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