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  • Title: [Surgical therapy of stomach ulcer].
    Author: Siewert JR, Bumm R, Hölscher AH.
    Journal: Schweiz Med Wochenschr; 1989 May 27; 119(21):690-5. PubMed ID: 2667121.
    Abstract:
    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.
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