The lowest recurrence rate in duodenal ulcer treatment is seen with -
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 is exceedingly low. However, the operative moality is higher than vagotomy and drainage and highly selective vagotomy. Ref : Love & Bailey 25/e p1059
Highly selective vagotomy
Truncal vagotomy
Truncal vagotomy and antrectomy
Truncal vagotomy and pyloroplasty
G.I.T