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Note that to make this maneuver safe and easy the stomach must be well inflated with air to allow the needle to penetrate the gastric wall easily. If the contrast is not seen to drip or appears to extravasate then remove the needle from the abdomen and start the process again. After the needle is confirmed to be in the lumen of the stomach the T-fastener is deployed and the suture portion of the T fastener is pulled snug and snapped to the drapes. Two additional T-fasteners are then placed in similar fashion around the G tube site.
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