[Choice of surgical strategy in giant gastric and duodenal ulcers].

The results of surgical treatment of 361 patients with giant ulcers of the stomach (54.5%) and duodenum (41.3%) were analyzed. Emergency (within 1 day) surgery was performed in 179 (49.6%) patients, urgent (within 3 days) surgery -- in 158 (43.8%). Active surgical policy decreases lethality and complications rate. Resection of the stomach is the surgery of choice. Palliative surgery aims at stabilization of the patient's condition in critical situation.