[Diagnosis and surgical treatment of gastric ulcers of proximal localization].

Over 15 years 208 patients with ulcers of the proximal part of the stomach (36 cardial and 172 subcardial) underwent surgery that constitutes 17,5% of all gastric ulcers. Seventy-two patients had uncomplicated ulcers, complications were diagnosed in 135 including 34 (16,4%) cases of malignant transformation. Successful surgical treatment of a proximal part of the stomach is based on timely complex diagnosis. High rate of complications dictates that conservative treatment of these ulcers should be limited to 6 months - 1 year. Indications for surgery must be also regarded when up-to-date drug therapy is ineffective during 2-3 months. Proximal and distal resection of the stomach are the main methods in surgical treatment of patients with benign ulcers of the cardia and subcardia. In malignant ulcer gastrectomy is recommended.