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in the rare event where there was not unanimous consensus on wording (not the direction of the recommendation), the guideline panel (excluding N.P.) voted, with a simple majority prevailing

In research settings, it is used to study multi-hormonal metabolic pathways, peptide-receptor signaling, and mechanisms related to energy balance and nutrient regulation

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29 Pooled results of several observational studies show no difference in patient-reported rates of reflux after POEM or LHM but significantly higher rates of objective reflux after POEM identified by pH studies, esophagram, or EGD

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