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Intracorporeal hand-sewn end-to-end gastroduodenostomy. (A) Transection of the duodenum with ultrasonic coagulating shears between 2 clamps. (B) The duodenum and gastric stump attached to each other with seromuscular sutures. (C) Ready for anastomosis after transection of the gastric stump. (D) Suture of the posterior wall using interrupted sutures. (E) Suture of the anterior wall using a continuous suture. (F) Complete gastroduodenostomy.
