Use of the circular stapler in construction of the duodenoneocystostomy for drainage into the bladder in transplants involving the whole pancreas.

The use of a circular stapler to construct a duodenoneocystostomy for exocrine drainage of transplants of whole pancreas is described herein. All but one of 15 grafts were technically successful, and the one failure was not related to the anastomosis. This method is easier than the handsewn technique we had been using, and the complication rate may be lower.