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.
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.