title: [Surgical treatment of peptic ulcer].
abstract: Despite a decreasing number of operations for ulcer, there are many patients who require definitive treatment. If an operation is required for duodenal ulcer, vagotomy of some type is part of the treatment, and in gastric ulcer resection with or without vagotomy is required. Extended proximal gastric vagotomy can be performed in the majority of patients, excluding those who are unstable or have severe concomitant diseases. In cases of urgent surgery for hemorrhage or perforation, the surgical procedure must be selected individually. Although the role of traditional operations is well established, there is increasing interest in laparoscopic approaches. However, because there is a diminishing of elective surgery for ulcer, it is unlikely that these new procedures may be evaluated as operations were evaluated in the past.
authors.affiliation: Servicio de Cirugía General, Centro Médico Nacional 20 de Noviembre, ISSSTE, México, D.F. humbertohurtado@yahoo.com
authors.forename: Humberto
authors.initials: H
authors.lastname: Hurtado-Andrade
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D004630:Emergencies; D004724:Endoscopy; D005743:Gastrectomy; D017219:Gastric Outlet Obstruction / Q000601:surgery; D016481:Helicobacter Infections / Q000150:complications / Q000188:drug therapy; D016480:Helicobacter pylori; D006801:Humans; D010535:Laparoscopy; D010437:Peptic Ulcer / Q000188:drug therapy / Q000209:etiology / Q000601:surgery*; D010438:Peptic Ulcer Hemorrhage / Q000601:surgery; D010439:Peptic Ulcer Perforation / Q000401:mortality / Q000601:surgery; D054328:Proton Pump Inhibitors; D011707:Pyloric Stenosis / Q000601:surgery; D012307:Risk Factors; D014628:Vagotomy; D014629:Vagotomy, Proximal Gastric; D015167:Vagotomy, Truncal
chemical_list: D054328:Proton Pump Inhibitors