<prompt> Perforated peptic ulcer is treated byVagotomy PyloroplastyVagotomy AntrectomyVagotomy repair of perforationGrahams repair  <response>: Vagotomy is a procedure that transects the vagal trunks truncal vagotomy or distal nerve fibers highly selective vagotomy. Truncal vagotomy aims to reduce the gastric acid secretion, thus reducing the risks of recurrent PUD. Ref Srb surgery 978p 