P.M. Bogopolsky1, Doctor of Medical Sciences, Senior Researcher at the Department of Scientific Programs and Staff Training

N.N. Krylov2, Doctor of Medical Sciences, Professor, Chairman of the Department of the Surgery MPF

D.A. Balalykin2, Doctor of Medical Sciences, Doctor of Historical Sciences, Professor, Chairman

of the Department of the History of Medicine, National History and Culturology

O.V. Babkin2, Candidate of Medical Sciences, Associate Professor

D.O. Babkin2, Teaching Assistant

1B.V. Petrovsky National Research Center of Surgery, Moscow (Russian Federation);

2I.M. Sechenov First Moscow State Medical University, The Ministry of Health of the Russian Federation,

Moscow (Russian Federation) Despite significant changes in the conservative treatment of peptic ulcer, occurred over the past 35–40 years, it continues to maintain a leading position in the structure of gastrointestinal disorders. Development and implementation of eradication therapy have not brought the expected reduction in the number of severe ulcer complications, which have been observed in 1.5–2 times more often in Russia over the past 15–20 years. Using planned organ-sparing procedures has resulted in reducing the incidence of complicated peptic ulcers in the 1970–80s years. At the same time, rejection of their performance in the 1990s affected by 1.5–2.5-fold increase in the frequency of perforation and bleeding ulcers. It has been established that certain kinds of gastroduodenal ulcers are incurable, i.e. for a full solution to the problem a number of cases still require surgery, which means that the classical indications for surgical treatment of peptic ulcer should remain in force. Development and implementation of organ-sparing and minimally invasive procedures on the stomach and duodenum is a progressive trend associated with the desire to radically cure ulcer patient and thus inflict the least possible damage. We can assume that prospects for the surgical treatment of peptic ulcer in the 21st century will be largely related to the improvement and introduction of progressive and the most physiologic minimally invasive technologies.

Keywords: peptic ulcer disease, surgical treatment, indications for surgery

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Published in Vol. 3. №1, 2015

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