[Surgical treatment of stomach ulcer]

The choice of the operative method in gastric ulcer is determined by the peculiarities of ulcer development mechanism and the role of acid production in the process and by oncological reasons. Bearing in mind that acid production is of little significance in the pathogenesis of gastric ulcer, while malignant degeneration of gastric ulcers is quite a reality, the authors consider resection of the stomach to be the most expedient operative method in its ulcer. Among 73 patients with gastric ulcer 70 (95.94%) were treated by resection of the stomach. Depending on the localization of the ulcer, the volume of the resection ranged from antrumectomy to gastrectomy. Five (7.14%) patients died after the operation, 3 from thromboembolic complications and 2 from peritonitis. The late-term, results were studied in 53 (81.54%) patients and were found to be good in 44 (83.02%), satisfactory in 5 (9.43%), and poor in 4 (7.55%) patients. Malignant degeneration of the ulcer was encountered in 7 (10%) of the 70 patients who were operated on. The authors prefer resection of the stomach with the formation of Roux-en-Y anastomosis which prevents reflux gastritis, recurrent ulcer, and the development of tumors. This is confirmed by the late-term results.