[Surgical treatment of stomach and duodenal ulcer]

Data on the surgical treatment of 954 patients are described, 613 of them being patients with complicated ulcers. Resection is considered to be indicated for gastric ulcers and for duodenal ulcers with pronounced hypersecretion, for atonia of the stomach and local changes hampering manipulations on the lesser omentum. Selective proximal vagotomy (SPV) was preferable in non-complicated duodenal ulcers, trunkal vagotomy was used as a forced measure in severe cases. The least postoperative lethality was noted after SPV (0,7%). Lethality after resections ranged from 1,3% to 2,2% depending on the method used.