<prompt> Lowest recurrence rate in duodenal ulcer treatment is seen withHighly selective vagotomyTruncal vagotomyTruncal vagotomy and antrectomyTruncal vagotomy and pyloroplasty  <response>: For the management of PUD,vagotomy is sometimes combined with antrectomy removal of the distal half of the stomach to reduce the rate of recurrence. Reconstruction is performed with gastroduodenostomy Billroth I or gastrojejunostomy Billroth II. Ref surgery Srb p1178 