[The surgical procedure in ulcerous duodenal hemorrhages].

Available are the results of treatment of 493 patients with duodenal ulcer complicated by bleeding in the center of gastro-intestinal bleedings at N. I. Pirogov City Hospital No. 1 in 1995-1996 years. 74 patients were operated. Overall lethality made up 1.8%, postoperative lethality rate--8.1%. In ulcer of posterior wall of the duodenum, 10 mm and more in diameter with blood loss of medium and high degree, the number of relapses made up 57.1%. In cases of urgent operations (n = 30); carried out on the first day of admittance to the hospital, 1 patient died. Expectant policy in treatment of patients with ulcer of posterior wall of the duodenum results in poor effect of the treatment and complications (4.1%). The advantages of active individual approach in treatment of patients with acute duodenal bleeding are outlined.