The results of surgical treatment of 147 patients with a bleeding stenosing pyloroduodenal ulcer are presented. The operation of choice in this pathology is a selective proximal vagotomy in combination with the original methods of ulcer excision and drainage operations, and as well a selective proximal vagotomy with antrectomy. Gastric resection is indicated in patients with decompensated stenosis of gastric outlet and pronounced disorders in motor-evacuatory function of the stomach. In patients with a severe, or extremely severe state, the ulcer excision in combination with pyloroduodenoplasty dilating the lumen is expedient.

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