Patient presents with recurrent duodenal ulcer of 2.5 cm size, procedure of choice:: (A) Truncal vagotomy and antrectomy, (B) Truncal vagotomy and gastrojejunostomy, (C) Highly selective vagotomy, (D) Laparoscopic vagotomy and gastrojejunostomy
Answer is A. Ans. (a) Truncal vagotomy and antrectomyRef: Sabiston 20th edition, page 1206* For recurrent duodenal ulcer we have to do TV and also remove the acid producing part- Antrum to get the best possible result.