This document discusses surgical treatment options for peptic ulcers. It outlines the indications for surgery including recurrent or non-healing ulcers, hemorrhage, or suspicion of malignancy. For duodenal ulcers, surgical options include vagotomy with drainage procedures like pyloroplasty or different types of gastrojejunostomy. For gastric ulcers, the aim of surgery is to bypass the ulcer, which can be done with Billroth I or II procedures. The document provides an overview of common surgical treatments for peptic ulcers.

1. SURGICAL TREATMENT OF
PEPTIC ULCER
DR FARYAL WAHAB
GENERAL SURGICAL UNIT 2
GMC HOSPTAL

2. PEPTIC ULCER
1. DEFINATION
2. TYPES
3. COMMON SITES
4. CAUSES
5. INVESTIGATION

3. INDICATION OF
SURGERY
RECURRENT ULCER
AND NONHEALING
ULCER
HEMORRHAGE
SUSPICIOUS OF
MALIGNANCY
REFRACTOR
Y ULCER

4. SURGICAL OPTIONS FOR DUODENAL ULCER
I. VAGOTOMY
 TRUNCAL VAGOTOMY
AND DRAINAGE

5. PYLOROPLASTY
 HEINEKE
MIKULICZ
 FINNEY
PYLOROPLASTY

6. • SELECTIVE VAGOTOMY
• HIGHLY SELECTIVE
VAGOTOMY
• TRUNCAL VAGOTOMY AND
ANTERECTOMY
 BILROTH TYPE I
(GASTRODUDENOSTOMY
 BILROTH TYPE II

7.  TAYLORS OPERATION

8. Surgical options for gastric ulcer
• AIM ?
BILROTH TYPE I
BILROTH TYPE II

9. THANKS