[Extended selective proximal vagotomy in the treatment of duodenal ulcer complicated by hemorrhage and perforation].

The article analyses surgical treatment of 280 patients, aged from 19 to 20 years, with duodenal ulcer complicated by hemorrhage (36.1%) and perforation (63.9%). Closure of the perforating ulcer with sutures was performed in 15%, resection of the stomach in 12.8%, truncal vagotomy in 7.5%, and expanded selective proximal vagotomy in 64.7% of patients. Comparative analysis of the immediate and late-term results of closure of the perforating ulcer, resection of the stomach, and organ-preserving operations showed that expanded selective proximal vagotomy has unquestionable advantages over the other operations mentioned above. It is not marked by mortality and severe postoperative complications, it leads to stable suppression of acid production by the stomach, has a minimal effect on its motor-evacuation activity, shortens the time needed for healing of the ulcer by 16.3 +/- 1.7 days, and leads to rare (2.2%) recurrences of the disease.