Figure 1.

Modified Blumgart pancreaticojejunstomy. (a-1 and a-2) Pre-set outer layer U-sutures for transpancreatic and posterior horizontal mattress suturing on jejunum without tying to allow a room for easy, accurate and reliable placement of inner layer interrupted sutures; (b-1 and b-2) Pre-set inner layers interrupted sutures for duct-to-mucosa anastomosis; (c-1 and c-2) Tied and completed inner layer sutures for duct-to-mucosa anastomosis; (d-1 and d-2) Outer layer U-sutures for anterior horizontal mattress suturing on jejunum; (e-1 and e-2) Tied and completed outer layer U-sutures