Fig. 2.

Transfixing suture between the posterior gastric wall and the remnant pancreas. a The outer sutures (with 2-0 silk) are placed with a curved 35 mm long needle from the posterior inferior wall to the posterior superior wall of the stomach, and then passed through the anterior and posterior surface of the remnant pancreas. The sutures on the stomach are placed widely so that end of the pancreatic stump can be embedded within the seromuscular incision. The sutures on the pancreas are placed 1 cm away from the cut edge. b A vertical section of pancreaticogastrostomy is shown. Any space between the posterior gastric wall and the pancreatic stump is minimized