Hi Rasheed!

These days with the advent of and easy availability of H2 receptor antagonists, and proton pump inhibitors (PPIs), the need for vagotomy and, or vagotomy with resection of the affected region should be obsolete. If someone arrives at a necessary institute late with near perforation, or with perforation, this indcation may have to be revisited besides closing the perforation and putting the person on H2 receptor antagonists, or PPIs.

Hope this helps.

Regards

Actually is not needed any surgical intervention on Curlins´s ulcer because with the use of PPIs in high doses or intravenous perfusion and the endoscopic treatment of bleeding are very useful non-surgical measures to manage this events

Those answers are correct AND you can add some periodic ingestion of oral antiacids such as Alginate or the classic Magnesium hydorxide and/or Aluminium hydroxide. when patient can have oral intake. 

I thank all for the scientific experience contribution.