[Clinical evaluation of the effectiveness of different surgical interventions in peptic ulcer]

The clinical status, secretory and motor activity of the stomach were studied in 213 patients showing ulcerous disease prior to surgery and in 153 operated patients. The most favourable results were noted after resection of two thirds of the stomach in Billroth I modification with preservation of the pyloric compressor. These patients along with suppression of acid-formation retained normal portional evacuation of the gastric content. Selective vagotomy with resection of the ulcer and pyloroplasty in a number of patients produced no considerable reduction in acid-formation both in the early postoperative period and in later terms.