Surgery of choice for chronic duodenal ulcer is -
Highly selective vagotomy Procedure of choice for chronic or intractable duodenal ulcers Nerves of Latarjet supplying the antrum are preserved (and hence gastric motility) Drainage procedure is not required Lowest Moality rate and side effects. Minimal chances of dumping Syndrome and gastric atony Relatively high recurrence. Ref: Maingot's 11/e chapter 11 & 12; Schwaz 9/e p913
Vagotomy + antrectomy
Total gastrectomy
Truncal vagotomy + pyloroplasty
Highly selective vagotomy
G.I.T