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Patients who undergo extensive pancreatic resection for benign pancreatic disease (chronic

pancreatitis, benign tumor) are subject to significant metabolic complications and may develop
pancreatoprive diabetes which is particularly difficult to balance due to the absence of a counter-
regulatory mechanism. Autotransplantation of islets of Langerhans after isolation from the
resected pancreatic segment avoids the development of diabetes. Insulin independence can be
maintained after this procedure in 40 to 50% of cases. The success rate depends on the number of
islets transplanted and the nature of the pancreatic disease. Complications from this procedure
are rare, the most common being portal vein thrombosis through which islets are perfused into
the liver.

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