The treatment of gastric ulcer is controversial largely because of the possibility that an early gastric malignancy may be overlooked. Proponents of surgical treatment for all patients with gastric ulcer offer the following facts in support of their thesis. First, the issue of whether the lesion in question is benign or malignant is rapidly settled. Some series show that the cure rate after gastric resection of a malignant lesion posing as a benign ulcer is much higher than that of the usual case of gastric carcinoma.1 Second, the surgical mortality rate is very low, being in the range of 2%.2 Third, the result of gastric resection is good in that the recurrence rate is small and the incidence of serious complications, such as dumping or diarrhea, is low.3 Finally, there are several reports of high recurrence rates in patients treated medically.2,4
Other series report that
JONES RF, CLEMENTS R, PEARSON CC. Gastric Ulcer: An Analysis of One Hundred Sixty-One Cases. AMA Arch Intern Med. 1958;101(5):855–858. doi:10.1001/archinte.1958.00260170011003
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