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A 55-year-old man complains of chronic intermittent epigastric pain, and gastroscopy demonstrates a 2-cm ulcer of the distal lesser curvature. Endoscopic biopsy yields no malignant tissue. After a 6-wk trial of H2 blockade and antacid therapy, the ulcer is unchanged. Proper therapy at this point is

a. Repeat trial of medical therapy

b. Local excision of the ulcer

c. Billroth I partial gastrectomy

d. Billroth I partial gastrectomy with vagotomy 

e. Vagotomy and pyloroplasty

in General Surgery by

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c. Billroth I partial gastrectomy