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abdominal pain abnormal acid activity acute abdomen acute pancreatitis amylase artery ascites associated bacterial barium enema bile duct biliary tract bilirubin biopsy bleeding blood carcinoma cause cells Chapter cholecystography chronic cirrhosis Clin clinical colon colonoscopy computed tomography contrast material Crohn's disease deficiency detected diagnosis diarrhea disorders distention drugs duodenal duodenum endoscopic esophageal evaluation examination factor fecal film fluid frequently function gallbladder gastric Gastroenterology gastrointestinal tract hematemesis hemorrhage hepatic imaging increased infection isoamylase jaundice lesions levels liver disease M.D. Professor malabsorption meal Medical melena mesenteric motility mucosa normal obstruction occur oral palpation patients peptic ulcer performed peritonitis platelet present pressure procedure Professor of Medicine protein radiographic Radiology rectal rectum reflux renal result scan School of Medicine serum skin small bowel small intestine sphincter stomach stool surgery surgical symptoms syndrome technique tients tion tissue tumors ultrasonography upper gastrointestinal urine usually vascular visceral vomiting