Introduction: Complex gastroschisis is one of the most frequent causes of short bowel syndrome (SBS) in pediatrics. Motility disorders, intestinal dilatation and hypoplasia are factors that difficult progression and intestinal rehabilitation. We present the case of an infant whom a venting jejunostomy aided in treatment. Methods: 5-month-old male infant, with antenatal diagnosis of gastroschisis, born at 34 weeks, with finding of associated intestinal atresia, ischemia and stenosis in the ring and extra abdominal intestine at birth, also absence of colon from cecum to descending portion, with remnant hypoplastic descending and sigmoid colon. Initial surgery was an intestinal resection leaving 20 cm of remaining dilated small intestine and a side-to-end jejuno-colonic anastomosis + jejunostomy. At 45 days of life, patient required remodeling of stoma due to jejunostomy prolapse. Prolapse recurred few days after the procedure. Since birth patient was managed by the pediatric intestinal failure team with parenteral nutrition and controlled and slow progress of enteral nutrition, due to high output and mucous prolapse of the stoma. At 80 days of life, the jejunostomy was surgical closed, leaving the intestine in continuity. Postoperative evolution was stationary, with poor oral tolerance, abdominal distension, biliary emesis and minimal progress despite having daily bowel movements. Contrast images showed dilation of the small intestine with passage of the contrast through the colon and patent anastomosis, without signs of mechanical obstruction. The group decided to place a percutaneous endoscopic jejunostomy tube with a 14 Fr endoscopic gastrostomy kit through an anterograde approach for ventilation, proximal to the jejuno-colonic anastomosis. Endoscopy showed the entire remnant intestine dilated with normal mucosa and a patent wide jejuno-colon anastomosis. There were no complications (Image 1). Results: After the procedure, the patient was managed with intermittent opening of the tube for decompression, with a good outcome, tolerating oral route with normal stools and without abdominal distension or vomiting (Image 2). Conclusions: Patients with intestinal failure and SBS due to gastroschisis born with intestinal dilatation and motility disorders represent a therapeutic challenge since lengthening/remodeling surgeries are questionable. The placement of a percutaneous venting jejunostomy is a less invasive procedure and may be helpful to promote enteral progression and rehabilitation of these patients, without completely excluding the distal intestine and without complications such as prolapse that surgical jejunostomies present.