[Choice of method and long-term results of therapy for complicated gastric ulcers]

65 patients with a complication of a gastric ulcer without any known ulcerative noxa had been treated surgically. In 2 of 3 patients, bleeding or perforation occurred without a longer history of ulcer. In bleeding ulcer, we performed a partial gastric resection, only in older patients a simple suture of the bleeding source. Therefore, mortality of simple suture was higher than of partial gastric resection (overall 13.9%). Perforation of gastric ulcer had only been oversewn with good results. In the last years, we did not see any indication for performing a selective proximal vagotomy in complicated gastric ulcer. The overall mortality rate of perforated gastric ulcer was 17.2%. There was no ulcer recurrence, neither in the group of gastric resection for gastric ulcer bleeding nor in the group of oversewing for gastric ulcer perforation.