The late-term results of treatment of pyloroduodenal ulcerous stenosis by means of selective proximal vagotomy (SPV) in combination with transverse gastroduodenoanastomosis (GDA) were studied in 110 patients. The results are compared with those of SPV combined with longitudinal GDA after Jaboulay. Clinical, radiological, endoscopic, biochemical, and morphological examination showed the advantages of transverse GDA over longitudinal GDA. It is concluded that combination of SPV with transverse GDA is the operation of choice.

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