The aim of the study: Based on the evaluation of results we prove authorization of our elected approach to the treatment of bleeding gastroduodenal ulcer with the restrained and careful choice of patients for surgeries. Material and methods: The authors analyse in a retrospective study a group of 45 patients operated on for bleeding gastroduodenal ulcer in the period from 2001 to 2005 year. Only patients with actual conservatively or endoscopically ensolvable bleeding were consistenly indicated for surgery. We prefered the local surgical hemostasis procedure. Results: In the period from 2001 to 2005 year 45 patients were operated on. Altogether 9 patients died (20.0%). It was needed reoperated 8 patients (17.8%) for bleeding recurrence. In most cases (39 i.g. 86.7%) local surgical procedures were done. Conclusion: Our reached results give clear warrant to the conservative surgical treatment, when only patients with actual endoscopically ensolvable bleeding from gastroduodenal ulcer are indicated for surgery and the aim of local surgical procedure is safe hemostasis. Our results are comparable with data in literature.

        Key words: bleeding peptic gastroduodenal ulcer – surgical hemostasis – local surgical procedure