[Early necrotic ulcer of the lesser curvature of the stomach following supraselective vagotomy. Apropos of a case].

The authors report the case of a 29 years old man who, having been subjected to a highly selective vagotomy for a duodenal ulcer, developed a gastric ulcer at the upper small gastric curvature during the first days following the operation. This ulcer will become chronic, and cause after three years a severe digestive hemorrhage. Six years after the vagotomy, the ulcer will be treated by means of a subtotal gastrectomy. In consequence of this personal case, the authors reconsider the literature concerning the frequency, the pathogenesis, the characteristics and the treatment of this rare complication of the highly selective vagotomy.