- Whole pancreas together with a segment of duodenum
- Graft is placed intraperitoneally in the pelvis
- Usually on the right
- Kidney graft is placed on the left
- Donor vessels of the pancreas graft are anastomosed to the recipient iliac vessels
- Exocrine secretions
- Enteric drainage - Anastomose the graft duodenum to the small bowel, often via a Roux-en-Y loop
- Urinary drainage – Duodenum anastomosed to the bladder
- Urine amylase can be used to measure graft function
- But urinary complications more common
- Pancreas starts to function immediately
- Insulin may be required for the first few days
