[Classification of stomach ulcers and choice of the surgery method]

The article generalizes the findings of examination and experience in the surgical treatment of 404 patients with gastric ulcers. A classification of gastric ulcers is suggested: Type I, true gastric ulcers; Type II, combined gastric and duodenal ulcers; Type III, suprapyloric and pyloric ulcers; Type IV, multiple ulcers of the stomach; Type V, secondary gastric ulcers. On the basis of this classification the authors substantiate the wide use of modified resections of the stomach after Billroth I. Chronic disorders of duodenal patency was revealed in 10 (2.47%) of patients who underwent operation, compensated duodenal stasis was encountered in only one of them. Billroth I operation was performed on 357 (88.4%) patients and Billroth II on 47 (11.6%) patients. The postoperative mortality was 1.73%. The Billroth I operation produced excellent and good late-term results in 90.1% of patients with gastric ulcers.