Treatment of high-lying ulcer near gastro-oesophageal junction is
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
Pauchet's procedure
Kelling- Madlenger operation
Csendes procedure
Total gastrectomy
G.I.T