All are true regarding early post-cibal syndrome, except:: (A) Distension of abdomen, (B) Managed conservatively, (C) Hypermotility of intestine is common, (D) Surgery is usually indicated
Answer is D. 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.