Laparoscopic Janeway gastrostomy utilizing an endoscopic stapling device

Percutaneous endoscopic gastrostomy (PEG) though generally considered the method of choice, is not suitable for all patients requiring gastrostomies. Previously the only alternative was open gastrostomy. With the recent growth and development of laparoscopic instrumentation new less invasive procedures have been developed. We present a new method of performing a Janeway gastrostomy using an endoscopic stapling device, and discuss some of its theoretical and practical usage in selected patients in reference to the literature on PEGs and open gastrostomies.