Acid reduction by medical or surgical treatment for duodenal ulcer

Despite the reduction in elective surgery for peptic ulcer over the past 2 decades, the morbidity and mortality from the complications of duodenal ulceration have failed to improve. The principle line of treatment is gastric acid reduction by pharmacological or surgical means. The three ways of dealing with the naturally relapsing disease are intermittent treatment of symptomatic recurrences, continuous maintenance therapy or surgery. Surgical …