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The character and distribution of thickened intestinal walls may influence my recommendation of endoscopy or surgical biopsy, and a single focal thickening might heighten my suspicion for an intestinal adenocarcinoma

Bridging America and Russia with Shared Perspectives on Aquatic Animal Health, pp 176184 Khan S, Ahmed S, Saifullah MK, Abidi SMA (2014) Modulation of oxidative stress in Trichogaster fasciatus caused by infection with Clinostomum complanatum progenetic metacercariae

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However, multiple attacks can occur in rapid succession, sometimes hundreds of times a day