Gastric ulcer patients required surgical treatment when

Generally speaking, after gastric ulcer patients with acid-fast agents, anticholinergic drugs and H2 receptor antagonist treatment, ulcers can be cured. But the situation appeared to consider the following treatment: (1) merger bleeding gastric ulcer, in particular patients aged 45 and above tend to have atherosclerosis, once massive bleeding and difficult to stop, to emergency surgery. There are chronic ulcer patients, has repeatedly massive bleeding and shorter time intervals, although the amount of bleeding or repeatedly, but not many authors, considering surgery. Another sustained bleeding, the eight-hour period transfusion 400-800 ml, blood pressure is not stable or no improvement in the situation, should also surgery. (2) the merger gastric ulcer perforation, especially frequent attacks in the past, serious symptoms or complications in patients, or eat three square meals a perforation under the patients, the incidence 6-12 hours shall be implemented within the emergency surgery. (3) repeated the ulcer or author. (4) huge ulcers, generally refers ulcer over 3 cm, with a low acidity. Those suspected malignant transformation. (5) ulcer with pyloric obstruction, not alleviated by medical treatment, because such obstruction due to multiple recurrent ulcers caused by the entrance of scar formation unseen, it is difficult effective drug therapy. It should be noted that, with the progress of medical treatment, the need for surgery for gastric ulcer patients less and less, so be careful to choose surgery, it is necessary to have good indications.