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Suture ways influence the occurrence of postoperative pancreatic fistula (POPF). The double layer continuous suture technique can be safely used in Pancreaticojejunostomy. The double layer continuous suture technique leads to a lower risk of POPF.
We describe a method of placing two U-shaped through and through sutures alongside the gastrostomy tube which prevents separation of the parietal surfaces and retards contamination of the peritoneal cavity. TECHNIQUE Using the technique of Ponsky and Gauderer,2 a percutaneous endoscopic gastrostomy tube is placed.