This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Stomach & Duodenum, Subject name: Surgery
[{'content': 'All are true regarding early post-cibal syndrome, except: \nSelect and explain. \nA. Distension of abdomen, B. Managed conservatively, C. Hypermotility of intestine is common, D. Surgery is usually indicated', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Ans. (d) Surgery is usually indicatedRef: Sabiston 20th Edition, Page 1212* Post-Cibal syndrome is mostly managed conservatively by altering diet as mentioned above.* If not responding to diet alteration: Octreotide is given* Only very few patients need revisional surgeries for dumping syndrome.* Commonly done revision surgeries are - Interposition of Anti peristaltic loop, convering Billroth II to Billroth I or Roux-En-Y anastomosis.', 'role': 'assistant'}]