Lowest recurrence rate in duodenal ulcer treatment is seen with -
Ans. is 'c' i.e., Truncal vagotomy and antrectomy Least rate of recurrence is seen with truncal vagotomy and antrectomy. In addition to a truncal vagotomy, the antrum of the stomach is removed, thus removing the source of gastrin. (Gastrin is secreted from the antrum). The recurrence rate after this procedure are exceedingly low. However the operative moality is higher than vagotomy and drainage and highly selective vagotomy.
Highly selective vagotomy
Truncal vagotomy
Truncal vagotomy and antrectomy
Truncal vagotomy and pyloroplasty