Criteria for a pancreas donor include:

A. No history of diabetes.

E. No pancreatitis.

DISCUSSION: Combined liver-pancreas procurement should be routine, even if the right hepatic artery arises from the superior mesenteric artery. In this situation, since the transplanted liver is the life-saving organ, the proximal superior mesenteric artery should remain with the liver and the distal superior mesenteric artery supplying the head of the pancreas can be reconstructed on a Y-graft of iliac artery with the splenic artery. Successful pancreas transplantation can be performed using donors who have previously undergone splenectomy; however, there should be no significant pancreatitis and no history of diabetes in the donor.