On the basis of literature data and personal experience with more than 1000 vagotomies in patients with the ulcerous disease the authors make a conclusion that the classical resection of the stomach must be used extremely rarely for the surgical treatment of a duodenal ulcer. In non-complicated duodenal ulcers the method of choice is believed to be the isolated selective proximal vagotomy. For special indications the antrumectomy with vagotomy should be performed. In urgent surgery of duodenal ulcers the operation of dissection (suturing) of the ulcer with pyloroplasty and trunkal vagotomy is thought to be most preferable.
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