[The treatment of peptic ulcers of gastrointestinal anastomoses]

Peptic ulcers of gastroenterostomies are a serious complication after resection of the stomach or gastrojejunostomy. Their appearance is always associated with the presence of considerable production of hydrochloric acid in the stomach, while the primary operations are performed, as a rule, for chronic ulcers of the duodenum. Choice of an adequate kind of treatment of these patients still remains an actual problem. The authors have obtained convincing data of good results of conservative treatment of patients with peptic ulcer of the anastomosis. However, surgery is considered to be the main method of treatment of this category of patients. Its success depends upon the correct detection of causes of the disease and use of the pathogenetically substantiated surgical interventions aimed at eradication of etiological factors.