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I. The Donor and Recipient Operation

Frederick K. Merkel, MD; Stuart M. Poticha, MD; Earl J. Nudelman, MD; John A. Colwell, MD; John J. Bergan, MD

AMA Arch Surg. 1971;103(2):205-210.

Abstract
Although pancreas transplantation in man is experimental and is carried out infrequently, lessons learned in this surgical event are applicable to more common abdominal procedures. Avoidance of pancreatitis in the graft, prevention of blowout of duodenal closure, and preservation of graft arterialization and venous outflow are of paramount importance. Physiologic principles learned in gastric, intestinal, and vascular surgery are utilized to achieve these objectives. A case report identifies the type of patient who is a candidate for pancreaticoduodenal and kidney grafting, and arteriographic and gastrointestinal contrast studies demonstrate the physiologic principles involved in the operation.

Author Affiliations
Chicago

From the Transplantation Division of the Department of Surgery, and the departments of medicine and radiology, Northwestern University Medical Center, Chicago.

Footnotes
Accepted for publication April 2, 1971.

Read before the 28th annual meeting of the Central Surgical Association, Minneapolis, March 5, 1971.

Reprint requests to Department of Surgery, Northwestern University Medical Center, 303 E Chicago Ave, Chicago 60611 (Dr. Merkel).

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