Sutures and Wound Repair/ General Surgery (ABSA) Practice Test

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What is the most common operative procedure for peptic ulcer surgery?

Cholecystectomy
Vagotomy
Appendectomy
Gastrectomy

The correct answer is: Vagotomy

Vagotomy is the most common operative procedure for peptic ulcer surgery due to its specific role in reducing gastric acid secretion, which is a significant contributor to the formation and progression of peptic ulcers. In this procedure, the vagus nerve, which supplies nerve fibers to the stomach, is partially or completely cut to decrease the stimulation of gastric acid secretion. This surgical intervention can lead to a reduction in ulcer formation and recurrence. The primary purpose of vagotomy is to manage complications arising from peptic ulcers, particularly in cases where medical management fails or when there is a perforation or significant bleeding. It often can be performed alongside other procedures like pyloroplasty or antrectomy to enhance its effectiveness. In contrast, the other procedures listed serve different purposes. Cholecystectomy is the removal of the gallbladder, typically performed to treat gallstones. Appendectomy is focused on removing the appendix and is indicated for appendicitis. Gastrectomy, while it can be related to peptic ulcer disease, is more invasive and entails the removal of part or all of the stomach, often used in more severe cases.