Figure 21

An endoscopic Babcock clamp if placed from the most lateral right trocar and is passed behind the gastroesophageal junction. The placement of instruments in this area is done under direct vision. The fundus of the stomach is grasped with a second Babcock clamp from the left side and passed behind the gastroesophageal junction. The nasogastric tube is replaced with a 58 or 60 French bougie.

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