Pyloroduodenal stenosis of ulcer origin. Apropos of 260 cases

: This study is about 260 cases of ulcerous pyloroduodenal stenosis operated on in 10 years among 1209 ulcers (21.5%). Males are by far dominating with a rate of 83.55%, the average of age was 45 years. 20% of our patients have presented a complication anterior or contemporary to the stenosis (perforation or hemorrhage). Clinical context is obvious and upper gastro intestinal series has made diagnosis in 92% of cases fibroscopy has been done in only 30.8% of cases. Surgical treatment has consisted in a troncular vagotomy in 252 cases. (98.2%), transduction de "dont" 34.5% of whom underwent a gastroduodenostomy 25.8%, gastrojejunostomy, 18.2% a pyloroplasty and in 21.4% an inferior polar gastrectomy. There were 3 fundic vagotomies (1.17%) associated to a gastro duodenostomy in 2 cases and to dilatation in one case e deplored 3 deaths related to surgery (1.1%) long follow up was marked by 3 ulcerous relapses and 2 stenosis.