An incision is made in de seromuscular layer of the posterior gastric wall, with a size comparable to the diameter of the pancreatic stump. Around the seromuscular incision, a purse-string suture is placed. The mucosal layer of the posterior gastric wall is incised a little smaller than the seromuscular incision.
- Peng SY, Wang JW, Hong de F, Liu YB, Wang YF. Binding pancreaticoenteric anastomosis: from binding pancreaticojejunostomy to binding pancreaticogastrostomy. Updates Surg. 2011;63:69-74.