[Diagnosis and treatment of perforative and "mirror-like" duodenal ulcer].

The result of treatment of perforative duodenal ulcer (PDU) in 193 patients was analyzed. The PDU suturing was performed in 100 patients, radical organ-preserving operation--in 93, with the PDU excision--in 80 of them. The "mirror-like" ulcer of posterior wall was revealed in 12 (15%) patients using intraduodenal revision while doing the PDU excision. Selective proximal vagotomy with the PDU excision and processing of duodenal posterior wall is effective method of surgical treatment.