[Surgical treatment of "difficult" gastric ulcers]

In surgical treatment of "difficult" ulcers of the stomach including ulcers of the proximal part of the stomach, giant ulcers (more than 3 cm in diameter) and multiple ulcers it is expedient to use resection of the stomach with the formation of functionally active anastomosis. The choice of the operative method is determined by specific features of the ulcerous process, morphofunctional state of proximal parts of the gastrointestinal tract which determines the individual character of the operative intervention. The use of such operative interventions has reduced the postoperative lethality to 0.9%. Complex examinations have established excellent and good results (by the Visick scale) at remote terms after operation in 95.2% of the patients.