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Items: 1 to 50 of 213

1.

False in Name Only-Gastroduodenal Artery Pseudoaneurysm in a Recurrently Bleeding Patient: Case Report and Literature Review.

Binetti M, Lauro A, Golfieri R, Vaccari S, D'Andrea V, Marino IR, Cervellera M, Renzulli M, Tonini V.

Dig Dis Sci. 2019 Sep 26. doi: 10.1007/s10620-019-05853-7. [Epub ahead of print]

PMID:
31559552
2.

Probing Majorana neutrinos with double-β decay.

Agostini M, Bakalyarov AM, Balata M, Barabanov I, Baudis L, Bauer C, Bellotti E, Belogurov S, Bettini A, Bezrukov L, Borowicz D, Brudanin V, Brugnera R, Caldwell A, Cattadori C, Chernogorov A, Comellato T, D'Andrea V, Demidova EV, Di Marco N, Domula A, Doroshkevich E, Egorov V, Falkenstein R, Fomina M, Gangapshev A, Garfagnini A, Giordano M, Grabmayr P, Gurentsov V, Gusev K, Hakenmüller J, Hegai A, Heisel M, Hemmer S, Hiller R, Hofmann W, Hult M, Inzhechik LV, Janicskó Csáthy J, Jochum J, Junker M, Kazalov V, Kermaïdic Y, Kihm T, Kirpichnikov IV, Kirsch A, Kish A, Klimenko A, Kneißl R, Knöpfle KT, Kochetov O, Kornoukhov VN, Krause P, Kuzminov VV, Laubenstein M, Lazzaro A, Lindner M, Lippi I, Lubashevskiy A, Lubsandorzhiev B, Lutter G, Macolino C, Majorovits B, Maneschg W, Miloradovic M, Mingazheva R, Misiaszek M, Moseev P, Nemchenok I, Panas K, Pandola L, Pelczar K, Pertoldi L, Piseri P, Pullia A, Ransom C, Riboldi S, Rumyantseva N, Sada C, Sala E, Salamida F, Schmitt C, Schneider B, Schönert S, Schütz AK, Schulz O, Schwarz M, Schwingenheuer B, Selivanenko O, Shevchik E, Shirchenko M, Simgen H, Smolnikov A, Stanco L, Stukov D, Vanhoefer L, Vasenko AA, Veresnikova A, von Sturm K, Wagner V, Wegmann A, Wester T, Wiesinger C, Wojcik M, Yanovich E, Zhitnikov I, Zhukov SV, Zinatulina D, Zschocke A, Zsigmond AJ, Zuber K, Zuzel G; GERDA Collaboration.

Science. 2019 Sep 27;365(6460):1445-1448. doi: 10.1126/science.aav8613. Epub 2019 Sep 5.

PMID:
31488705
3.

Second jejunal loop adenocarcinoma associated with celiac disease: the first case report.

Ursi P, Tarallo M, Crocetti D, Cavallaro G, Fiori E, D'Andrea V, De Toma G.

G Chir. 2019 May-Jun;40(3):225-229.

PMID:
31484013
4.

The role of grade of injury in non-operative management of blunt hepatic and splenic trauma: Case series from a multicenter experience.

Ruscelli P, Gemini A, Rimini M, Santella S, Candelari R, Rosati M, Paci E, Marconi V, Renzi C, Commissari R, Cirocchi R, Santoro A, D'Andrea V, Parisi A.

Medicine (Baltimore). 2019 Aug;98(35):e16746. doi: 10.1097/MD.0000000000016746.

5.

"Cystamatic" Review: Is Surgery Mandatory for Pneumatosis Cystoides Intestinalis?

Brighi M, Vaccari S, Lauro A, D'Andrea V, Pagano N, Marino IR, Cervellera M, Tonini V.

Dig Dis Sci. 2019 Oct;64(10):2769-2775. doi: 10.1007/s10620-019-05767-4.

PMID:
31410751
6.

The Great View Forward: The Use of a Colonoscope for Distal Duodenal Stent Placement.

Minervini A, Lauro A, Pagano N, Vaccari S, D'Andrea V, Marino IR, Cervellera M, Tonini V.

Dig Dis Sci. 2019 Sep;64(9):2445-2448. doi: 10.1007/s10620-019-05768-3.

PMID:
31410750
7.

Investigational drugs for the treatment of cancer cachexia: a focus on phase I and phase II clinical trials.

Molfino A, Amabile MI, Giorgi A, Monti M, D'Andrea V, Muscaritoli M.

Expert Opin Investig Drugs. 2019 Aug;28(8):733-740. doi: 10.1080/13543784.2019.1646727. Epub 2019 Jul 26. Review.

PMID:
31347405
8.

Aberrant left hepatic arteries arising from left gastric arteries and their clinical importance.

Cirocchi R, D'Andrea V, Amato B, Renzi C, Henry BM, Tomaszewski KA, Gioia S, Lancia M, Artico M, Randolph J.

Surgeon. 2019 Jul 20. pii: S1479-666X(19)30077-0. doi: 10.1016/j.surge.2019.06.002. [Epub ahead of print] Review.

PMID:
31337536
9.

Robot-assisted Toupet fundoplication and associated cholecystectomy in symptomatic giant hiatal hernia with situs viscerum inversus-A case report and literature review.

Ceccarelli G, Romano A, Esposito G, De Rosa M, Bugiantella W, Miranda E, Fontani A, D'Andrea V.

Int J Surg Case Rep. 2019;60:371-375. doi: 10.1016/j.ijscr.2019.06.038. Epub 2019 Jun 22.

10.

Subcapsular Hepatic Hematoma Post-ERCP: Case Report and Review of the Literature.

Sommariva C, Lauro A, Pagano N, Vaccari S, D'Andrea V, Marino IR, Cervellera M, Tonini V.

Dig Dis Sci. 2019 Aug;64(8):2114-2119. doi: 10.1007/s10620-019-05679-3.

PMID:
31197631
11.

DDS-SIRC Collaboration: L'Inizio di una Bella Amicizia.

D'Andrea V, Marino I, Kaunitz JD.

Dig Dis Sci. 2019 Aug;64(8):2113. doi: 10.1007/s10620-019-05680-w. No abstract available.

PMID:
31190202
12.

Organ preservation: which temperature for which organ?

Bellini MI, D'Andrea V.

J Int Med Res. 2019 Jun;47(6):2323-2325. doi: 10.1177/0300060519833889. No abstract available.

13.

Prospective Evaluation of Semiquantitative Strain Ratio and Quantitative 2D Ultrasound Shear Wave Elastography (SWE) in Association with TIRADS Classification for Thyroid Nodule Characterization.

Cantisani V, David E, Grazhdani H, Rubini A, Radzina M, Dietrich CF, Durante C, Lamartina L, Grani G, Valeria A, Bosco D, Di Gioia C, Frattaroli FM, D'Andrea V, De Vito C, Fresilli D, D'Ambrosio F, Giacomelli L, Catalano C.

Ultraschall Med. 2019 Aug;40(4):495-503. doi: 10.1055/a-0853-1821. Epub 2019 May 28.

PMID:
31137050
14.

Impact of cardiovascular/diabetic comorbidity on conversion rate during laparoscopic cholecystectomy for acute cholecystitis: a multi-center study on early versus very delayed approach.

Lauro A, Cervellera M, D'Andrea V, Casella G, Di Matteo FM, Di Matteo FM, Santoro A, Panarese A, Palazzini G, Cirocchi R, Agastra E, Falvo L, Talarico E, Cicia S, Tonini V.

G Chir. 2019 Mar-Apr;40(2):95-104.

PMID:
31131807
15.

The PHLPP2 phosphatase is a druggable driver of prostate cancer progression.

Nowak DG, Katsenelson KC, Watrud KE, Chen M, Mathew G, D'Andrea VD, Lee MF, Swamynathan MM, Casanova-Salas I, Jibilian MC, Buckholtz CL, Ambrico AJ, Pan CH, Wilkinson JE, Newton AC, Trotman LC.

J Cell Biol. 2019 Jun 3;218(6):1943-1957. doi: 10.1083/jcb.201902048. Epub 2019 May 15.

PMID:
31092557
16.

The absence of the common hepatic artery and its implications for surgical practice: Results of a systematic review and meta-analysis.

Cirocchi R, D'Andrea V, Lauro A, Renzi C, Henry BM, Tomaszewski KA, Rende M, Lancia M, Carlini L, Gioia S, Randolph J.

Surgeon. 2019 Jun;17(3):172-185. doi: 10.1016/j.surge.2019.03.001. Epub 2019 Apr 1. Review.

PMID:
30948331
17.

A Systematic Ultrasound Evaluation of the Diameter of Deep Veins in the Newborn: Results and Implications for Clinical Practice.

Barone G, D'Andrea V, Vento G, Pittiruti M.

Neonatology. 2019;115(4):335-340. doi: 10.1159/000496848. Epub 2019 Mar 15.

PMID:
30878998
18.

Cholecystectomy for acute cholecystitis in octogenarians: impact of advanced age on postoperative outcome.

Vaccari S, Lauro A, Cervellera M, Palazzini G, Casella G, Santoro A, Mascagni D, Ursi P, Gulotta E, D'errico U, Ussia A, De Siena N, Bianchini S, D'andrea V, Tonini V.

Minerva Chir. 2019 Aug;74(4):289-296. doi: 10.23736/S0026-4733.19.07891-X. Epub 2019 Feb 13.

PMID:
30761828
19.

Intraoperative neuromonitoring versus visual nerve identification for prevention of recurrent laryngeal nerve injury in adults undergoing thyroid surgery.

Cirocchi R, Arezzo A, D'Andrea V, Abraha I, Popivanov GI, Avenia N, Gerardi C, Henry BM, Randolph J, Barczyñski M.

Cochrane Database Syst Rev. 2019 Jan 19;1:CD012483. doi: 10.1002/14651858.CD012483.pub2.

PMID:
30659577
20.

Fluorescence image-guided lymphadenectomy using indocyanine green and near infrared technology in robotic gastrectomy.

Desiderio J, Trastulli S, Gemini A, Di Nardo D, Palazzini G, Parisi A, D'Andrea V.

Chin J Cancer Res. 2018 Oct;30(5):568-570. doi: 10.21147/j.issn.1000-9604.2018.05.11.

21.

Is the Routine Dissection of Lateral Lymph Nodes Really Necessary After Mesorectal Excision for Clinical Stage II/III Lower Rectal Cancer?

Cirocchi R, Graziosi L, D'Andrea V, Popivanov GI, Donini A.

Ann Surg. 2018 Nov 29. doi: 10.1097/SLA.0000000000003114. [Epub ahead of print] No abstract available.

PMID:
30499806
22.

Extubation from high-frequency oscillatory ventilation in extremely low birth weight infants: a prospective observational study.

Tana M, Lio A, Tirone C, Aurilia C, Tiberi E, Serrao F, Purcaro V, Corsello M, Catenazzi P, D'Andrea V, Barone G, Ricci C, Pastorino R, Vento G.

BMJ Paediatr Open. 2018 Nov 9;2(1):e000350. doi: 10.1136/bmjpo-2018-000350. eCollection 2018.

23.

Systematic review and meta-analysis of the anatomic variants of the saphenofemoral junction.

Cirocchi R, Henry BM, Rambotti M, Tomaszewski KA, Cappelli M, Vettorello G, Pistilli A, D'Andrea V, Amato B, Randolph J.

J Vasc Surg Venous Lymphat Disord. 2019 Jan;7(1):128-138.e7. doi: 10.1016/j.jvsv.2018.06.006. Epub 2018 Nov 15. Review.

PMID:
30448153
24.

Surgical treatment of gastrointestinal stromal tumors of the duodenum: a literature review.

Popivanov G, Tabakov M, Mantese G, Cirocchi R, Piccinini I, D'Andrea V, Covarelli P, Boselli C, Barberini F, Tabola R, Pietro U, Cavaliere D.

Transl Gastroenterol Hepatol. 2018 Sep 21;3:71. doi: 10.21037/tgh.2018.09.04. eCollection 2018.

25.

The role of emergency laparoscopic colectomy for complicated sigmoid diverticulits: A systematic review and meta-analysis.

Cirocchi R, Fearnhead N, Vettoretto N, Cassini D, Popivanov G, Henry BM, Tomaszewski K, D'Andrea V, Davies J, Di Saverio S.

Surgeon. 2018 Oct 9. pii: S1479-666X(18)30115-X. doi: 10.1016/j.surge.2018.08.010. [Epub ahead of print] Review.

PMID:
30314956
26.

Nocturia.

Leslie SW, D'Andrea V, Sajjad H, Singh S.

StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2019 Jan-.
2019 Sep 28.

27.

Early versus delayed approach in cholecystectomy after admission to an emergency department. A multicenter retrospective study.

Vaccari S, Lauro A, Cervellera M, Casella G, D'Andrea V, Di Matteo FM, Santoro A, Panarese A, Gulotta E, Cirocchi R, Ussia A, Brighi M, Romano A, Tonini V.

G Chir. 2018 Jul-Aug;39(4):232-238.

PMID:
30039791
28.

Three-dimensional versus two-dimensional laparoscopic right colectomy: a systematic review and meta-analysis.

Vettoretto N, Reggiani L, Cirocchi R, Henry BM, Covarelli P, D'Andrea V, Popivanov G, Randolph J.

Int J Colorectal Dis. 2018 Dec;33(12):1799-1801. doi: 10.1007/s00384-018-3121-8. Epub 2018 Jul 11.

PMID:
29998352
29.

Variation in preoperative antithrombotic strategy, severe bleeding, and use of blood products in coronary artery bypass grafting: results from the multicentre E-CABG registry.

Biancari F, Mariscalco G, Gherli R, Reichart D, Onorati F, Faggian G, Franzese I, Santarpino G, Fischlein T, Rubino AS, Maselli D, Nardella S, Salsano A, Nicolini F, Zanobini M, Saccocci M, Ruggieri VG, Bounader K, Perrotti A, Rosato S, D'Errigo P, D'Andrea V, De Feo M, Tauriainen T, Gatti G, Dalén M.

Eur Heart J Qual Care Clin Outcomes. 2018 Oct 1;4(4):246-257. doi: 10.1093/ehjqcco/qcy027.

PMID:
29939246
30.

Comparison of outcomes following intersphincteric resection vs low anterior resection for low rectal cancer: a systematic review.

Ursi P, Santoro A, Gemini A, Arezzo A, Pironi D, Renzi C, Cirocchi R, Di Matteo FM, Maturo A, D'Andrea V, Sagar J.

G Chir. 2018 May-Jun;39(3):123-142.

PMID:
29923482
31.

Quality assessment of Zeus faber (Peter's fish) ovaries regularly commercialized for human consumption.

Giarratana F, Ziino G, D'Andrea V, Panebianco A, Giuffrida A.

Ital J Food Saf. 2018 Apr 9;7(1):6997. doi: 10.4081/ijfs.2018.6997. eCollection 2018 Mar 31.

32.

Knee Osteoarthritis after Arthroscopic Partial Meniscectomy: Prevalence and Progression of Radiographic Changes after 5 to 12 Years Compared with Contralateral Knee.

Longo UG, Ciuffreda M, Candela V, Rizzello G, D'Andrea V, Mannering N, Berton A, Salvatore G, Denaro V.

J Knee Surg. 2019 May;32(5):407-413. doi: 10.1055/s-0038-1646926. Epub 2018 May 3.

PMID:
29723872
33.

Laparoscopic cholecystectomy for acute cholecystitis: are intended operative approach, timing and outcome affected by BMI? A multicenter retrospective study.

Lauro A, Vaccari S, Cervellera M, Casella G, D'Andrea V, Di Matteo FM, Panarese A, Santoro A, Cirocchi R, Tonini V.

G Chir. 2018 Mar-Apr;39(2):87-91.

PMID:
29694307
34.

Improved Limit on Neutrinoless Double-β Decay of ^{76}Ge from GERDA Phase II.

Agostini M, Bakalyarov AM, Balata M, Barabanov I, Baudis L, Bauer C, Bellotti E, Belogurov S, Bettini A, Bezrukov L, Biernat J, Bode T, Borowicz D, Brudanin V, Brugnera R, Caldwell A, Cattadori C, Chernogorov A, Comellato T, D'Andrea V, Demidova EV, Di Marco N, Domula A, Doroshkevich E, Egorov V, Falkenstein R, Gangapshev A, Garfagnini A, Grabmayr P, Gurentsov V, Gusev K, Hakenmüller J, Hegai A, Heisel M, Hemmer S, Hiller R, Hofmann W, Hult M, Inzhechik LV, Janicskó Csáthy J, Jochum J, Junker M, Kazalov V, Kermaidic Y, Kihm T, Kirpichnikov IV, Kirsch A, Kish A, Klimenko A, Kneißl R, Knöpfle KT, Kochetov O, Kornoukhov VN, Kuzminov VV, Laubenstein M, Lazzaro A, Lindner M, Lippi I, Lubashevskiy A, Lubsandorzhiev B, Lutter G, Macolino C, Majorovits B, Maneschg W, Miloradovic M, Mingazheva R, Misiaszek M, Moseev P, Nemchenok I, Panas K, Pandola L, Pelczar K, Pertoldi L, Pullia A, Ransom C, Riboldi S, Rumyantseva N, Sada C, Salamida F, Schmitt C, Schneider B, Schönert S, Schütz AK, Schulz O, Schwingenheuer B, Selivanenko O, Shevchik E, Shirchenko M, Simgen H, Smolnikov A, Stanco L, Vanhoefer L, Vasenko AA, Veresnikova A, von Sturm K, Wagner V, Wegmann A, Wester T, Wiesinger C, Wojcik M, Yanovich E, Zhitnikov I, Zhukov SV, Zinatulina D, Zschocke A, Zsigmond AJ, Zuber K, Zuzel G; GERDA Collaboration.

Phys Rev Lett. 2018 Mar 30;120(13):132503. doi: 10.1103/PhysRevLett.120.132503.

35.

State-dependent representation of stimulus-evoked activity in high-density recordings of neural cultures.

Nieus T, D'Andrea V, Amin H, Di Marco S, Safaai H, Maccione A, Berdondini L, Panzeri S.

Sci Rep. 2018 Apr 3;8(1):5578. doi: 10.1038/s41598-018-23853-x.

36.

The Long-Term Efficacy of a Galactagogue Containing Sylimarin-Phosphatidylserine and Galega on Milk Production of Mothers of Preterm Infants.

Serrao F, Corsello M, Romagnoli C, D'Andrea V, Zecca E.

Breastfeed Med. 2018 Jan/Feb;13(1):67-69. doi: 10.1089/bfm.2017.0169. Epub 2017 Nov 17.

PMID:
29148822
37.

Patellar Resurfacing in Total Knee Arthroplasty: Systematic Review and Meta-Analysis.

Longo UG, Ciuffreda M, Mannering N, D'Andrea V, Cimmino M, Denaro V.

J Arthroplasty. 2018 Feb;33(2):620-632. doi: 10.1016/j.arth.2017.08.041. Epub 2017 Sep 6.

PMID:
29032861
38.

Cancer stem cells as functional biomarkers.

D'Andrea V, Panarese A, Tonda M, Biffoni M, Monti M.

Cancer Biomark. 2017 Sep 7;20(3):231-234. doi: 10.3233/CBM-151176. Review.

PMID:
28800308
39.

New totally intracorporeal reconstructive approach after robotic total gastrectomy: Technical details and short-term outcomes.

Parisi A, Ricci F, Gemini A, Trastulli S, Cirocchi R, Palazzini G, D'Andrea V, Desiderio J.

World J Gastroenterol. 2017 Jun 21;23(23):4293-4302. doi: 10.3748/wjg.v23.i23.4293.

40.

Outcomes of Posterior-Stabilized Compared with Cruciate-Retaining Total Knee Arthroplasty.

Longo UG, Ciuffreda M, Mannering N, D'Andrea V, Locher J, Salvatore G, Denaro V.

J Knee Surg. 2018 Apr;31(4):321-340. doi: 10.1055/s-0037-1603902. Epub 2017 Jun 30. Review.

PMID:
28666292
41.

Minimally invasive surgery for gastric cancer: A comparison between robotic, laparoscopic and open surgery.

Parisi A, Reim D, Borghi F, Nguyen NT, Qi F, Coratti A, Cianchi F, Cesari M, Bazzocchi F, Alimoglu O, Gagnière J, Pernazza G, D'Imporzano S, Zhou YB, Azagra JS, Facy O, Brower ST, Jiang ZW, Zang L, Isik A, Gemini A, Trastulli S, Novotny A, Marano A, Liu T, Annecchiarico M, Badii B, Arcuri G, Avanzolini A, Leblebici M, Pezet D, Cao SG, Goergen M, Zhang S, Palazzini G, D'Andrea V, Desiderio J.

World J Gastroenterol. 2017 Apr 7;23(13):2376-2384. doi: 10.3748/wjg.v23.i13.2376.

42.

Robotic right hemicolectomy: Analysis of 108 consecutive procedures and multidimensional assessment of the learning curve.

Parisi A, Scrucca L, Desiderio J, Gemini A, Guarino S, Ricci F, Cirocchi R, Palazzini G, D'Andrea V, Minelli L, Trastulli S.

Surg Oncol. 2017 Mar;26(1):28-36. doi: 10.1016/j.suronc.2016.12.005. Epub 2016 Dec 19.

PMID:
28317582
43.

The role of minimally invasive surgery in the treatment of cholangiocarcinoma.

Levi Sandri GB, Spoletini G, Mascianà G, Colasanti M, Lepiane P, Vennarecci G, D'Andrea V, Ettorre GM.

Eur J Surg Oncol. 2017 Sep;43(9):1617-1621. doi: 10.1016/j.ejso.2017.02.012. Epub 2017 Mar 3. Review.

PMID:
28292628
44.

A systematic analysis of controlled clinical trials using the NiTi CAR™ compression ring in colorectal anastomoses.

Tabola R, Cirocchi R, Fingerhut A, Arezzo A, Randolph J, Grassi V, Binda GA, D'Andrea V, Abraha I, Popivanov G, Di Saverio S, Zbar A.

Tech Coloproctol. 2017 Mar;21(3):177-184. doi: 10.1007/s10151-017-1583-2. Epub 2017 Jan 28. Review.

PMID:
28132113
45.

Laparoscopic and robotic approach for hepatocellular carcinoma-state of the art.

Levi Sandri GB, de Werra E, Mascianà G, Colasanti M, Santoro R, D'Andrea V, Ettorre GM.

Hepatobiliary Surg Nutr. 2016 Dec;5(6):478-484. doi: 10.21037/hbsn.2016.05.05. Review.

46.

Hepatobilio-pancreatic robotic surgery: initial experience from a single center institute.

Quijano Y, Vicente E, Ielpo B, Duran H, Diaz E, Fabra I, Malave L, Ferri V, Plaza C, Lindemann JL, D'Andrea V, Caruso R.

J Robot Surg. 2017 Sep;11(3):355-365. doi: 10.1007/s11701-016-0663-z. Epub 2016 Dec 30.

PMID:
28039607
47.

Management of concomitant hyperparathyroidism and thyroid diseases in the elderly patients: a retrospective cohort study.

Panarese A, D'Andrea V, Pontone S, Favoriti P, Pironi D, Arcieri S, Filippini A, Sorrenti S.

Aging Clin Exp Res. 2017 Feb;29(Suppl 1):29-33. doi: 10.1007/s40520-016-0665-8. Epub 2016 Nov 10.

PMID:
27832469
48.

Multiparametric ultrasonography and ultrasound elastography in the differentiation of parathyroid lesions from ectopic thyroid lesions or lymphadenopathies.

Isidori AM, Cantisani V, Giannetta E, Diacinti D, David E, Forte V, Elia D, De Vito C, Sbardella E, Gianfrilli D, Monteleone F, Pepe J, Minisola S, Ascenti G, D'Andrea V, Catalano C, D'Ambrosio F.

Endocrine. 2017 Aug;57(2):335-343. doi: 10.1007/s12020-016-1116-1. Epub 2016 Oct 5.

PMID:
27709473
49.

T-cell polarization: Potential serological markers in preterm and term infants.

Frezza S, Gallini F, Palazzo R, Carollo M, De Carolis MP, D'Andrea V, Catenazzi P, Romagnoli C, Ausiello CM.

Early Hum Dev. 2016 Oct;101:69-71. doi: 10.1016/j.earlhumdev.2016.03.013. Epub 2016 Jul 11.

PMID:
27416057
50.

All-polyethylene versus metal-backed tibial component in total knee arthroplasty.

Longo UG, Ciuffreda M, D'Andrea V, Mannering N, Locher J, Denaro V.

Knee Surg Sports Traumatol Arthrosc. 2017 Nov;25(11):3620-3636. doi: 10.1007/s00167-016-4168-0. Epub 2016 May 21. Review.

PMID:
27209191

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