Types of Pancreaticojejunal anastomoses

The main 8 types of Pancreaticojejunal anastomoses after pancreatoduodenectomy: step by step!

1. Direct end-to-side anastomosis (the Cattell–Warren technique)

2. End-to-side duct-to-mucosa anastomosis

3. End-to-side anastomosis with invagination (“Dunking”)

4. Intubated anastomosis with an internalized pancreatic drain

5. Intubated anastomosis with an externalized pancreatic drain

6. Anastomosis with transfixing suture (Blumgart technique)

7. Anastomosis with intussusception (Peng technique)

8. Pancreatic anastomosis to a Roux-en-Y jejunal limb

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