This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: G.I.T, Subject name: Surgery
Treatment of choice in peptic ulcer grade III is 
Select and explain. 
A. Vagotomy only, B. Vagotomy and antrectomy, C. Vagotomy and pyloroplasty, D. Highly selective vagotomy
B: Vagotomy and antrectomy
Answer: B: Vagotomy and antrectomy 
Explanation: 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