Parietal cell vagotomy and omentopexy as definitive surgery for perforated duodenal ulcer

We recommend a definitive procedure as initial management for acute perforated duodenal ulcer. In the two patients herein reported, the parietal cell vagotomy with omentopexy and without drainage was performed as a definitive procedure for perforated duodenal ulcer. No wound infection, dumping symptoms or diarrhea occurred in the early postoperative period. Gastrointestinal follow-up study in one patient showed normal passage. These early favorable results with minimal morbidity encourage us to broaden the indications for definitive operation for acute perforation.