RT Journal Article SR Electronic T1 Innovations in pancreas transplantation JF Saudi Medical Journal JO Saudi Med J FD Prince Sultan Military Medical City SP 265 OP 271 VO 23 IS 3 A1 Al-Shurafa, Haider A. A1 Jawdat, Muaffak T. A1 Bassas, Atef F. A1 Rogiers, Xavier C. A1 Bechstein, Wolf O. YR 2002 UL http://smj.org.sa/content/23/3/265.abstract AB Pancreas transplantation is currently the curative treatment for type 1 diabetes mellitus. It aims at providing physiological insulin replacement therapy in type 1 diabetes mellitus. The goal is thereby also to prevent secondary complications of diabetes. Long term control of glucose metabolism has only been achieved by pancreas transplantation. As a result of improvements in the surgical techniques and the efficacy of immunosuppression, the patient and graft survival rates have improved dramatically over the last 2 decades. As a result, pancreas transplantation, as part of simultaneous pancreas and kidney transplantation, pancreas after kidney transplantation, and exceptionally pancreas transplantation alone, became the standard therapeutic option for patients with type 1 diabetes mellitus with end-stage renal disease. In this article we review the pancreas transplantation methods, indications, techniques, and the short as well as the long outcomes of treatment.