Experience and methods of duodenoplasty in duodenal ulcers and pyloric stenosis are presented. Pylorus-saving duodenoplasty in combination with selective proximal vagotomy (SPV) can be performed in the majority of patients with duodenal ulcers. Pyloric sphincter is destroyed by ulcer rarely (7.2%). Removal of ulcerous substrate reduces significantly per cent of postoperative complications, including recurrence of ulcer. Long-term results (from 1 to 20 years) of pylorus-saving duodenoplasty with SPV in 259 patients with duodenal ulcer were analyzed. Low per cent of complications and lethal outcomes have been demonstrated.
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