[Surgical tactics in bleeding duodenal ulcers]

The article gives a review of literature on the determination of surgical tactics in patients with duodenal ulcer complicated by bleeding. The authors are supporters of the actively-temporizing tactics. They claim that the period of the delay in the decision should not exceed 24 hours and depends on the intensity of the bleeding, the degree of blood loss, the location and nature of the ulcer, the patient's age, and the concomitant diseases. They believe resection of the stomach to be the operation of choice in bleeding duodenal ulcer. One of the authors suggested a modified method of gastric resection in "difficult" duodenal ulcers which excludes the occurrence of incompetence of the duodenal stump sutures.