Revista Espanola De Enfermedades Digestivas最新文献

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A painless abdominal mass: huge but mildly symptomatic - Solitary fibrous tumors. 无痛性腹部肿块:巨大但症状轻微 - 孤立性纤维瘤。
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-18 DOI: 10.17235/reed.2024.10802/2024
Ruotong Zhu, Peng Liu, Yu Liu, An Xie
{"title":"A painless abdominal mass: huge but mildly symptomatic - Solitary fibrous tumors.","authors":"Ruotong Zhu, Peng Liu, Yu Liu, An Xie","doi":"10.17235/reed.2024.10802/2024","DOIUrl":"https://doi.org/10.17235/reed.2024.10802/2024","url":null,"abstract":"<p><p>A 54-year-old woman was admitted to the hospital due to unexplained weight loss Physical examination revealed a significant abdominal mass. CT scanning revealed a large mixed-density mass in the abdomen closely associated with the liver.</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142473674","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}
引用次数: 0
Gastric cancer of unusual presentation, the importance of differential diagnosis. 表现异常的胃癌,鉴别诊断的重要性。
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-18 DOI: 10.17235/reed.2024.10725/2024
Raúl Gijón Villanova, Concepción López Peña, Alfonso Extremera Ortega, Alicia Martín-Lagos Maldonado, José Miguel Candel Erenas
{"title":"Gastric cancer of unusual presentation, the importance of differential diagnosis.","authors":"Raúl Gijón Villanova, Concepción López Peña, Alfonso Extremera Ortega, Alicia Martín-Lagos Maldonado, José Miguel Candel Erenas","doi":"10.17235/reed.2024.10725/2024","DOIUrl":"https://doi.org/10.17235/reed.2024.10725/2024","url":null,"abstract":"<p><p>We present the case of a 67-year-old male smoker with no medical history of interest. Admitted to Neurology for frontal headache, unsteady gait, temporospatial disorientation and vomiting. Laboratory tests (including vitamin B12, folic acid, lues) and cranial CT scan were normal, encephalogram compatible with diffuse encephalopathy and lumbar puncture with a finding of leptomeningeal carcinomatosis. In light of these findings, it was decided to look for occult tumor by thoracoabdominal-pelvic CT, which was negative for malignancy. In view of the results of the previous tests, it was decided to perform an endoscopic study. Colonoscopy reveals six 0-IIa Paris polyps in the left colon measuring 7-10 cm, which are removed. Gastroduodenoscopy shows a poorly distensible stomach, with erythematous gastric body mucosa and hard on biopsy. In addition, in the duodenum, three raised lesions with an excavated center (Fig. 1) of about 5 mm were identified and biopsied. Histology findings report mucosal and submucosal infiltration by poorly differentiated carcinoma. Immunohistochemistry positive for CK19, Glipican-3, weak positivity for CK7, conserved expression of MUC5AC and SMAD, negative for SF-1, inhibin, synaptophysin, INSM1, chromogramin, Gata-3 and S-100. The findings were suggestive of infiltration by poorly differentiated carcinoma of probable gastric origin. Unfortunately, during hospital admission the patient presented a progressive clinical deterioration and died two weeks later.</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142473679","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}
引用次数: 0
Endoscopic ultrasound-guided choledochoduodenostomy (EUS-CDS) as first-line treatment for malignant distal biliary obstruction. 内镜超声引导下胆总管十二指肠造口术(EUS-CDS)作为恶性远端胆道梗阻的一线治疗方法。
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-18 DOI: 10.17235/reed.2024.10735/2024
Claudia Álvarez Varela, José Ramón Foruny Olcina, Sergio López-Durán, Ana García García de Paredes, Eduardo Tavío, Carlota Meruéndano Padrón, Agustín Albillos, Enrique Vázquez Sequeiros
{"title":"Endoscopic ultrasound-guided choledochoduodenostomy (EUS-CDS) as first-line treatment for malignant distal biliary obstruction.","authors":"Claudia Álvarez Varela, José Ramón Foruny Olcina, Sergio López-Durán, Ana García García de Paredes, Eduardo Tavío, Carlota Meruéndano Padrón, Agustín Albillos, Enrique Vázquez Sequeiros","doi":"10.17235/reed.2024.10735/2024","DOIUrl":"https://doi.org/10.17235/reed.2024.10735/2024","url":null,"abstract":"<p><p>In patients with malignant distal biliary obstruction, drainage via Endoscopic Ultrasound-guided Choledochoduodenostomy (EUS-CDS) is indicated in clinical guidelines following a failed Endoscopic Retrograde Cholangiopancreatography (ERCP). However, current interest lies in evaluating its role as a first-line treatment. Through this letter, we present a case report that represents this clinical scenario, as well as a brief summary of the most recent literature supporting the use of EUS-CDS as a first-line treatment for malignant distal biliary obstruction.</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142473678","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}
引用次数: 0
Two Sides of the Same Coin: Eosinophilic and Herpetic Esophagitis in an Immunocompetent Young Adult. 一枚硬币的两面:免疫功能正常的年轻人患上的嗜酸性粒细胞性食管炎和疱疹性食管炎
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-18 DOI: 10.17235/reed.2024.10839/2024
Sandra Correia, Tiago Pereira Guedes, Maria Mexia Leitão, Isabel Pedroto, Sílvia Barrias
{"title":"Two Sides of the Same Coin: Eosinophilic and Herpetic Esophagitis in an Immunocompetent Young Adult.","authors":"Sandra Correia, Tiago Pereira Guedes, Maria Mexia Leitão, Isabel Pedroto, Sílvia Barrias","doi":"10.17235/reed.2024.10839/2024","DOIUrl":"https://doi.org/10.17235/reed.2024.10839/2024","url":null,"abstract":"<p><p>Dear Editor, We report a case of a 30-year-old woman with an 8-year diagnosis of eosinophilic esophagitis (EoE) treated with swallowed fluticasone propionate throughout this period. She presented to the emergency room with a two-day history of severe odynophagia, aphagia, retrosternal pain, and fever. The patient was febrile and hemodynamically stable, with no visible oropharyngeal lesions. She presented with elevated C-reactive protein (37 mg/L). An esophagogastroduodenoscopy was performed, which revealed white plaque-like lesions with \"volcano-like\" shallow ulcerations with raised edges on the distal esophagus (Figure 1aandb). Multiple biopsies were taken from both the center and edges of the lesions. The patient was empirically started on intravenous fluconazole due to the suspicion of candida esophagitis. However, the patient's symptoms worsened over the next two days, and acyclovir at a dose of 5 mg/kg was started. The initial work-up showed a positive titer for Herpes Simplex Virus (HSV)-2 IgM (1.6 U/L) and a negative titer for IgG (2.24 U/L), as well as a negative serological study for HSV-1, cytomegalovirus, and human immunodeficiency virus (HIV). Histological examination revealed multinucleated giant cells with nuclear molding and chromatin margination and cells with \"ground glass\" nuclei, along with typical Cowdry type A intranuclear inclusion bodies and immunohistochemical staining for HSV type 2, confirmed the diagnosis of herpetic esophagitis (Figure 1candd). The patient experienced rapid improvement and was discharged on oral acyclovir therapy at 400 mg/day, completing a total of 14 days of treatment with a total resolution of symptoms.</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142473688","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}
引用次数: 0
Immunohistochemistry staining for DNA mismatch repair proteins in endoscopic biopsies and the corresponding surgical specimen in colorectal cancer. 对结直肠癌内窥镜活检组织和相应手术标本中的 DNA 错配修复蛋白进行免疫组化染色。
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-18 DOI: 10.17235/reed.2024.10645/2024
Carmen Martínez Lapiedra, Alfonso García-Fadrique, María Zaida García Casado, Samuel Navarro Fos, Isidro Machado Puerto
{"title":"Immunohistochemistry staining for DNA mismatch repair proteins in endoscopic biopsies and the corresponding surgical specimen in colorectal cancer.","authors":"Carmen Martínez Lapiedra, Alfonso García-Fadrique, María Zaida García Casado, Samuel Navarro Fos, Isidro Machado Puerto","doi":"10.17235/reed.2024.10645/2024","DOIUrl":"https://doi.org/10.17235/reed.2024.10645/2024","url":null,"abstract":"<p><p>Microsatellite instability is found in 15% of sporadic colorectal cancers (CRC) and 95% of hereditary CRC cases. Lynch syndrome (LS) diagnosis begins with the analysis of the surgical specimen using methods such as immunohistochemistry (IHC), which identifies changes in the nuclear expression of DNA mismatch repair (MMR) proteins. However, IHC analysis on endoscopic biopsies could provide substantial benefits. Our goal was to assess the accuracy of MMR IHC status on endoscopic biopsies in comparison to corresponding surgical specimen in a series of CRC. We retrospectively selected patients who had undergone CRC surgery between February 2011 and January 2020 and had IHC testing for MMR proteins on the surgical specimen. The study was then performed on the corresponding endoscopic biopsies and results were compared. MMR IHC staining on surgical specimens were available for 361 CRC patients and only in 154 cases for preoperative endoscopic biopsies. The concordance between MMR IHC status of the endoscopic biopsy and the surgical specimen analysis was 98.6% for the MLH1/PMS2 proteins and 100% for MSH2/MSH6. In conclusion, endoscopic biopsies of colorectal tumors serve as a suitable tissue source for the immunohistochemical analysis of DNA repair proteins. The correlation with results from the surgical specimen was notably high and discrepancies were primarily as a result of intratumoral heterogeneity within the same sample. The features of MMR protein loss in endoscopic biopsies can provide clinicians with valuable information for specific therapeutic approaches and genetic counseling.</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142473680","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}
引用次数: 0
Clinical-pathological correlation of various symptoms in the diagnosis of pediatric eosinophilic esophagitis. 诊断小儿嗜酸性粒细胞食管炎时各种症状的临床病理相关性。
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-18 DOI: 10.17235/reed.2024.10812/2024
Julio César Moreno-Alfonso, Sharom Barbosa-Velásquez, Ada Molina Caballero, Alberto Pérez Martínez, María Concepción Yárnoz Irazábal
{"title":"Clinical-pathological correlation of various symptoms in the diagnosis of pediatric eosinophilic esophagitis.","authors":"Julio César Moreno-Alfonso, Sharom Barbosa-Velásquez, Ada Molina Caballero, Alberto Pérez Martínez, María Concepción Yárnoz Irazábal","doi":"10.17235/reed.2024.10812/2024","DOIUrl":"https://doi.org/10.17235/reed.2024.10812/2024","url":null,"abstract":"<p><p>Eosinophilic esophagitis (EoE) is an immune-mediated disorder of the esophagus with a broad spectrum of clinical presentations. Dysphagia and food impaction are the cardinal symptoms; however, their diagnostic utility remains controversial in pediatric populations. This study evaluates the clinical-pathological association of different symptoms with EoE. We conducted an analytical study of patients under 15 years of age who underwent esophagoscopy at a pediatric hospital between 2015 and 2022 due to suspected EoE (Reg. 341E/2023). The prevalence of various symptoms and medical histories was compared, along with their association with histopathological abnormalities, between patients with EoE and those without the disease (NEoE). A total of 24 EoE patients and 17 NEoE children were included.</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142473677","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}
引用次数: 0
Pulmonary aspiration during upper endoscopy in a patient prescribed semaglutide. 一名服用塞马鲁肽的患者在接受上内镜检查时发生肺吸入。
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-18 DOI: 10.17235/reed.2024.10844/2024
Tao Dong, Lan Wang, Hanying Wang, Jun Xiao
{"title":"Pulmonary aspiration during upper endoscopy in a patient prescribed semaglutide.","authors":"Tao Dong, Lan Wang, Hanying Wang, Jun Xiao","doi":"10.17235/reed.2024.10844/2024","DOIUrl":"https://doi.org/10.17235/reed.2024.10844/2024","url":null,"abstract":"<p><p>The past decade has witnessed an increasing use of glucagon-like peptide-1 receptor agonists (GLP-1RAs) owing to robust evidence of its benefits in type 2 diabetes and obesity. However, delay gastric emptying effect of GLP-1RAs has raised concerns for risk of gastric food retention and pneumonia aspiration during upper endoscopy. There have been observation studies reporting an increased incidence of gastric food retention among patients on GLP-1RAs, especially long-acting one like semaglutide. But the association between GLP-1RAs use and pneumonia aspiration during EGD remains unclear due to lack of high-level evidence. We report a case of pulmonary aspiration during EGD in a patient prescribed semaglutide.</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142473681","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}
引用次数: 0
A giant colorectal juvenile polyp in an adult. 成人巨型大肠幼年息肉。
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-18 DOI: 10.17235/reed.2024.10830/2024
Haifeng Jin, Zhen Liu, Jia Feng, Quanhui Chen
{"title":"A giant colorectal juvenile polyp in an adult.","authors":"Haifeng Jin, Zhen Liu, Jia Feng, Quanhui Chen","doi":"10.17235/reed.2024.10830/2024","DOIUrl":"https://doi.org/10.17235/reed.2024.10830/2024","url":null,"abstract":"<p><p>A 24-year-old man presented to our hospital because he found that his stool with intermittent blood for one month. The patient was healthy in the past. The patient had no family history of colorectal polyps or cancer. Gastroscopy showed normal. Colonoscopy revealed a solitary polyp with a long peduncle in the sigmoid colon, about 3.0cm in diameter, congestive edematous and erosion on the surface and chicken skin‑like in the surrounding mucosa. A clip was applied to the stalk and then the polyp was excised by electrocoagulation with a snare. Histopathological analysis revealed that the polyp was a juvenile polyp without any malignant signs.</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142473673","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}
引用次数: 0
Acute pancreatitis secondary to SGLT2i - An increasingly common problem. 继发于 SGLT2i 的急性胰腺炎 - 一个越来越常见的问题。
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-18 DOI: 10.17235/reed.2024.10789/2024
Alba Cortés-Gonzalez, Belén Bernad-Cabredo
{"title":"Acute pancreatitis secondary to SGLT2i - An increasingly common problem.","authors":"Alba Cortés-Gonzalez, Belén Bernad-Cabredo","doi":"10.17235/reed.2024.10789/2024","DOIUrl":"https://doi.org/10.17235/reed.2024.10789/2024","url":null,"abstract":"<p><p>Acute pancreatitis is an uncommon adverse effect of sodium-glucose linked transporter 2 inhibitors (SGLT2is). Their use has notably increased in recent years, hence clinical suspicion is key in patients recently started on these drugs. We report the case of an 83-year-old male patient who was admitted for a first acute pancreatitis episode of unclear etiology that eventually was attributed to dapaglifozin, a SGLT2i in widespread use.</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142473675","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}
引用次数: 0
To minimize invasion - Is it possible to treat a patient's early esophageal cancer and achalasia within one operation? 尽量减少侵犯 - 是否有可能在一次手术中治疗患者的早期食道癌和贲门失弛缓症?
IF 2.7 4区 医学
Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-18 DOI: 10.17235/reed.2024.10827/2024
Jiaxuan Zuo, Hengcun Li, Peng Li, Shutian Zhang
{"title":"To minimize invasion - Is it possible to treat a patient's early esophageal cancer and achalasia within one operation?","authors":"Jiaxuan Zuo, Hengcun Li, Peng Li, Shutian Zhang","doi":"10.17235/reed.2024.10827/2024","DOIUrl":"https://doi.org/10.17235/reed.2024.10827/2024","url":null,"abstract":"<p><strong>Background and aim: </strong>Patients with achalasia face an increased risk of dysplasia and squamous cell carcinoma due to chronic inflammation. We demonstrated the feasibility of performing endoscopic submucosal dissection (ESD) and well-designed peroral endoscopic myotomy (POEM) within a single operation, aiming to reduce trauma and enhance recovery.</p><p><strong>Methods: </strong>A 65-year-old male with progressive dysphagia was diagnosed with type II achalasia and suspected esophageal lesions. Our treatment plan involved addressing both achalasia and the lesions using POEM and ESD during one operation. POEM was initiated with a 2-cm longitudinal incision at 5 o'clock, establishing a submucosal tunnel from 32 cm from the incisors to 2 cm distal to the gastroesophageal junction. A 4 cm myotomy of the esophageal segment was performed, extending 2 cm into the proximal stomach. Subsequently, ESD was conducted on the suspicious lesion in the mid-esophagus.</p><p><strong>Results: </strong>En-bloc resection was achieved and histology revealed high-grade dysplasia with horizontal margin showed low-grade dysplasia. Follow-up assessments demonstrated decreased Eckardt's scores and no evidence of recurrence.</p><p><strong>Conclusions: </strong>By carefully planning the direction and length of the myotomy, we successfully managed POEM and ESD in a single operation. Individualized modifications to endoscopic procedures are crucial for achieving minimally invasive and cost-effective treatment for patients presenting with achalasia combined with esophageal early cancer.</p>","PeriodicalId":21342,"journal":{"name":"Revista Espanola De Enfermedades Digestivas","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142473682","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}
引用次数: 0
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