Patient presents with recurrent duodenal ulcer of 2.5 cm size, procedure of choice:
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.
Truncal vagotomy and antrectomy
Truncal vagotomy and gastrojejunostomy
Highly selective vagotomy
Laparoscopic vagotomy and gastrojejunostomy
Stomach & Duodenum