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Surgery
A 75-year-old man is admitted with epigastric pain, anemia, and weight loss. On upper gastrointestinal endoscopy, a large ulcer is found in the distal antrum. The biopsy report shows adenocarcinoma of the stomach. CAT scan of the liver shows no metastasis. You would recommend:
Whipple procedure (pancreaticoduodenectomy)
Vagotomy and antrectomy
Subtotal gastrectomy
Vagotomy and pyloroplasty with wedge resection of the ulcer
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