[Selection of the method of reoperation after closure of perforated duodenal ulcer]

The work deals with the study of the fate of patients who underwent closure of a perforated opening in a duodenal ulcer. In 27-53% of such patients subsequent nonoperative treatment was ineffective and they were subjected to reoperation: resection of the stomach or vagotomy. After comparative evaluation of these two reoperations on the grounds of the clinical data and the secretory and evacuating function of the stomach which had been operated on, the authors give preference to selective proximal vagotomy as an operation that is more physiological and devoid of the short-comings of gastric resection.