Endoscopic gastrojejunostomy with a natural orifice transluminal endoscopic surgery technique

Figure 1 Technique for endoscopic gastrojejunostomy using a T-anchoring device. A: After the gastric wall incision and balloon dilatation, the small intestine was held in the stomach; B: A needle installed with the first T-anchoring tag was used to start suturing. The first T-anchoring tag was attached to the small intestine (arrow), and then, the second was attached to the gastric wall; C: A pair of sutures was locked together using a locking device (arrow). The process was repeated four to six times to anchor the small intestine to the stomach; D: Finally, an incision using a needle knife was made on the jejunum.