Construction of mucosa-lined tube (Janeway-style gastrostomy). A fold of stomach is elevated and the endoscopic stapler applied. Approximately 1 cm of stomach must be included in the staple line to assure an adequate lumen. The tube is grasped and elevate
T-fasteners through the abdominal wall and anterior gastric wall.
Cannula placement for laparoscopic gastrostomy. Consider adequate working distance from anticipated site of gastrostomy placement.