Which of the following is the most appropriate management? A. Total gastrectomy B. Partial distal gastrectomy C. Endoscopic laser photocoagulation D. Truncal vagotomy and pyloropla... Which of the following is the most appropriate management? A. Total gastrectomy B. Partial distal gastrectomy C. Endoscopic laser photocoagulation D. Truncal vagotomy and pyloroplasty
Understand the Problem
The question is asking for the most appropriate management approach for a patient with multiple ulcers, specifically looking for a surgical option among the listed choices.
Answer
Partial distal gastrectomy
The final answer is partial distal gastrectomy.
Answer for screen readers
The final answer is partial distal gastrectomy.
More Information
Partial distal gastrectomy is often preferred for distal gastric cancer or when multiple ulcers in the antrum need addressing. This procedure allows the removal of the affected gastric region while preserving more of the stomach than total gastrectomy.
Tips
A common mistake is choosing total gastrectomy when less extensive procedures can be effective and preserve more gastric function.
Sources
- Chapter-10 Stomach and Duodenum - JaypeeDigital - jaypeedigital.com
- Gastric Ulcer Bleeding - ScienceDirect Topics - sciencedirect.com
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