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
All of the following are TRUE regarding 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: Most of the cases of post-cibal or dumping syndrome can also be managed by dietary management or medications which includes anticholinergics agents, antidiarrheal and octreotide. Only a small percentage of patients need surgery. Surgical procedures used to treat dumping syndrome are pyloric reconstruction, take down of gastrojejunostomy, interposition of a 10 cm reversed intestinal segment between the stomach and duodenum, conversion of Billroth II to Billroth I anastomosis and conversion of Roux-en-Y anastomosis. Ref: Schwaz 9/e, Page 942