Surgical treatment of benign ulcer of the gastric cardia: an experience from 21 cases / 中华外科杂志

ABSTRACT

<p><b>OBJECTIVE</b>To study the result of surgical treatment of benign ulcer of the gastric cardia.</p><p><b>METHODS</b>Clinical symptom, number, position and size of ulcer, preoperative X-ray gastroscopic examine, type and complication of operation were retrospective analyzed in 21 patients with benign ulcer of the gastric cardia.</p><p><b>RESULTS</b>Average age in 21 patients was 60. Ulcer complicated bleeding in 7 cases (33.3%) and perforation in 5 cases (23.8%). Diagnostic rate of preoperative X-ray and gastroscopic examine was 57.1% and 100%, respectively. Of 21 patients 18 (85.7%) were treated by upper partial gastrectomy, and 3 (14.3%) by total gastrectomy. All were not operative death and anastomotic leak.</p><p><b>CONCLUSIONS</b>upper partial gastrectomy can resect focus of ulcer and decrease secretion of stomach acid. It is a simple and ideal pattern of operation for patients with benign ulcer of the gastric cardia.</p>