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SURGERY AND TRANSPLANTATION 
creatic exocrine duct to the ureter in five dogs, 
all of whom seemed to tolerate this procedure 
well. For a period of 5-7 months, these dogs 
have manifested no urinary tract or pancreatic 
difficulties. So on the strength of that experi- 
ence, we did the same form of anastomosis on 
our patient. She has done reasonably well; her 
blood sugars have remained normal, her insulin 
requirement has dropped from 50-70 units a 
day to zero, and her blood sugar has been per- 
sistently normal. A month or two following 
transplantation she developed a small leak from 
the ureter to the pancreatic duct, but this is es- 
sentially closed to the point where she now puts 
out between zero and 10 cc. of clean pancreatic 
juice per day. The rest of it comes out her blad- 
der. About 3 weeks ago she received a kidney 
transplant and her own two kidneys were re- 
moved, and she is doing quite well and is ready 
for discharge. 
ACKNOWLEDGMENTS 
Supported in part by grants from the Ameri- 
can Diabetes Association, the Colorado Heart 
Association, the Twin Cities Diabetes Associa- 
tion, the Minnesota Heart Association, and the 
Northwestern University Transplantation Divi- 
sion. 
