Percutaneous Endoscopic Gastrostomy (PEG), described in 1980 [1, 2], has replaced Conventional Surgical Gastrostomy as it has proved to be more advantageous. Its use, therefore, has grown rapidly in daily clinical practice .
Several technical variants have been described for performing PEG, with the one proposed by Gauderer et al  topping the list in the majority of centers. Known as the Pull Technique, it is easy to be performed and quite safe. Through this technique, the gastric tube (G-tube) is pulled through the mouth and the esophagus, which results in an increased risk of peristomal infection [4, 5], despite the routine use of antibiotic prophylaxis, as is the risk of tumoral implantation in the surgical wound in patients presenting malignant tumors .
There is a technical variant, named the Introducer Technique, in which the G-tube is introduced by means of percutaneous punction in an attempt to avoid its passage through the mouth. It can be performed under radiological  or endoscopic [2, 8–13] guidance and also offers the great advantage of low risk of peristomal infection, which renders the use of prophylactic antibiotics unnecessary [7, 8, 14]. This technique is also associated with low risk of tumor wound implantation . A lower risk of infection and lower risk of tumor implantation has motivated several authors to use the Introducer Technique instead of using the Pull Technique for PEG [4, 6, 8, 15, 16].
The Introducer Technique almost always involves a stage in which the stomach is fixated to the abdominal wall (gastropexy). For such fixation, T-fasteners [7, 16, 17], Fogarty catheters  or stitches [2, 5, 8–11, 14, 19, 20] can be used. The use of stitches was first described by Hashiba in 1980 . In 1999, Kiser et al  reported gastropexy performed with two straight needles, a method used by us until June 2004 . Several authors [5, 9, 11, 14, 20] have recently described the use of a device that also contains two straight needles for the easier performance of gastropexy.
We have recently published a successful series of 142 cases  of PEGs with an Introducer Technique variant which employs stitches with straight needles in order to fixate the anterior gastric wall to the abdominal wall, followed by the introduction of a G-tube by means of a percutaneous punction.
The present study describes a new technical variant of gastropexy which uses a long curved needle. It aims to investigate the feasibility and safety of the procedure.