Pancreaticojejunostomy: How I Do It

  • Andrew C. Gagel
  • Matthew H. G. KatzEmail author


In this chapter, a simple, safe technique for pancreaticojejunal anastomosis is described and illustrated. I favor a variant of the two-layer Blumgart pancreaticojejunostomy characterized by (a) transpancreatic sutures that invaginate the pancreatic parenchyma into the jejunum and (b) a duct-to-mucosa anastomosis on the antimesenteric side of the bowel. The technique can be taught relatively effortlessly to surgical trainees and may be used irrespective of gland texture or pancreatic duct diameter.


Pancreatoduodenectomy Whipple procedure Pancreaticojejunostomy 


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© Springer Nature Singapore Pte Ltd. 2018

Authors and Affiliations

  1. 1.Department of Surgical OncologyThe University of Texas MD Anderson Cancer CenterHoustonUSA

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