[Diagnosis and surgical treatment of gastric ulcers of proximal localization].
Over 15 years 208 patients with ulcers of the proximal part of the stomach (36 cardial and 172 subcardial) underwent surgery that constitutes 17,5% of all gastric ulcers. Seventy-two patients had uncomplicated ulcers, complications were diagnosed in 135 including 34 (16,4%) cases of malignant transformation. Successful surgical treatment of a proximal part of the stomach is based on timely complex diagnosis. High rate of complications dictates that conservative treatment of these ulcers should be limited to 6 months - 1 year. Indications for surgery must be also regarded when up-to-date drug therapy is ineffective during 2-3 months. Proximal and distal resection of the stomach are the main methods in surgical treatment of patients with benign ulcers of the cardia and subcardia. In malignant ulcer gastrectomy is recommended.
SHsirinov
Z T
ZT
Salikhov
Ia S
IaS
Kurbanov
F S
FS
D005260:Female; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D006863:Hydrogen-Ion Concentration; D008297:Male; D008875:Middle Aged; D013276:Stomach Ulcer / Q000175:diagnosis* / Q000601:surgery*