[Old and new concepts in surgical therapy of gastroduodenal ulcers complicated or resistant to treatment].
This article presents the old and the new therapeutic protocols in the gastroduodenal ulcer. In our opinion, subtotal gastric resection and bilateral subdiafragmatic vagotomy must be considered "historical" without having theoretical support in the era of the antisecretory and anti Helicobacter pylori medication, with similar or superior effects. Is considered as complete the era of the gastric large crippling resection of Péan and Billroth, as the era of Dragstedt's vagotomy and applied the new methods nonaggressive and miniminvasive.
Departamentul de Chirurgie, Spitalul Clinic Judeţean de Urgenţă, Facultatea de Medicină, Universitatea "Ovidius" Constanţa, România. vasilesarbu_med@yahoo.com
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D000897:Anti-Ulcer Agents / Q000627:therapeutic use; D005602:France; D005743:Gastrectomy / Q000266:history* / Q000379:methods; D005858:Germany; D049672:History, 19th Century; D049673:History, 20th Century; D049674:History, 21st Century; D006801:Humans; D010437:Peptic Ulcer / Q000188:drug therapy / Q000266:history* / Q000601:surgery; D012383:Romania; D014481:United States; D015167:Vagotomy, Truncal / Q000266:history
D000897:Anti-Ulcer Agents