[Unsolved problems and prospects in the surgical treatment of duodenal ulcer]

Different variants of vagotomy in combination with pyloroantrumectomy or operations draining the stomach are regarded to be expedient for the treatment of duodenal ulcer instead of the classical resection of the stomach. The selective proximal vagotomy vagotomy is thought to be perspective when used without a drainage of the stomach as an intervention preventing the threat of the development of complications with a chronic course of the disease. In the surgery of complicated duodenal ulcers, specially with high operative risk, it is quite justifiable to use sparing operative interventions such as vagotomy combined with operations draining the stomach. An individual approach to choosing the operative method in the ulcer disease resulting in lower postoperative lethality and better remote results of the treatment may be ensured in specialized gastroenterological hospitals only.