[Surgical treatment of acute complications of gastroduodenal ulcer]

Operations were carried out on 258 patients with perforating ulcer and on 256 patients with acute bleeding from the ulcer. Perforating ulcer was managed by its closure with sutures in 226 patients (87.6%), by its excision with pyloroplasty and vagotomy in 4 (1.5%), and by primary resection of the stomach in 28 patients (10.9%). Postoperative mortality was 4.65%. In acute hemorrhage 221 patients (86.3%) were subjected to resection of the stomach, 6 (2.4%) to vagotomy with economical resection of the stomach, and 29 patients (11.3%) to excision of the ulcer or stitching of the bleeding vessel. The postoperative mortality was 7.8%.