Figure 3

Procedure for placing a percutaneous gastrojejunostomy. Fixture with two puncture needles involving the abdominal and gastric wall, performed under endoscopic guidance. (A) The second needle is fed into the loop of a snare introduced into the gastric lumen through the first needle. (B, C) Four sutures are used around the insertion point. (D) Gastrojejunostomy tube inserted into the stomach and extended into the jejunum.