<prompt> Patient presents with recurrent duodenal ulcer of 2.5 cm size, procedure of choice:Truncal vagotomy and antrectomyTruncal vagotomy and gastrojejunostomyHighly selective vagotomyLaparoscopic vagotomy and gastrojejunostomy  <response>: 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. 