F. K. MERKEL 
381 
mosed the pancreatic duct to the nearby ureter. 
A report of this fascinating case is anticipated 
in the near future. 
SUMMARY 
Human pancreatic transplantation is in its 
embryonic stage and yet, should success be 
achieved, an unending supply of eager recipi- 
ents would be available. The question of 
whether or not the transplanted gland would 
control glucose metabolism in the human has 
been answered in the affirmative. Only the lack 
of adequate financial support has prevented the 
more widespread trial of such grafts to deter- 
mine the effect on the angiopathy of this dis- 
ease. Such trials must and will be done to estab- 
lish whether pancreas transplants will achieve 
the same clinical usefulness as renal transplants 
have in man. 
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DISCUSSION 
Chairman Frank J. Veith : Thank you Dr. 
Merkel. I'd like to give you some details about a 
patient of ours with renal disease and severe di- 
abetes. Because many problems have developed 
with the conjunction of duodenal and kidney 
transplants, we elected to treat this woman by 
transplanting just the tail of her pancreas and 
anastomoting her pancreatic duct to her ureter. 
This sounds like a bizarre thing to do, but we 
had already tried the anastomosis of the pan- 
