60 year old man who was consuming NSAIDS for a longtime developed dyspeptic symtoms, vomitings on and off and wait loss. Clinical examination was normal except fullness in the upper abdomen. He was evaluated and the upper GI endoscopy showed cicatrisng duodenal ulcer in the first part with stenosis. He underwent laparoscopic truncal vagatomy and anterior loop Gj. 20cms from DJ flexure.
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