The evaluation of vagotomy and pyloroplasty in the treatment of duodenal ulcer in Nigerians: clinical and radiological study

Geographical aspects of peptic ulcer surgery

The geographic distribution of duodenal ulcer and its characteristics in rural areas of high incidence in developing countries are reviewed. The choice of surgical procedures is discussed in light of the bulky diet and nutritional problems of these countries. A vagotomy procedure is advised for duodenal ulcer and a Billroth I gastrectomy for gastric ulcers of the body of the stomach.