Gastric Ulcer Surgery Treatment

Surgery for gastric ulcers is typically reserved for specific situations where medical management is insufficient or complications arise. Below are key considerations regarding surgical intervention for gastric ulcers:

1. Timing of Surgery

In most cases, gastric ulcers can be effectively managed with medication, such as proton pump inhibitors to reduce stomach acid and protective agents to coat the ulcerated area. However, surgery becomes necessary when serious complications occur. For example, if a gastric ulcer causes severe bleeding that cannot be controlled through endoscopic or medicinal means, surgical treatment may be required. Similarly, if the ulcer leads to perforation, it can result in peritonitis—an infection of the abdominal cavity—making emergency surgery essential to prevent life-threatening complications.

2. Surgical Techniques

Most gastric ulcers are located in the distal part of the stomach, such as the antrum or near the pylorus. When complications like bleeding or perforation are confirmed, minimally invasive techniques such as laparoscopic resection can be performed. This approach involves removing the affected portion of the stomach and performing a primary anastomosis, commonly referred to as a Billroth I procedure. Laparoscopic surgery offers benefits including faster recovery, reduced pain, and lower risk of postoperative complications compared to traditional open surgery.

In summary, while medication remains the first line of treatment for gastric ulcers, timely surgical intervention is crucial in managing severe or complicated cases. Patients should work closely with their healthcare providers to determine the most appropriate course of action based on their individual condition.