Surgical treatment of complicated duodenal ulcers with different variants of their localization

Purpose: To analyze and highlight the most effective methods of surgical treatment complicated duodenal ulcer (DU) depending on its location. Material methods. 86 patients underwent surgery for combined pyloroduodenal ulcers. All with signs gastrointestinal bleeding perforation were examined according to clinical protocols. Patients operated by various techniques location DU. Further analysis different pathology under study at localizations was carried out. Results. It has been established that in ulcers localization pyloric canal antrumectomy is method priority. If duodenum bleeding, excision pyloroplasty Suture ulceration can be considered as an alternative treatment. verified ulcers, exteriorization suturing have lowest efficiency. The frequently used any pyloroplasty. 6 (41.8 ± 0.053%).patients had this method. In second place terms universality ulcer’s - 22 or (25.5 0.047%). third which accounted 10 (11.6 0.034%).