This is a minimally invasive technique used to insert a gastrostomy feeding tube. It requires a 2-5 day stay in hospital usually.

During the procedure, a small tube is passed via endoscopy straight through the abdominal wall into the stomach cavity and a plastic tube is left there in order that feeds can be administered to promote good nutrition. This is particularly helpful for children with significant feeding difficulties or an inability to use the normal routes of feeding to promote good nutrition.

The tube is usually 4-5mm in diameter and is made of an inert plastic. It has a flange on the inside which keeps it in place and usually some fixation device at the skin level. After a 3-4 month period it can be changed for a balloon device where a balloon inside can be inflated with water and this is flush on the outside of the abdomen with the skin.