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: Surgery
Dumping syndrome occur LEAST with which of the following procedures? 
Select and explain. 
A. Selective vagotomy, B. Truncal vagotomy, C. Highly selective vagotomy, D. Syndrome occur with all of the above commonly
C: Highly selective vagotomy
Answer: C: Highly selective vagotomy 
Explanation: It is least seen with highly selective vagotomy because the motility of the stomach is least affected in highly selective vagotomy and is most common with gastrectomy. Ref: Schwaz 9/e, Page 913 ; Bailey & Love 25/e, Page 1059.