The authors believe that the decrease of mortality in operations for gastroduodenal bleeding does not depend on the time interval between the start of bleeding and surgical interventions, but it depends upon the conditions under which these interventions are carried out. The conditions should approximate the conditions existing in planned gastric surgery as much as possible. In this regard the results of the treatment of 188 cases with massive gastroduodenal bleeding (69 cases aged over 60) are analyzed. The applied method permitted to ensure a sufficient volume of the examination of a case and of his preparation to the operation to avoid "desperate operations" and to decrease considerably the mortality in gastroduodenal bleeding. Among patients under 65 there were no fatal cases.

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