<prompt> Treatment of high-lying ulcer near gastro-oesophageal junction isPauchets procedureKelling- Madlenger operationCsendes procedureTotal gastrectomy  <response>: 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 