title: [The role of surgery in the treatment of duodenal ulcer].
abstract: If duodenal ulcer surgery has been limited since introduction of anti-H2, it keeps an important position. For chronic duodenal ulcer, surgery currently represent a reasonable alternative to medical treatment, owing to two operations, fundic vagotomy and more recently anterior lesser curve sero-myotomy + posterior truncal vagotomy; the permanent effect of surgery contrast with the only suspensive effect of medical treatment on ulcer disease. For ulcer complications, surgery is often mandatory, but in emergency, truncal vagotomy + drainage keeps a predominant position.
mesh_terms: D002908:Chronic Disease; D004381:Duodenal Ulcer / Q000150:complications / Q000601:surgery* / Q000628:therapy; D004384:Duodenoscopy; D006635:Histamine H2 Antagonists / Q000627:therapeutic use; D006801:Humans; D010438:Peptic Ulcer Hemorrhage / Q000601:surgery; D010439:Peptic Ulcer Perforation / Q000601:surgery; D012008:Recurrence; D014628:Vagotomy / Q000379:methods*
chemical_list: D006635:Histamine H2 Antagonists
vernacular_title: Place de la chirurgie dans le traitement de l'ulcère duodénal.