Image Category: Fundamentals: Laparoscopic Gastrostomy

Construction of mucosa-lined tube

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

T-fasteners through the abdominal wall and anterior gastric wall.

Cannula placement for Gastrostomy

Cannula placement for laparoscopic gastrostomy. Consider adequate working distance from anticipated site of gastrostomy placement.

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