Treatment of choice in peptic ulcer grade III is
Treatment for peptic ulcer includes, * Correction of dehydration and electrolytes by IV fluids--normal saline or double strength saline, calcium, potassium, magnesium. * Blood transfusion is given if there is anaemia. * TPN suppo. * Stomach wash to clean the stomach contents (using normal saline) is given using stomach tube like Oswald&;s. It also reduces the oedema of stomach wall and improves gastric emptying time by increasing the gastric muscle tone. * Surgery - Truncal vagotomy along with gastrojejunostomy of Mayo (posterior, veical, sho loop, retrocolic, is peristalsis) is done - Ideal. - Vagotomy, antrectomy (acid-secreting area) with Billroth I anastomosis along with feeding jejunostomy for nutrition is the other option. Ref: SRB&;s manual of surgery,3 rd ed, pg no 761
Vagotomy only
Vagotomy and antrectomy
Vagotomy and pyloroplasty
Highly selective vagotomy
G.I.T