[Surgical therapy of stomach ulcer]

Gastric ulcer is situated at a locus minoris resistentiae of the gastric body, an area of which operative removal is technically simple and without major risks. A gastric ulcer which has not completely healed after 3 months of medical therapy is potentially malignant and requires surgical therapy. For type I gastric ulcer we perform partial gastrectomy with Billroth I reconstruction. Type II gastric ulcers call for partial gastrectomy with Billroth I reconstruction and vagotomy of the gastric stump. For type III gastric ulcers, 2 equivalent surgical procedures - proximal gastric vagotomy and partial gastrectomy with Billroth I reconstruction - are available.