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An alternative way to perform the duct-to-mucosa pancreatogastrostomy is without seromuscular incision in the posterior wall of the stomach. As a result, the small opening is made in the full-thickness of the stomach wall and. Sutures from the inner, duct-to-mucosa suture-row are now circumferentially placed between the main pancreatic duct and the full-thickness of the gastric wall. The remaining aspects of the anastomosis are carried out in a same way as described above.
One-layered technique
DILL-RUSSELL AS. Pancreaticogastrostomy. Lancet. 1952;1:589-590
Gupta S. Pancreaticogastrostomy: A simplified technique. J Surg Oncol. 1994;56:249-250.
Using two transpancreatic sutures with buttresses
Lee JY, Kim EY, Lee JS, et al. A novel pancreaticogastrostomy method using only two transpancreatic sutures: early postoperative surgical results compared with conventional pancreaticojejunostomy. Ann Surg Treat Res. 2015;88:299-305.