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Schematic outline of the delta-shaped gastroduodenostomy. A Small incisions are created along the edge of the remnant stomach (arrow) and the duodenum (arrowhead), and the forks of the 45-mm endoscopic liner stapler (white arrow) are inserted. B The posterior walls of both the remnant stomach and the duodenum are approximated, and the stapler is fired. C The created V-shaped anastomosis (arrows). D The entry hole is closed by firing two more 45-mm staplers
