This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Stomach & Duodenum, Subject name: Surgery
Surgery of choice for chronic duodenal ulcer is: 
Select and explain. 
A. Vagotomy + antrectomy, B. Total gastrectomy, C. Truncal vagotomy + pyloroplasty, D. Highly selective vagotomy
D: Highly selective vagotomy
Answer: D: Highly selective vagotomy 
Explanation: Highly selective Vagotomy Procedure of choice for chronic or intractable duodenal ulcers Division of seromuscular branches with preserved supply of pylorus Nerves of Latarjet supplying the antrum are preserved (and hence gastric motility) Associated with maximum risk of recurrence Minimum morbidity