SURGICAL-TREATMENT OF GASTRIC-ULCER

The choice of the operative method in gastric ulcer is determined by t he peculiarities of ulcer development mechanism and the role of acid p roduction in the process and by oncological reasons. Bearing in mind t hat acid production is of little significance in the pathogenesis of g astric ulcer, while malignant degeneration of gastric ulcers is quite a reality, the authors consider resection of the stomach to be the mos t expedient operative method in its ulcer. Among 73 patients with gast ric ulcer 70 (95.94 %) were treated by resection of the stomach. Depen ding on the localization of the ulcer, the volume of the resection ran ged from antrumectomy to gastrectomy. Five (7.14 %) patients died afte r the operation, 3 from thromboembolic complications and 2 from perito nitis. The late-term, results were studied in 53 (81.54 %) patients an d were found to be good in 44 (83.02 %), satisfactory in 5 (9.43 %), a nd poor in 4 (7.55 %) patients. Malignant degeneration of the ulcer wa s encountered in 7 (10 %) of the 70 patients who were operated on. The authors prefer resection of the stomach with the formation of Raux-en -Y anastomosis which prevents reflux gastritis, recurrent ulcer, and t he development of tumors. This is confirmed by the late-term results.