[The treatment of gastoduodenal ulcer bleeding].

Treatment data of 1279 patients with gastroduodenal ulcer bleeding are analyzed. Outcomes are comparatively analyzed depending on the chosen treatment modality. Optimal treatment algorithm is worked out. The expediency of conservative ulcer bleeding treatment, including primary and repeated endoscopic hemostasis, is proved. It allows performing deferred planned reconstructive operations, thus decreasing the operative risk substantially. Indications for the operative treatment of ulcer bleeding are specified, as well as efficacy and safety of organ-saving methods is proved.