Vol. 2 No. 1 (2020): Michaelmas Term 2020

Simultaneous pancreas kidney transplant.  Features contralateral placement of grafted organs, intestinal exocrine drainage (via the duodenal-jejunal anastomosis) and endocrine drainage into the systemic circulation (via the donor hepatic portal vein). Vascular supply of the pancreatic graft is via a Y-graft connecting the donor superior mesenteric artery and splenic artery to the recipient right common iliac artery. R: recipient; D: donor. (See Case Study by Nixon et al.)