This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: All India exam, Subject name: Surgery
[{'content': 'which of the following is apt in the management of dumping syndrome ? \nSelect and explain. \nA. injection octreotide is D.O.C, B. bulky meals are taken, C. oily foods are avoided, D. can drink water with food', 'role': 'user'}, {'content': 'Answer: A \nExplanation: Dumping Syndrome TWO TYPES: Attacks last about 30 minutes 1. Early dumping --immediately after a meal -associated with hypovolemia ((Fluid in blood) and hypotension -caused by hyperosmotic chyme entering duodenum -rapidly extracts large amounts of fluid from circulation into intestine 2. Late dumping---approx. 2 h after a meal -due to hypoglycemia--chyme dumped into intestine results in rapid absorption of glucose into blood - sudden blood hyperglycemia -rapid increase in insulin that overcorrects and results in hypoglycemia --Symptoms: weakness, dizziness and sweating after meals TREATMENT OF DUMPING SYNDROMES * SAME FOR BOTH EARLY & LATE * DIETARY MANIPULATION SMALL DRY MEALS,AVOID FLUIDS WITH HIGH CARBOHYDRATE CONTENT * SOMASTATIN ANALOGUE OCTREOTIDE BEFORE MEALS * REVISIONAL SURGERY * GJ - DRAINAGE IS TAKEN DOWN * PYLOROPLASTY - REPAIRGASTRECTOMY - ANTRERCTOMY&ROUX-EN-Y RECONSTRUCTION ref : bailey and love 27th ed', 'role': 'assistant'}]