[Postpyloric resection of a complicated ulcer on the posterior wall of the duodenum within the scope of form-and function-preserving gastric surgery. Technic and 1st results].

By combining different methods available in modern gastric surgery, we have developed a new procedure in surgical treatment of the complicated ulcer of the posterior duodenal wall. Our new technique allows the radical resectioning of the ulcer and includes all the advantages of nonresectioning operations in form- and function-preserving surgery. The technique of open anastomosis with an one-row, one-layer suture only slightly injures the gut that is to be anastomosed and thus eliminates complications in the healing process. The pylorus is completely preserved. The great advantages of avoiding gall reflux into the stomach, of preserving its total capacity, and of preserving the possibility of a portioned evacuating of the stomach can not yet be fully estimated.