General

• Duodenal or gastric ulcer.
  
• Bleeding.
  
• Perforation.

Vagotomy for Bleeding Duodenal Ulcer

• With current antacid therapies, indications have become more selective.
  
  
  
  • Chronic ulcers that are Helicobacter pylori—negative and have failed medical therapies.
    
  • NSAID dependence or noncompliance.
    
  • Previous H pylori treatment failure.
    
  • Previous ulcer complication.

Absolute