A Technique for Pancreaticogastrostomy

A technique for pancreaticogastrostomy is presented. The technique is a one-layer, invaginated anastomosis of the pancreatic remnant to the posterior gastric wall following a Whipple resection of the pancreatic head. Key steps to achieve a successful anastomosis are described. Using this technique, there have been no pancreatic anastomotic leaks in 29 consecutive patients.