Elective Operations for Duodenal Ulcer

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Abstract
THE objectives of surgery for duodenal ulcer have been to eradicate the disease, to leave the gastrointestinal digestive apparatus as normal as possible, and to achieve these goals with the lowest possible mortality and recurrence rates. Unfortunately, there is no physiological test or group of tests that can predict the type of operation most likely to cure an individual patient and still produce the fewest untoward side effects. Numerous procedures such as gastroenterostomy, segmental gastric resection and antral exclusion operations have been tried and largely discarded. The principal operations currently in vogue consist of some modification of vagotomy and a . . .