the stomach to the abdominal wall is what allows the gastrostomy to be changed without leaking into the peritoneal cavity.