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
Patient presents with recurrent duodenal ulcer of 2.5 cm size, procedure of choice: 
Select and explain. 
A. Truncal vagotomy and antrectomy, B. Truncal vagotomy and gastrojejunostomy, C. Highly selective vagotomy, D. Laparoscopic vagotomy and gastrojejunostomy
A: Truncal vagotomy and antrectomy
Answer: A: Truncal vagotomy and antrectomy 
Explanation: 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.