Abstract: The present invention is an enteral nutrition gastrostomy access device. A permanent or semi-permanent stoma liner is adjustably positioned within a stoma channel extending through a patient's abdominal and stomach walls. The stoma liner is characterized by an adjustable bladder capable of applying variable torsional force to one or more pinch points along the interface between the stoma liner and the stoma. The stoma liner is configured to receive a plug with a central threaded channel, into which a cap or enteral feeding device may be wholly or partially inserted. The central threaded channel is characterized by requiring application of a linear push force to apply but requiring application of both a linear pull force and a torsional force to remove.