Surgical treatment of duodenal ulcer in elderly and aged patients

Choice of treatment of duodenal ulcer in elderly and aged patients is discussed. Literature demonstrate high risk of recurrences even in adequate systemic drug treatment. In patients of this age group early organo-saving operations must be performed before development of complications. Results of selective proximal vagotomy in 62 patients aged from 60 to 82 years confirm efficacy and minimal risk of this surgery.