[Substantiation of surgical tactics in complicated variants of stomach and duodenal ulcer].

Having analyzed the experience with 417 resections of the stomach, 116 vagotomies, 27 repeated operations in late complications after vagotomies and treatment of 323 patients with postresection syndromes, the authors conclude that the operative treatment should be used mainly in complicated forms of peptic ulcer. Resection of the stomach remains the operation of choice for ulcers localized in the stomach. In duodenal ulcers both resection of the stomach and vagotomy (mainly selective proximal ones) may be used. The kind of operation must be chosen individually. Ineffective vagotomy must be followed by resection of the stomach. Further search for objective functional tests is required for prognosing and assessment of results of surgery.