Pub Date : 2026-02-06DOI: 10.1016/j.gastrohep.2026.502700
Maria Teresa Salcedo-Allende, Victoria Fuste Chimisana, Adriana Carolina Zucchiatti Llanos, Teresa Serrano Piñol, Miriam Cuatrecasas Freixas, Ivan Archilla Sanz, Maria Rosa Ortiz, Cristina Melendez Muñoz, Ana Aula Olivar, Raquel López Martos, Alba Hernandez Gallego, Miriam Gené Hijos, Maria Luisa Diaz Fernández, Mar Iglesias Coma, Clarisa González Muñoz, Cinthya J Baez Leal, Caterina Fumagalli, Justyna Szafranska, Marta Vidal Borrego, Santiago Sánchez Cabús, Joan Carles Ferreres Piñas, Eva C Vaquero Raya
Background: the lack of standardised protocols for the pathological assessment of pancreatic resection specimens in pancreatic ductal adenocarcinoma results in substantial variability in diagnostic practice, with relevant clinical and organisational implications.
Objective: to present a position statement of the Societat Catalana de Pàncrees (SCPanc) and the Societat Catalana d'Anatomia Patològica (SCAP) on the pathological assessment of pancreatic resection specimens in exocrine pancreatic cancer.
Methods: both scientific societies appointed a panel of experts in pancreatic pathology. The document was developed through a narrative literature review, iterative expert meetings and consensus-based definition of practical clinical scenarios.
Conclusions: this position statement provides an original, practice-oriented and consensus-based framework for the pathological assessment of pancreatic resections, aiming to harmonise reporting and support high-quality routine diagnostic practice.
{"title":"Position statement on the pathological assessment of pancreatic resection specimens in pancreatic ductal adenocarcinoma (PDAC) by the Societat Catalana de Pàncrees (SCPanc; Catalan Pancreas Society) and the Societat Catalana d'Anatomia Patològica (SCAP; Catalan Society of Pathology).","authors":"Maria Teresa Salcedo-Allende, Victoria Fuste Chimisana, Adriana Carolina Zucchiatti Llanos, Teresa Serrano Piñol, Miriam Cuatrecasas Freixas, Ivan Archilla Sanz, Maria Rosa Ortiz, Cristina Melendez Muñoz, Ana Aula Olivar, Raquel López Martos, Alba Hernandez Gallego, Miriam Gené Hijos, Maria Luisa Diaz Fernández, Mar Iglesias Coma, Clarisa González Muñoz, Cinthya J Baez Leal, Caterina Fumagalli, Justyna Szafranska, Marta Vidal Borrego, Santiago Sánchez Cabús, Joan Carles Ferreres Piñas, Eva C Vaquero Raya","doi":"10.1016/j.gastrohep.2026.502700","DOIUrl":"https://doi.org/10.1016/j.gastrohep.2026.502700","url":null,"abstract":"<p><strong>Background: </strong> the lack of standardised protocols for the pathological assessment of pancreatic resection specimens in pancreatic ductal adenocarcinoma results in substantial variability in diagnostic practice, with relevant clinical and organisational implications.</p><p><strong>Objective: </strong> to present a position statement of the Societat Catalana de Pàncrees (SCPanc) and the Societat Catalana d'Anatomia Patològica (SCAP) on the pathological assessment of pancreatic resection specimens in exocrine pancreatic cancer.</p><p><strong>Methods: </strong> both scientific societies appointed a panel of experts in pancreatic pathology. The document was developed through a narrative literature review, iterative expert meetings and consensus-based definition of practical clinical scenarios.</p><p><strong>Content: </strong>specimen reception and fixation; grossing protocol; margin sampling (including vascular resections); staging (TNM) and treatment response; reporting templates; practical appendices.</p><p><strong>Conclusions: </strong> this position statement provides an original, practice-oriented and consensus-based framework for the pathological assessment of pancreatic resections, aiming to harmonise reporting and support high-quality routine diagnostic practice.</p>","PeriodicalId":12802,"journal":{"name":"Gastroenterologia y hepatologia","volume":" ","pages":"502700"},"PeriodicalIF":1.9,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146142276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01DOI: 10.1016/j.gastrohep.2025.502499
Guillermo Castillo-López, Carmen García Huerta, César Prieto de Frías, José María Riesco López
{"title":"Puente mucoso esofágico: un hallazgo endoscópico sorprendente","authors":"Guillermo Castillo-López, Carmen García Huerta, César Prieto de Frías, José María Riesco López","doi":"10.1016/j.gastrohep.2025.502499","DOIUrl":"10.1016/j.gastrohep.2025.502499","url":null,"abstract":"","PeriodicalId":12802,"journal":{"name":"Gastroenterologia y hepatologia","volume":"49 2","pages":"Article 502499"},"PeriodicalIF":1.9,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144225268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01DOI: 10.1016/j.gastrohep.2025.502537
Zhongshang Sun , Fazhen Xu , Xiaozhong Yang , Aijun Zhou , Bing Hu , Liansong Ye , Feng Pan
{"title":"Adjunctive resection of residual mucosal flap during Z-POEM for large Zenker's diverticulum","authors":"Zhongshang Sun , Fazhen Xu , Xiaozhong Yang , Aijun Zhou , Bing Hu , Liansong Ye , Feng Pan","doi":"10.1016/j.gastrohep.2025.502537","DOIUrl":"10.1016/j.gastrohep.2025.502537","url":null,"abstract":"","PeriodicalId":12802,"journal":{"name":"Gastroenterologia y hepatologia","volume":"49 2","pages":"Article 502537"},"PeriodicalIF":1.9,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144951509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01DOI: 10.1016/j.gastrohep.2025.502516
Laura Guberna Blanco , Tamara Llamero Sanz , Concepción de La Plaza Román , Javier Pérez-Bedmar Delgado
{"title":"Diagnóstico de pólipo fibroide inflamatorio ileal en un paciente con infección previa por Enterobius vermicularis","authors":"Laura Guberna Blanco , Tamara Llamero Sanz , Concepción de La Plaza Román , Javier Pérez-Bedmar Delgado","doi":"10.1016/j.gastrohep.2025.502516","DOIUrl":"10.1016/j.gastrohep.2025.502516","url":null,"abstract":"","PeriodicalId":12802,"journal":{"name":"Gastroenterologia y hepatologia","volume":"49 2","pages":"Article 502516"},"PeriodicalIF":1.9,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144257962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01DOI: 10.1016/j.gastrohep.2025.502536
Faust Riu Pons , Noèlia Vilalta , Gemma Ibáñez-Sanz , Sergi Quintana-Carbó , Andrea Calvo , Hugo Uchima , Pilar García-Iglesias , Cristina Romero-Mascarell , Ermengol Vallès , Marco Antonio Álvarez
Introduction
The use of antiplatelet and anticoagulant drugs is common in patients undergoing elective endoscopic procedures. To minimize both bleeding and thromboembolic risks, an individualized assessment is essential. For this purpose, the Societat Catalana de Digestologia (SCD) commissioned a consensus document aimed at providing practical recommendations based on the best available evidence and expert agreement.
Material and Methods
A panel of 10 specialists from the fields of Gastroenterology, Cardiology, Hematology, and Anesthesiology were involved in the development of the document. A non-systematic review of the literature was conducted using a modified Delphi method through online voting. Recommendations were reviewed and discussed during each round until consensus was reached. Recommendations with ≥80% agreement were accepted.
Results
A total of 16 endoscopic procedures were assessed based on their hemorrhagic risk, and tailored management guidelines were defined to different groups of antithrombotic agents. The document includes a management algorithm and stratification tables for bleeding and thrombotic risk.
Conclusion
The recommendations developed by the SCD integrate international evidence and are adapted to the local healthcare context, providing a valuable tool for clinical practice. The importance of multidisciplinary coordination and effective communication with the patient is emphasized to ensure safety throughout the periprocedural period.
{"title":"Fármacos antitrombóticos en la endoscopia digestiva. Documento de posicionamiento de la Societat Catalana de Digestologia","authors":"Faust Riu Pons , Noèlia Vilalta , Gemma Ibáñez-Sanz , Sergi Quintana-Carbó , Andrea Calvo , Hugo Uchima , Pilar García-Iglesias , Cristina Romero-Mascarell , Ermengol Vallès , Marco Antonio Álvarez","doi":"10.1016/j.gastrohep.2025.502536","DOIUrl":"10.1016/j.gastrohep.2025.502536","url":null,"abstract":"<div><h3>Introduction</h3><div>The use of antiplatelet and anticoagulant drugs is common in patients undergoing elective endoscopic procedures. To minimize both bleeding and thromboembolic risks, an individualized assessment is essential. For this purpose, the <em>Societat Catalana de Digestologia</em> (SCD) commissioned a consensus document aimed at providing practical recommendations based on the best available evidence and expert agreement.</div></div><div><h3>Material and Methods</h3><div>A panel of 10 specialists from the fields of Gastroenterology, Cardiology, Hematology, and Anesthesiology were involved in the development of the document. A non-systematic review of the literature was conducted using a modified Delphi method through online voting. Recommendations were reviewed and discussed during each round until consensus was reached. Recommendations with ≥80% agreement were accepted.</div></div><div><h3>Results</h3><div>A total of 16 endoscopic procedures were assessed based on their hemorrhagic risk, and tailored management guidelines were defined to different groups of antithrombotic agents. The document includes a management algorithm and stratification tables for bleeding and thrombotic risk.</div></div><div><h3>Conclusion</h3><div>The recommendations developed by the SCD integrate international evidence and are adapted to the local healthcare context, providing a valuable tool for clinical practice. The importance of multidisciplinary coordination and effective communication with the patient is emphasized to ensure safety throughout the periprocedural period.</div></div>","PeriodicalId":12802,"journal":{"name":"Gastroenterologia y hepatologia","volume":"49 2","pages":"Article 502536"},"PeriodicalIF":1.9,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144845588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01DOI: 10.1016/j.gastrohep.2025.502628
Nuria Boullón-Batalla , Paula Fraga-Blanco , Eduard Brunet-Mas , Margalida Calafat , Lucia Madero , Iria Bastón-Rey , Grupo Joven de GETECCU
{"title":"¿Es la fertilidad un desafío en los pacientes con enfermedad inflamatoria intestinal en edad reproductiva?","authors":"Nuria Boullón-Batalla , Paula Fraga-Blanco , Eduard Brunet-Mas , Margalida Calafat , Lucia Madero , Iria Bastón-Rey , Grupo Joven de GETECCU","doi":"10.1016/j.gastrohep.2025.502628","DOIUrl":"10.1016/j.gastrohep.2025.502628","url":null,"abstract":"","PeriodicalId":12802,"journal":{"name":"Gastroenterologia y hepatologia","volume":"49 2","pages":"Article 502628"},"PeriodicalIF":1.9,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145503486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01DOI: 10.1016/j.gastrohep.2025.502559
Rebeca Font , Anna Serradesanferm , Ramon Clèries , Judit Solà , Maria Pellisé , Francesc Balaguer , Josep M. Castellví , Oscar Navarro-Campàs , Natàlia Pascual-Argente , Ester Sánchez-Tilló , Josep A. Espinàs , Antoni Castells
Objective
The primary goal of a public health system is to ensure universal access to high-quality medical care. However, disparities in health outcomes have been observed across socio-demographic groups, some of them potentially related to their geographical location. To assess territorial equity, the Catalan Colorectal Cancer Screening Program was used, focusing on the adenoma detection rate (ADR) endoscopists.
Patients and methods
This population-based screening program is based on fecal immunochemical testing. Positive individuals undergo colonoscopy in the endoscopy unit corresponding to their area of residence. Both ADR and serrated polyp detection rate (SPDR) of all endoscopists were assessed and reported in terms of variability among endoscopy units and proportion of endoscopists who did not reach pre-established quality standards (40% and 20%, respectively).
Results
A total of 35,825 colonoscopies performed by 206 endoscopists of 39 endoscopy units were evaluated. Analysis of ADR variability revealed that 11 units (28.2%) performed significantly above the average of Catalonia, while 3 units (7.7%) performed below it. In terms of SPDR variability, 22 units (56.4%) significantly exceeded the average, whereas 8 units (20.5%) fell below this benchmark. Moreover, all endoscopists in 28 units (71.8%) achieved the ADR threshold of 40%, while this was the case in only 12 (30.8%) when using the SPDR threshold of 20%.
Conclusion
Quality of colonoscopy, measured by the ADR, was high with minimal variability among units; however, using the SPDR revealed greater variability. This analysis underscores the value of indicators derived from screening programs as essential tools for evaluating potential territorial inequities.
{"title":"Territorial equity assessment within a colorectal cancer screening program: Usefulness of colonoscopy quality indicators","authors":"Rebeca Font , Anna Serradesanferm , Ramon Clèries , Judit Solà , Maria Pellisé , Francesc Balaguer , Josep M. Castellví , Oscar Navarro-Campàs , Natàlia Pascual-Argente , Ester Sánchez-Tilló , Josep A. Espinàs , Antoni Castells","doi":"10.1016/j.gastrohep.2025.502559","DOIUrl":"10.1016/j.gastrohep.2025.502559","url":null,"abstract":"<div><h3>Objective</h3><div>The primary goal of a public health system is to ensure universal access to high-quality medical care. However, disparities in health outcomes have been observed across socio-demographic groups, some of them potentially related to their geographical location. To assess territorial equity, the Catalan Colorectal Cancer Screening Program was used, focusing on the adenoma detection rate (ADR) endoscopists.</div></div><div><h3>Patients and methods</h3><div>This population-based screening program is based on fecal immunochemical testing. Positive individuals undergo colonoscopy in the endoscopy unit corresponding to their area of residence. Both ADR and serrated polyp detection rate (SPDR) of all endoscopists were assessed and reported in terms of variability among endoscopy units and proportion of endoscopists who did not reach pre-established quality standards (40% and 20%, respectively).</div></div><div><h3>Results</h3><div>A total of 35,825 colonoscopies performed by 206 endoscopists of 39 endoscopy units were evaluated. Analysis of ADR variability revealed that 11 units (28.2%) performed significantly above the average of Catalonia, while 3 units (7.7%) performed below it. In terms of SPDR variability, 22 units (56.4%) significantly exceeded the average, whereas 8 units (20.5%) fell below this benchmark. Moreover, all endoscopists in 28 units (71.8%) achieved the ADR threshold of 40%, while this was the case in only 12 (30.8%) when using the SPDR threshold of 20%.</div></div><div><h3>Conclusion</h3><div>Quality of colonoscopy, measured by the ADR, was high with minimal variability among units; however, using the SPDR revealed greater variability. This analysis underscores the value of indicators derived from screening programs as essential tools for evaluating potential territorial inequities.</div></div>","PeriodicalId":12802,"journal":{"name":"Gastroenterologia y hepatologia","volume":"49 2","pages":"Article 502559"},"PeriodicalIF":1.9,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145029620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01DOI: 10.1016/j.gastrohep.2025.502521
Victor Fernandez-Alonso , Leticia Lopez-Pedraza , Ana Maria Hernandez-Matias , Ana Fernandez-Alonso , Manuela Perez-Gomez , Maria Nieves Moro-Tejedor
Introduction
Liver transplantation continues to be the most effective treatment of choice for patients with end-stage liver disease. Patients who go through that process experienced emotional stress and transplanted patients have a high rate of readmission.
Aims
This study aims to analyze the relation between mental health and hospital readmissions during the first year after liver transplantation.
Method
A prospective study was conducted in a cohort of liver transplant patients in a tertiary hospital. Sociodemographic and clinical variables were collected. A descriptive analysis of the data and a multivariate study using a mixed linear model were performed.
Results
Liver transplant patients improve their mental health within the first year. Hospital admissions during the first-year impact negatively increasing anxiety and depression in liver transplant patients, especially in women.
Conclusion
The nurse must carry out a continuous psychological evaluation during the process and manage the necessary care, coordinating interdisciplinary care with the appropriate professionals to provide the emotional and psychological care. A multidisciplinary and interdisciplinary team should focus on the prevention of hospital admissions, controlling and managing cardiovascular risk, adherence to immunosuppressive treatment, adherence to the clinical follow-up prescribed by physicians, prevention of infections and promotion of healthy habits.
{"title":"Hospital readmissions after liver transplantation worsen mental health depression: A cohort study","authors":"Victor Fernandez-Alonso , Leticia Lopez-Pedraza , Ana Maria Hernandez-Matias , Ana Fernandez-Alonso , Manuela Perez-Gomez , Maria Nieves Moro-Tejedor","doi":"10.1016/j.gastrohep.2025.502521","DOIUrl":"10.1016/j.gastrohep.2025.502521","url":null,"abstract":"<div><h3>Introduction</h3><div>Liver transplantation continues to be the most effective treatment of choice for patients with end-stage liver disease. Patients who go through that process experienced emotional stress and transplanted patients have a high rate of readmission.</div></div><div><h3>Aims</h3><div>This study aims to analyze the relation between mental health and hospital readmissions during the first year after liver transplantation.</div></div><div><h3>Method</h3><div>A prospective study was conducted in a cohort of liver transplant patients in a tertiary hospital. Sociodemographic and clinical variables were collected. A descriptive analysis of the data and a multivariate study using a mixed linear model were performed.</div></div><div><h3>Results</h3><div>Liver transplant patients improve their mental health within the first year. Hospital admissions during the first-year impact negatively increasing anxiety and depression in liver transplant patients, especially in women.</div></div><div><h3>Conclusion</h3><div>The nurse must carry out a continuous psychological evaluation during the process and manage the necessary care, coordinating interdisciplinary care with the appropriate professionals to provide the emotional and psychological care. A multidisciplinary and interdisciplinary team should focus on the prevention of hospital admissions, controlling and managing cardiovascular risk, adherence to immunosuppressive treatment, adherence to the clinical follow-up prescribed by physicians, prevention of infections and promotion of healthy habits.</div></div>","PeriodicalId":12802,"journal":{"name":"Gastroenterologia y hepatologia","volume":"49 2","pages":"Article 502521"},"PeriodicalIF":1.9,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144564658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01DOI: 10.1016/j.gastrohep.2025.502561
Sara Campos Cancela, Iago Gavín Piña, Natalia García Morales, Antonio José Rodríguez D’Jesús
{"title":"Cáncer de mama metastásico como causa de obstrucción gastroduodenal. Un asunto de endoscopistas","authors":"Sara Campos Cancela, Iago Gavín Piña, Natalia García Morales, Antonio José Rodríguez D’Jesús","doi":"10.1016/j.gastrohep.2025.502561","DOIUrl":"10.1016/j.gastrohep.2025.502561","url":null,"abstract":"","PeriodicalId":12802,"journal":{"name":"Gastroenterologia y hepatologia","volume":"49 2","pages":"Article 502561"},"PeriodicalIF":1.9,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145029604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01DOI: 10.1016/j.gastrohep.2025.502498
Raúl Fernández García, Marta Lecuona Muñoz, Eduardo Redondo Cerezo, Maria del Carmen Fernández Cano
{"title":"Doble píloro, una complicación infrecuente de una úlcera péptica","authors":"Raúl Fernández García, Marta Lecuona Muñoz, Eduardo Redondo Cerezo, Maria del Carmen Fernández Cano","doi":"10.1016/j.gastrohep.2025.502498","DOIUrl":"10.1016/j.gastrohep.2025.502498","url":null,"abstract":"","PeriodicalId":12802,"journal":{"name":"Gastroenterologia y hepatologia","volume":"49 2","pages":"Article 502498"},"PeriodicalIF":1.9,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144208331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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