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Guarantor of the article: Fernando Azpiroz, M.D. Specific author contributions: Anna Accarino: study design, evaluation of patients, conduction of studies, data analysis, and review of manuscript; Frederic Perez: design of computer analysis program, and data analysis; Fernando Azpiroz: study design, interpretation of data, and preparation of manuscript; Sergio Quiroga: interpretation of CT images; Juan-R. Malagelada: study design, interpretation of data, and review of manuscript. Financial support: This study was supported in part by the Spanish Ministry of Education (Dirección General de Investigación, SAF 2006-03907). Ciberehd is funded by the Instituto de Salud Carlos III. Potential competing interests: None.
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