Treatment of high-lying ulcer near gastro-oesophageal junction is: (A) Pauchet's procedure, (B) Kelling- Madlenger operation, (C) Csendes procedure, (D) Total gastrectomy
Answer is A. 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