title: [Surgical therapy of stomach ulcer].
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.
authors.affiliation: Chirurgische Klinik und Poliklinik, Technische Universität München.
authors.forename: J R
authors.initials: JR
authors.lastname: Siewert
authors.forename: R
authors.initials: R
authors.lastname: Bumm
authors.forename: A H
authors.initials: AH
authors.lastname: Hölscher
mesh_terms: D003937:Diagnosis, Differential; D005743:Gastrectomy / Q000379:methods; D005763:Gastroenterostomy / Q000379:methods; D006801:Humans; D008228:Lymphoma, Non-Hodgkin / Q000175:diagnosis; D010438:Peptic Ulcer Hemorrhage / Q000601:surgery; D010439:Peptic Ulcer Perforation / Q000601:surgery; D013274:Stomach Neoplasms / Q000175:diagnosis; D013276:Stomach Ulcer / Q000150:complications / Q000175:diagnosis / Q000601:surgery*
vernacular_title: Chirurgische Therapie des Ulcus ventriculi.