[Reasons for the need to resect bleeding chronic ulcers of the duodenum and stomach]

The radical character of organ-preserving operations with vagotomy in the management of bleeding gastroduodenal ulcers can be raised by using methods providing for radical excision of the pathological substrate. Removal of the ulcer prevents reliably recurrent bleeding in the early postoperative period and recurrent ulcer formation, which is linked with normalization of the autoimmune processes in the organism. The methods developed by the authors were applied in 738 patients suffering from acute gastroduodenal bleeding due to peptic ulcer. Total postoperative mortality was 2.7%, the incidence of recurrent ulceration--2%.