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Bile duct crystals collected either from the duodenum after gallbladder contraction or directly from bile duct aspiration are surrogates for gallbladder stones and microlithiasis. Whether bile crystals also serve as surrogates for bile duct stones or microlithiasis that forms in the bile duct after cholecystectomy is not known based on current data. Sphincter of Oddi dysfunction (SOD), due either to muscular spasm or sphincter fibrosis, is a cause of bile duct obstruction. Almost all of the literature on SOD involves patients who have had a prior cholecystectomy. Intuitively, obstruction at the SO following cholecystectomy would seem to lead to biliary stasis and predispose patients to bile duct microlithiasis. However, a recent study did not find bile duct crystals in patients with manometrically diagnosed SOD. The reason for this is unknown, although we hypothesize that cholesterol and bilirubinate crystals are not surrogates for brown pigment stones commonly found in patients following cholecystectomy.
If I am interpreting this message correctly, Ms. Della Badia is saying that Coach can make more money selling a large number of sub $300 handbags at factory outlets, than a smaller number of higher priced handbags at full price stores. This is disconcerting talk from a luxury goods company.
Le bémol: un peu trop de participants.
Will switching to premium gas help? I’ve heard that it burns more efficiently but doesn’t work well with older engines. My old Corolla lost a good bit of mileage when I tried switching, but come to find out it was on its deathbed anyway (500 miles a day delivering pizzas didn’t help.) Now I’m driving an ’86 4Runner with a rebuilt engine (about 18,000 miles on it) and wouldn’t mind some insight on the topic and what factors come into play when burning a higher octane fuel. And btw, GREAT INSTRUCTABLE!
J’ai connu NEW LOOK à ses début, lorsque la boutique du Forum des Halles à Paris a ouvert. A l’époque, les prix étaient plus bas (même si ce n’est pas excessif, je vous l’accorde) car maintenant des modèles sont en cuir et sont vendus entre 60 et 100 (si ce sont des bottes).
How do delete wikipedia’s featured article that contains copyright violation?
Will Blogging content of Various Sites findings lead to copyright infringement, Will mentioning Source help?
I’m really into photography and would quite like a job involving it however i do NOT want to take pictures of people (weddings and stuff), i like taking arty/creative pictures. I also love writing and I have been thinking of writing for a teenage magazine and hopefully being able to get photography in there as well. Has anybody got any ideas on what job I could do that involves my kind of photography and writing and how I could get there. At the moment I’m 16..
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