Single-access gastrostomy (SAG) dispenses endoscopy or laparoscopy: a simple method under local anesthesia.

Objective: Gastrostomy for feeding or desobstructive purposes is often performed transendoscopically. However, as endoscopy specialists and instruments are not widely available in community hospitals in Brazil, an alternative method was developed at the authors' institution. Surgical single-access gastrostomy (SAG), performed under local anesthesia and requiring no endoscopic guidance is described.