title: [Choice of method and long-term results of therapy for complicated gastric ulcers].
abstract: 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.
mesh_terms: D005260:Female; D005860:Germany, West; D006801:Humans; D008297:Male; D008875:Middle Aged; D010438:Peptic Ulcer Hemorrhage / Q000209:etiology / Q000601:surgery*; D010439:Peptic Ulcer Perforation / Q000209:etiology / Q000601:surgery*; D012189:Retrospective Studies; D012737:Sex Factors; D013276:Stomach Ulcer / Q000150:complications* / Q000401:mortality / Q000601:surgery
vernacular_title: Verfahrenswahl und Langzeitergebnisse der Therapie komplizierter Ulcera ventriculi.