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A, Step 7: Modified Blumgart technique to create the pancreatojejunostomy. Note. Modified Blumgart technique using an outer buttressing layer of 2-0 silk and inner duct to mucosa using 5-0 Prolene is performed to create the pancreatojejunostomy. B, Intraoperative photograph demonstrating the alternative method of pancreatojejunostomy utilizing a two-layer anastomosis; arrow noting pediatric feeding tube cannulating the pancreatic duct.
