Intractable gastric ulcer should be how do?

After medical treatment for the failure of the informal intractable ulcer patients should be treated as early as possible to surgical resection ulcer lesions because of intractable ulcer opportunities than other cancerous ulcer is bigger. Current surgical treatment to take more of subtotal gastrectomy and Vagotomy, in either way, the purpose is none other than to reduce gastric acid secretion. Subtotal gastrectomy is the removal of most of the area of gastric acid secretion, Vagotomy is to prevent the formation of acid, the former anatomy from the perspective of solving ulcer disease risk factors, the latter from the perspective of physical elimination of ulcer disease etiology. Surgery method subtotal gastrectomy, vagus nerve axotomy of plus drainage, selective vagotomy and resection of gastric antrum and high-election of vagotomy. Subtotal gastrectomy is generally the distal gastric resection of 2/3-3/4, remnants of the duodenum and proximal anastomosis, I said Albert Roche-operation (Figure 7-1); Gastric stump and jejunostomy, Roche said Albert II-type operation. From the efficacy and recurrence rate, no significant difference of two surgery. Vagus nerve axotomy operation is cut off left and right vagus nerve stem; Selective Vagotomy is only distributed in the stomach to cut off the vagus nerve; High-election of vagotomy stomach is cut off along the lesser curvature of the vagus nerve stem the distribution of separation or gastric parietal cells in the proximal 2 / 3 of nerve branches. It should also be emphasized that, because many may arise after surgery early or late complications, the adverse effects on the body, so I decided to fully consider surgery, carefully chosen.