After gastric partition

Before the pancreatic anastomosis is carried out, partition of the stomach is performed: using 2 or 3 Endo-GIA staplers, gastric partition takes place along the greater curvature of the stomach about 3 cm from the border, resulting in two gastric segments.

Pancreatogastrostomy after gastric partition

  1. Before the pancreatic anastomosis is carried out, partition of the stomach is performed: using 2 or 3 Endo-GIA staplers, gastric partition takes place along the greater curvature of the stomach about 3 cm from the border, resulting in two gastric segments.
  2. The small gastric segment of 10-15 cm in length is approximated to the pancreatic remnant and used for the anastomosis procedure.
  3. The pancreatogastrostomy can be performed using either a duct-to-mucosa or invagination technique, as described elsewhere.

  • Fernandez-Cruz L, Cosa R, Blanco L, Lopez-Boado MA, Astudillo E. Pancreatogastrostomy with gastric partition after pylorus-preserving pancreatoduodenectomy versus conventional pancreatojejunostomy: a prospective randomized study. Ann Surg. 2008;248:930-938.