<prompt> All are true regarding early post-cibal syndrome, except:Distension of abdomenManaged conservativelyHypermotility of intestine is commonSurgery is usually indicated  <response>: 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. 