[Surgical methods in recurrent peptic ulcer after vagotomy]

In treatment of recurrent and peptic postvagotomy ulcer, the performance of gastric resection is indicated. Of 53 patients with a recurrent ulcer, 20 had a "difficult" low penetrating ulcer. With the aim ot prevent duodenal suture failure, gastric resection in these patients was performed using the developed by the authors method which permitted to ensure safety of the single-layer suture of a duodenal stump with preservation of food passage through the duodenum. After truncal vagotomy with Jaboulay drainage operation, a defect in the duodenal wall was eliminated by means of creation of anastomosis with a gastric stump.