Management of exocrine secretions in pancreatic transplantation: a new technique

The management of exocrine secretions in pancreatic transplants remains an obstacle to success. This report describes an alternative approach for handling this problem. The technique includes a pancreaticocystostomy and occlusion of the accessory pancreatic duct prior to transplantation of the pancreatic graft. Thus far, acceptable results have been obtained by using this method in two whole pancreas transplant cases.