This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: G.I.T, Subject name: Surgery
[{'content': "Treatment of high-lying ulcer near gastro-oesophageal junction is \nSelect and explain. \nA. Pauchet's procedure, B. Kelling- Madlenger operation, C. Csendes procedure, D. Total gastrectomy", 'role': 'user'}, {'content': 'Answer: A \nExplanation: Type 4 proximal gastric ulcer is difficult to manage.it is treated by subtotal gastrectomy.often distal gastrectomy with selective sleeve-like extension cut along the lesser curve to remove the ulcer is done-Pauchet&;s procedure Ref: SRB &;s manual of surgery, ed 5, pg 825', 'role': 'assistant'}]