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John Romano,1 Thaer Abdelfattah,2 Paul P Manka,3 Michael Fuchs,2,4 Wing-Kin Syn1,5,6 1Division of Gastroenterology and Hepatology, Medical University of South Carolina, Charleston, SC, USA; 2Division of Gastroenterology and Hepatology, Central Virginia VA Health Care System, Richmond, VA, USA; 3Department of Internal Medicine, University Hospital, Knappschaftskrankenhaus, Ruhr-University Bochum, Bochum, Germany; 4Division of Gastroenterology and Hepatology, Virginia Commonwealth University, Richmond, VA, USA; 5Section of Gastroenterology, Ralph H Johnson VAMC, Charleston, SC, USA; 6Department of Physiology, Faculty of Medicine and Nursing, University of the Basque Country, Universidad del Pa S Vasco/Euskal Herriko Univertsitatea (UPV/EHU), Leioa, SpainCorrespondence: John RomanoDivision of Gastroenterology and Hepatology, Medical University of South Carolina, Strom Thurmond Gazes Cardiac Research Institute 30 Courtenay Drive Suite: 249, Charleston, SC, USAEmail Romanoj@musc.edu