Ulcère duodénal hémorragique par érosion de l'artère gastroduodénale nécessitant un geste chirurgical : antrectomie ou traitement conservateur ?

This strategy must be re-evaluated in 2008 in view of our better understanding of the role of Helicopacter pylori in the causation of duodenal ulceration and the decreased risk of post-operative re-bleeding with the use of proton pump inhibitors. The role of surgery has changed. Its aim is no longer to cure the ulcer diathesis but rather to urgently control bleeding in anticipation of ulcer cure with medical therapy.