Risks and Complications. HSV/Parietal Cell Vagotomy. Mortality risk <0.5% Causes minimal side effects Decreases total gastric acid secretion by about 75% and GI side effects are rare.
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Gastric ulcer management is initially the same. Distal gastric resection to include the bleeding ulcer is the procedure of choice for bleeding gastric ulcer., while 2nd best is V+D with oversewing and biopsy to rule out cancer.
Perforated gastric ulcers in a stable patient without any other disease are best treated with distal gastric resection., while vagotomy is added for type II or III gastric ulcers.