This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Medicine
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: Answer is D (Surgery is usually indicated) There is no role of striven., in management of post cibal syndromes. Both types of postcibal syndrome are treated by dietary measures including: - limitation of sugar containing liquids and solids, - elimination of liquids at meal time, and - eating of frequent small meals. In severe cases, symptoms may improve, with the somatostatin-analogue Octreotide. There is no role of surgery in management of post cibal syndromes.