[Surgical treatment of bleeding gastroduodenal ulcers].

The active-temporizing tactics accepted in the clinic, which is based on determination of the indications for operative treatment according to the endoscopic classification, abandonment of hemostatic therapy for elderly and senile individuals, active antiulcerous therapy, and consideration for immunological reactivity made it possible to reduce total mortality among patients with ulcerous gastroduodenal bleeding from 12.6% to 4.5%.