Modified NOTES technique for creation of an endoscopic gastrojejunostomy

Modified NOTES technique for creation of an endoscopic gastrojejunostomy Fig. 1 Endoscopic procedure.a Endoscopic ultrasound-guided puncture of the peritoneal cavity.b Using a dual-channel endoscope, the jejunum was held in place with grasping forceps while a guidewire was passed into the jejunum through a needle-knife incision.c The jejunum was retracted toward the stomach while keeping traction on the grasping forceps.d Endoscopic visualization of successful gastrojejunostomy creation.