You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information.
What is The lowest recurrence rate in duodenal ulcer treatment is seen with - and explain in detail?
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