Modified Methods and Technical Techniques of Operations for “Difficult” Duodenal Ulcers

In elective surgery of duodenal ulcers (DU), postoperative mortality reaches 4–6%, with perforation the ulcer – 5–8%, bleeding 20–30%. At same time, leading cause is failure stump, which occurs in 0.4–4.4% patients, significantly increases gastric cancer due to “difficult” ulcers. The authors have developed improved methods and techniques that ensure safety surgical intervention case DU facilitate its technical implementation. As a result, reduced incidence complications associated technique 7.2% (in control group 19.3%), as well 1.2% 9.0%).