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Fig. 1 | BMC Gastroenterology

Fig. 1

From: Management of post-operative pancreatic fistulas following Longmire–Traverso pylorus-preserving pancreatoduodenectomy by endoscopic vacuum-assisted closure therapy

Fig. 1

Depending on the size of the pancreatogastric dehiscence (PGD), either an open-pore film (A) or an open-pore polyurethane foam sponge (B) is individually shaped by the endoscopist to fit into the PGD and attached to the tip of a 14Fr or 16Fr suction catheter by sutures. The film/sponge is then placed into the PGD. The other end of the catheter is connected to a vacuum pump which applies continuous suction to the PGD and its associated retrogastral wound cavity. Closing cone and suture package serve as size reference

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