Fig. 1.

Depending on the size of the pancreatogastric dehiscence (PGD), either an open-pore film (A) or an open-pore polyurethane foam sponge (B) is individually shaped by the endoscopist to fit into the PGD and attached to the tip of a 14Fr or 16Fr suction catheter by sutures. The film/sponge is then placed into the PGD. The other end of the catheter is connected to a vacuum pump which applies continuous suction to the PGD and its associated retrogastral wound cavity. Closing cone and suture package serve as size reference