Abstract: A transpyloric jejunostomy cannulating apparatus includes an abdominal wall trocar having an elongated shaft and a sharpened tapered end for passage through a patient's abdominal wall. A tubular sheath is telescopically slidable onto the trocar for passage through the abdominal wall with it. An elongated generally tubular gastrostomy introducer has one end adapted for connection to a suction source and a free end portion tapering toward a free end of reduced width for insertion through the gastric wall into the lumen of a stomach. The introducer has an inlet opening adjacent the free end for aspirating the stomach. An elongated slotted cannulator, generally c-shaped in cross section, has an external width for passage through the sheath and an internal width to accommodate passage of the introducer therethrough.