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Colon adenoma with an excessively long self-knotted stalk
Adenoma de colon con un tallo autoanudado excesivamente largo
Yimin Maa, Gaomin Chengb, Lijie Chengc, Zhenguo Qiaod,
Corresponding author
qzg66666666@163.com

Corresponding author.
a Department of Gastroenterology, Gaochun People's Hospital of Nanjing, Nanjing, China
b Department of Gastroenterology, Jingjiang People's Hospital, Taizhou, China
c Department of Gastroenterology, Kunshan Qiandeng people's Hospital, Kunshan fifth People's Hospital, Suzhou, China
d Department of Gastroenterology, Suzhou Ninth People's Hospital, Suzhou Ninth Hospital Affiliated to Soochow University, Suzhou, China
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                      "titulo" => "The significance of true knot of the umbilical cord in long-term offspring neurological health"
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                            0 => "Y&#46; Lichtman"
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                        "tituloSerie" => "Pak J Med Sci"
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                        "paginaInicial" => "671"
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                    0 => array:2 [
                      "titulo" => "Emergency department approach to gastric tube complications and review of the literature"
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                          "autores" => array:4 [
                            0 => "F&#46; O&#8217;Connell"
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                      ]
                    ]
                  ]
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                      "Revista" => array:3 [
                        "tituloSerie" => "Am J Emerg Med"
                        "fecha" => "2021"
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                      ]
                    ]
                  ]
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