CAUSES OF RECURRENT ULCERS AFTER SELECTIV E PROXIMAL VAGOTOMY

The work analyses the results of late-term follow-up of 525 patients w ho underwent selective proximal vagotomy (SRV) in different variants. The results were gained on the basis of long-standing follow-up with t he use of the complex dispensary method. The frequency of peptic ulcer recurrences after SPV was 10 %. The main causes of the recurrences we re: incomplete vagotomy of the parietal cell zone and inadequate selec tion of patients for this intervention. Finally, the authors demonstra te the clinico-pathogenetical variants of the course of peptic ulcer w hen SPV cannot correct the existing disorders and the therapeutic effe ct of the operation is doubtful. All the aforesaid dictates the need f or specialization of surgeons-gastroenterologist who are engaged in th is problem and for strict determination of the indications for SPV.