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Stefano Guandalini

TitleEmeritus/Emerita, Professor (CS)
InstitutionUniversity of Chicago
DepartmentPediatrics-Gastroenterology
AddressChicago IL 60637
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    Collapse Biography 
    Collapse education and training
    University of Naples, Naples, Italy07/1977Ped GI Fellowship
    University of Messina, Messina, ItalyPediatrician10/1974Pediatric Residency
    University of Messina, Messina, ItalyMD08/1971Medicine
    Collapse awards and honors
    2008 - 2019America's Top Doctors, Castle-Connolly
    - 2018Frederic W. Schlutz Award for Lifetime Achievements , Department of Pediatrics University of Chicago
    - 2018Gold Key Award, University of Chicago Medicine
    - 2017American Gastroenterological Association Fellow, American Gastroenterological Association
    - 2012Master of Pediatrics, Italian Society of Pediatrics

    Collapse ORNG Applications 
    Collapse Websites

    Collapse Bibliographic 
    Collapse selected publications
    Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Faculty can login to make corrections and additions.
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    1. Brown NK, Guandalini S, Semrad C, Kupfer SS. A Clinician's Guide to Celiac Disease HLA Genetics. Am J Gastroenterol. 2019 10; 114(10):1587-1592. PMID: 31274511.
      View in: PubMed
    2. Patton T, Chugh A, Padhye L, DeGeeter C, Guandalini S. Pediatric Celiac Disease and Eosinophilic Esophagitis: Outcome of Dietary Therapy. J Pediatr Gastroenterol Nutr. 2019 Aug; 69(2):e43-e48. PMID: 30921260.
      View in: PubMed
    3. Terryberry J, Tuomi J, Perampalam S, Peloquin R, Brouwer E, Schuppan D, Guandalini S. Diagnostic accuracy of a fully automated multiplex celiac disease antibody panel for serum and plasma. Clin Chem Lab Med. 2019 07 26; 57(8):1207-1217. PMID: 30903755.
      View in: PubMed
    4. Guandalini S. Editorial: faecal gluten immunogenic peptides in coeliac children. Aliment Pharmacol Ther. 2019 07; 50(1):107-108. PMID: 31184396.
      View in: PubMed
    5. Green PHR, Guandalini S. When Is Celiac Disease Celiac Disease? Gastroenterology. 2019 08; 157(2):293-294. PMID: 31260660.
      View in: PubMed
    6. Amirikian K, Sansotta N, Guandalini S, Jericho H. Effects of the Gluten-free Diet on Body Mass Indexes in Pediatric Celiac Patients. J Pediatr Gastroenterol Nutr. 2019 03; 68(3):360-363. PMID: 30801395.
      View in: PubMed
    7. Mayassi T, Ladell K, Gudjonson H, McLaren JE, Shaw DG, Tran MT, Rokicka JJ, Lawrence I, Grenier JC, van Unen V, Ciszewski C, Dimaano M, Sayegh HE, Kumar V, Wijmenga C, Green PHR, Gokhale R, Jericho H, Semrad CE, Guandalini S, Dinner AR, Kupfer SS, Reid HH, Barreiro LB, Rossjohn J, Price DA, Jabri B. Chronic Inflammation Permanently Reshapes Tissue-Resident Immunity in Celiac Disease. Cell. 2019 02 21; 176(5):967-981.e19. PMID: 30739797.
      View in: PubMed
    8. Guandalini S, Sansotta N. Probiotics in the Treatment of Inflammatory Bowel Disease. Adv Exp Med Biol. 2019; 1125:101-107. PMID: 30632114.
      View in: PubMed
    9. DeGeeter C, Guandalini S. Food Sensitivities: Fact Versus Fiction. Gastroenterol Clin North Am. 2018 12; 47(4):895-908. PMID: 30337039.
      View in: PubMed
    10. Robert ME, Crowe SE, Burgart L, Yantiss RK, Lebwohl B, Greenson JK, Guandalini S, Murray JA. Statement on Best Practices in the Use of Pathology as a Diagnostic Tool for Celiac Disease: A Guide for Clinicians and Pathologists. Am J Surg Pathol. 2018 09; 42(9):e44-e58. PMID: 29923907.
      View in: PubMed
    11. Jericho H, Guandalini S. Extra-Intestinal Manifestation of Celiac Disease in Children. Nutrients. 2018 Jun 12; 10(6). PMID: 29895731.
      View in: PubMed
    12. Gibson PR, Lundin KEA, Guandalini S. Is Non-Celiac Rice-Starch Sensitivity as Common in Children as Non-Celiac Gluten Sensitivity? Am J Gastroenterol. 2018 08; 113(8):1254. PMID: 29880973.
      View in: PubMed
    13. Lifschitz CH, Vanderhoof J, Winter H, Guandalini S, Klish W, Grand R, Walker A, Perman J. Chapter 4. The Relationship Between the European and North American Societies for Pediatric Gastroenterology, Hepatology and Nutrition. J Pediatr Gastroenterol Nutr. 2018 04; 66 Suppl 1:S44-S53. PMID: 29596164.
      View in: PubMed
    14. Auricchio S, Cadranel S, Guandalini S, Kelly D, Koletzko B, Lentze MJ, McNeish AS, Milla PJ, Rey J, Schmitz J, Shamir R, Strandvik B, Troncone R, Visakorpi J. Chapter 8. 50 Years of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN): Captivating Witness Reports of a Success Story. J Pediatr Gastroenterol Nutr. 2018 04; 66 Suppl 1:S154-S171. PMID: 29596189.
      View in: PubMed
    15. Sansotta N, Amirikian K, Guandalini S, Jericho H. Celiac Disease Symptom Resolution: Effectiveness of the Gluten-free Diet. J Pediatr Gastroenterol Nutr. 2018 01; 66(1):48-52. PMID: 28514243.
      View in: PubMed
    16. Guandalini S. The approach to Celiac Disease in children. Int J Pediatr Adolesc Med. 2017 Sep; 4(3):124-127. PMID: 30805515.
      View in: PubMed
    17. Jericho H, Sansotta N, Guandalini S. Extraintestinal Manifestations of Celiac Disease: Effectiveness of the Gluten-Free Diet. J Pediatr Gastroenterol Nutr. 2017 07; 65(1):75-79. PMID: 28644353.
      View in: PubMed
    18. Discepolo V, Guandalini S. Celiac Disease Treatment: Is It the Chicken or the Egg Yolk? Dig Dis Sci. 2017 05; 62(5):1113-1115. PMID: 28194597.
      View in: PubMed
    19. Bouziat R, Hinterleitner R, Brown JJ, Stencel-Baerenwald JE, Ikizler M, Mayassi T, Meisel M, Kim SM, Discepolo V, Pruijssers AJ, Ernest JD, Iskarpatyoti JA, Costes LM, Lawrence I, Palanski BA, Varma M, Zurenski MA, Khomandiak S, McAllister N, Aravamudhan P, Boehme KW, Hu F, Samsom JN, Reinecker HC, Kupfer SS, Guandalini S, Semrad CE, Abadie V, Khosla C, Barreiro LB, Xavier RJ, Ng A, Dermody TS, Jabri B. Reovirus infection triggers inflammatory responses to dietary antigens and development of celiac disease. Science. 2017 04 07; 356(6333):44-50. PMID: 28386004.
      View in: PubMed
    20. Jericho H, Assiri A, Guandalini S. Celiac Disease and Wheat Intolerance Syndrome: A Critical Update and Reappraisal. J Pediatr Gastroenterol Nutr. 2017 01; 64(1):15-21. PMID: 27322560.
      View in: PubMed
    21. Elli L, Branchi F, Sidhu R, Guandalini S, Assiri A, Rinawi F, Shamir R, Das P, Makharia GK. Small bowel villous atrophy: celiac disease and beyond. Expert Rev Gastroenterol Hepatol. 2017 Feb; 11(2):125-138. PMID: 28000520.
      View in: PubMed
    22. Allred LK, Lesko K, McKiernan D, Kupper C, Guandalini S. The Celiac Patient Antibody Response to Conventional and Gluten-Removed Beer. J AOAC Int. 2017 Mar 01; 100(2):485-491. PMID: 28118560.
      View in: PubMed
    23. Saps M, Sansotta N, Bingham S, Magazzu G, Grosso C, Romano S, Pusatcioglu C, Guandalini S. Abdominal Pain-Associated Functional Gastrointestinal Disorder Prevalence in Children and Adolescents with Celiac Disease on Gluten-Free Diet: A Multinational Study. J Pediatr. 2017 03; 182:150-154. PMID: 27979583.
      View in: PubMed
    24. Jericho H, Sansotta N, Guandalini S. Extra-intestinal Manifestations of Celiac Disease: Effectiveness of the Gluten Free Diet. J Pediatr Gastroenterol Nutr. 2016 Oct 13. PMID: 27755346.
      View in: PubMed
    25. Snyder J, Butzner JD, DeFelice AR, Fasano A, Guandalini S, Liu E, Newton KP. Evidence-Informed Expert Recommendations for the Management of Celiac Disease in Children. Pediatrics. 2016 09; 138(3). PMID: 27565547.
      View in: PubMed
    26. Guandalini S, Tundia N, Thakkar R, Macaulay D, Essenmacher K, Fuldeore M. Direct Costs in Patients with Celiac Disease in the USA: A Retrospective Claims Analysis. Dig Dis Sci. 2016 10; 61(10):2823-2830. PMID: 27417565.
      View in: PubMed
    27. Tomal J, McKiernan D, Guandalini S, Semrad CE, Kupfer S. Celiac patients' attitudes regarding novel therapies. Minerva Gastroenterol Dietol. 2016 Dec; 62(4):275-280. PMID: 27405659.
      View in: PubMed
    28. Hill ID, Fasano A, Guandalini S, Hoffenberg E, Levy J, Reilly N, Verma R. NASPGHAN Clinical Report on the Diagnosis and Treatment of Gluten-related Disorders. J Pediatr Gastroenterol Nutr. 2016 07; 63(1):156-65. PMID: 27035374.
      View in: PubMed
    29. Silano M, Agostoni C, Sanz Y, Guandalini S. Infant feeding and risk of developing celiac disease: a systematic review. BMJ Open. 2016 01 25; 6(1):e009163. PMID: 26810996.
      View in: PubMed
    30. Guarino A, Guandalini S, Lo Vecchio A. Probiotics for Prevention and Treatment of Diarrhea. J Clin Gastroenterol. 2015 Nov-Dec; 49 Suppl 1:S37-45. PMID: 26447963.
      View in: PubMed
    31. Pinto-Sánchez MI, Verdu EF, Liu E, Bercik P, Green PH, Murray JA, Guandalini S, Moayyedi P. Gluten Introduction to Infant Feeding and Risk of Celiac Disease: Systematic Review and Meta-Analysis. J Pediatr. 2016 Jan; 168:132-43.e3. PMID: 26500108.
      View in: PubMed
    32. Tang F, Sally B, Lesko K, Discepolo V, Abadie V, Ciszewski C, Semrad C, Guandalini S, Kupfer SS, Jabri B. Cysteinyl leukotrienes mediate lymphokine killer activity induced by NKG2D and IL-15 in cytotoxic T cells during celiac disease. J Exp Med. 2015 Sep 21; 212(10):1487-95. PMID: 26304964.
      View in: PubMed
    33. Lebwohl B, Murray JA, Verdú EF, Crowe SE, Dennis M, Fasano A, Green PH, Guandalini S, Khosla C. Gluten Introduction, Breastfeeding, and Celiac Disease: Back to the Drawing Board. Am J Gastroenterol. 2016 Jan; 111(1):12-4. PMID: 26259710.
      View in: PubMed
    34. Setty M, Discepolo V, Abadie V, Kamhawi S, Mayassi T, Kent A, Ciszewski C, Maglio M, Kistner E, Bhagat G, Semrad C, Kupfer SS, Green PH, Guandalini S, Troncone R, Murray JA, Turner JR, Jabri B. Distinct and Synergistic Contributions of Epithelial Stress and Adaptive Immunity to Functions of Intraepithelial Killer Cells and Active Celiac Disease. Gastroenterology. 2015 Sep; 149(3):681-91.e10. PMID: 26001928.
      View in: PubMed
    35. Guandalini S, Polanco I. Nonceliac gluten sensitivity or wheat intolerance syndrome? J Pediatr. 2015 Apr; 166(4):805-11. PMID: 25662287.
      View in: PubMed
    36. Chang EB, Guandalini S, Rao MC, Sellin JH, Semrad CE, Worman H. Michael Field, MD (1933-2014). Gastroenterology. 2014 Dec; 147(6):1191-2. PMID: 25449022.
      View in: PubMed
    37. Guandalini S. Are probiotics or prebiotics useful in pediatric irritable bowel syndrome or inflammatory bowel disease? Front Med (Lausanne). 2014; 1:23. PMID: 25593899.
      View in: PubMed
    38. Guandalini S, Jericho H. Celiac Disease and Gluten-Related Disorders. Adolesc Med State Art Rev. 2014 Aug; 25(2):409-24. PMID: 27132322.
      View in: PubMed
    39. Nenna R, Guandalini S, Popp A, Kurppa K. Coeliac disease. Autoimmune Dis. 2014; 2014:623784. PMID: 24982802.
      View in: PubMed
    40. Guandalini S, Assiri A. Celiac disease: a review. JAMA Pediatr. 2014 Mar; 168(3):272-8. PMID: 24395055.
      View in: PubMed
    41. Elli L, Discepolo V, Bardella MT, Guandalini S. Does gluten intake influence the development of celiac disease-associated complications? J Clin Gastroenterol. 2014 Jan; 48(1):13-20. PMID: 24072075.
      View in: PubMed
    42. Guandalini S, Newland C. Can we really skip the biopsy in diagnosing symptomatic children with celiac disease. J Pediatr Gastroenterol Nutr. 2013 Oct; 57(4):e24. PMID: 23820401.
      View in: PubMed
    43. Lebwohl B, Rubio-Tapia A, Assiri A, Newland C, Guandalini S. Diagnosis of celiac disease. Gastrointest Endosc Clin N Am. 2012 Oct; 22(4):661-77. PMID: 23083985.
      View in: PubMed
    44. Parakkal D, Du H, Semer R, Ehrenpreis ED, Guandalini S. Do gastroenterologists adhere to diagnostic and treatment guidelines for celiac disease? J Clin Gastroenterol. 2012 Feb; 46(2):e12-20. PMID: 21959324.
      View in: PubMed
    45. Guandalini S. Probiotics for prevention and treatment of diarrhea. J Clin Gastroenterol. 2011 Nov; 45 Suppl:S149-53. PMID: 21992955.
      View in: PubMed
    46. Floch MH, Walker WA, Madsen K, Sanders ME, Macfarlane GT, Flint HJ, Dieleman LA, Ringel Y, Guandalini S, Kelly CP, Brandt LJ. Recommendations for probiotic use-2011 update. J Clin Gastroenterol. 2011 Nov; 45 Suppl:S168-71. PMID: 21992958.
      View in: PubMed
    47. Dai C, Guandalini S, Zhao DH, Jiang M. Antinociceptive effect of VSL#3 on visceral hypersensitivity in a rat model of irritable bowel syndrome: a possible action through nitric oxide pathway and enhance barrier function. Mol Cell Biochem. 2012 Mar; 362(1-2):43-53. PMID: 22020749.
      View in: PubMed
    48. Guandalini S, Newland C. Differentiating food allergies from food intolerances. Curr Gastroenterol Rep. 2011 Oct; 13(5):426-34. PMID: 21792544.
      View in: PubMed
    49. van Goudoever H, Kleinman RE, Guandalini S. Early nutrition: impact on short- and long-term health. Concluding remarks. Nestle Nutr Workshop Ser Pediatr Program. 2011; 68:251-7. PMID: 22164533.
      View in: PubMed
    50. Szajewska H, Guandalini S, Morelli L, Van Goudoever JB, Walker A. Effect of Bifidobacterium animalis subsp lactis supplementation in preterm infants: a systematic review of randomized controlled trials. J Pediatr Gastroenterol Nutr. 2010 Aug; 51(2):203-9. PMID: 20543719.
      View in: PubMed
    51. Guandalini S, Magazzù G, Chiaro A, La Balestra V, Di Nardo G, Gopalan S, Sibal A, Romano C, Canani RB, Lionetti P, Setty M. VSL#3 improves symptoms in children with irritable bowel syndrome: a multicenter, randomized, placebo-controlled, double-blind, crossover study. J Pediatr Gastroenterol Nutr. 2010 Jul; 51(1):24-30. PMID: 20453678.
      View in: PubMed
    52. Silano M, Agostoni C, Guandalini S. Effect of the timing of gluten introduction on the development of celiac disease. World J Gastroenterol. 2010 Apr 28; 16(16):1939-42. PMID: 20419830.
      View in: PubMed
    53. Guandalini S. Update on the role of probiotics in the therapy of pediatric inflammatory bowel disease. Expert Rev Clin Immunol. 2010 Jan; 6(1):47-54. PMID: 20383890.
      View in: PubMed
    54. Tang F, Chen Z, Ciszewski C, Setty M, Solus J, Tretiakova M, Ebert E, Han J, Lin A, Guandalini S, Groh V, Spies T, Green P, Jabri B. Cytosolic PLA2 is required for CTL-mediated immunopathology of celiac disease via NKG2D and IL-15. J Exp Med. 2009 Mar 16; 206(3):707-19. PMID: 19237603.
      View in: PubMed
    55. Guandalini S, Setty M. Celiac disease. Curr Opin Gastroenterol. 2008 Nov; 24(6):707-12. PMID: 19122520.
      View in: PubMed
    56. Guandalini S. Probiotics for children with diarrhea: an update. J Clin Gastroenterol. 2008 Jul; 42 Suppl 2:S53-7. PMID: 18520336.
      View in: PubMed
    57. Floch MH, Walker WA, Guandalini S, Hibberd P, Gorbach S, Surawicz C, Sanders ME, Garcia-Tsao G, Quigley EM, Isolauri E, Fedorak RN, Dieleman LA. Recommendations for probiotic use--2008. J Clin Gastroenterol. 2008 Jul; 42 Suppl 2:S104-8. PMID: 18542033.
      View in: PubMed
    58. Guandalini S. Acute diarrhea in children in europe: do we know how to treat it? J Pediatr Gastroenterol Nutr. 2008 May; 46 Suppl 2:S77-80. PMID: 18460973.
      View in: PubMed
    59. Setty M, Hormaza L, Guandalini S. Celiac disease: risk assessment, diagnosis, and monitoring. Mol Diagn Ther. 2008; 12(5):289-98. PMID: 18803427.
      View in: PubMed
    60. Guandalini S. The influence of gluten: weaning recommendations for healthy children and children at risk for celiac disease. Nestle Nutr Workshop Ser Pediatr Program. 2007; 60:139-155. PMID: 17664902.
      View in: PubMed
    61. Guandalini S. A biopsy-avoiding approach to the diagnosis of celiac disease--how accurate is the immersion technique? Nat Clin Pract Gastroenterol Hepatol. 2006 Oct; 3(10):542-3. PMID: 17008922.
      View in: PubMed
    62. Meresse B, Curran SA, Ciszewski C, Orbelyan G, Setty M, Bhagat G, Lee L, Tretiakova M, Semrad C, Kistner E, Winchester RJ, Braud V, Lanier LL, Geraghty DE, Green PH, Guandalini S, Jabri B. Reprogramming of CTLs into natural killer-like cells in celiac disease. J Exp Med. 2006 May 15; 203(5):1343-55. PMID: 16682498.
      View in: PubMed
    63. Szajewska H, Setty M, Mrukowicz J, Guandalini S. Probiotics in gastrointestinal diseases in children: hard and not-so-hard evidence of efficacy. J Pediatr Gastroenterol Nutr. 2006 May; 42(5):454-75. PMID: 16707966.
      View in: PubMed
    64. Guandalini S. Probiotics for children: use in diarrhea. J Clin Gastroenterol. 2006 Mar; 40(3):244-8. PMID: 16633130.
      View in: PubMed
    65. Floch MH, Madsen KK, Jenkins DJ, Guandalini S, Katz JA, Onderdonk A, Walker WA, Fedorak RN, Camilleri M. Recommendations for probiotic use. J Clin Gastroenterol. 2006 Mar; 40(3):275-8. PMID: 16633136.
      View in: PubMed
    66. Guarino A, Guandalini S. The composition of infant formula: a worldwide approach. J Pediatr Gastroenterol Nutr. 2005 Nov; 41(5):578-9. PMID: 16254513.
      View in: PubMed
    67. Guandalini S. Risk of celiac disease autoimmunity and timing of gluten introduction in the diet of infants at increased risk of disease. J Pediatr Gastroenterol Nutr. 2005 Sep; 41(3):366-7. PMID: 16131999.
      View in: PubMed
    68. Bousvaros A, Guandalini S, Baldassano RN, Botelho C, Evans J, Ferry GD, Goldin B, Hartigan L, Kugathasan S, Levy J, Murray KF, Oliva-Hemker M, Rosh JR, Tolia V, Zholudev A, Vanderhoof JA, Hibberd PL. A randomized, double-blind trial of Lactobacillus GG versus placebo in addition to standard maintenance therapy for children with Crohn's disease. Inflamm Bowel Dis. 2005 Sep; 11(9):833-9. PMID: 16116318.
      View in: PubMed
    69. Elinoff JM, Liu D, Guandalini S, Waggoner DJ. Familial pyloric stenosis associated with developmental delays. J Pediatr Gastroenterol Nutr. 2005 Jul; 41(1):129-32. PMID: 15990644.
      View in: PubMed
    70. Guandalini S, Guiadalini S, Kelly CP. Toward optimal health: Stefano Guandalini [corrected] M.D., and Ciaran P. Kelly, M.D. Discuss celiac disease. Interview by Jodi R Godfrey. J Womens Health (Larchmt). 2005 Mar; 14(2):110-6. PMID: 15775728.
      View in: PubMed
    71. Hill ID, Dirks MH, Liptak GS, Colletti RB, Fasano A, Guandalini S, Hoffenberg EJ, Horvath K, Murray JA, Pivor M, Seidman EG. Guideline for the diagnosis and treatment of celiac disease in children: recommendations of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition. J Pediatr Gastroenterol Nutr. 2005 Jan; 40(1):1-19. PMID: 15625418.
      View in: PubMed
    72. Guandalini S. Celiac disease. School Nurse News. 2003 Mar; 20(2):24-7. PMID: 12683313.
      View in: PubMed
    73. Fasano A, Berti I, Gerarduzzi T, Not T, Colletti RB, Drago S, Elitsur Y, Green PH, Guandalini S, Hill ID, Pietzak M, Ventura A, Thorpe M, Kryszak D, Fornaroli F, Wasserman SS, Murray JA, Horvath K. Prevalence of celiac disease in at-risk and not-at-risk groups in the United States: a large multicenter study. Arch Intern Med. 2003 Feb 10; 163(3):286-92. PMID: 12578508.
      View in: PubMed
    74. Guandalini S. Use of Lactobacillus-GG in paediatric Crohn's disease. Dig Liver Dis. 2002 Sep; 34 Suppl 2:S63-5. PMID: 12408443.
      View in: PubMed
    75. Guandalini S. The treatment of acute diarrhea in the third millennium: a pediatrician's perspective. Acta Gastroenterol Belg. 2002 Jan-Mar; 65(1):33-6. PMID: 12014314.
      View in: PubMed
    76. Davidson G, Barnes G, Bass D, Cohen M, Fasano A, Fontaine O, Guandalini S. Infectious diarrhea in children: Working Group Report of the First World Congress of Pediatric Gastroenterology, Hepatology, and Nutrition. J Pediatr Gastroenterol Nutr. 2002; 35 Suppl 2:S143-50. PMID: 12192183.
      View in: PubMed
    77. Guandalini S, Gokhale R. Update on immunologic basis of celiac disease. Curr Opin Gastroenterol. 2002 Jan; 18(1):95-100. PMID: 17031237.
      View in: PubMed
    78. Guandalini S, Gokhale R. Update on immunologic basis of celiac disease. Curr Opin Gastroenterol. 2001 Nov; 17(6):545-50. PMID: 17031216.
      View in: PubMed
    79. Guandalini S, Gupta P. Do you still need a biopsy to diagnose celiac disease? Curr Gastroenterol Rep. 2001 Oct; 3(5):385-91. PMID: 11560795.
      View in: PubMed
    80. Alverdy JC, Hendrickson B, Guandalini SS, Laughlin RJ, Kent K, Banerjee R. Perturbed bioelectrical properties of the mouse cecum following hepatectomy and starvation: the role of bacterial adherence. Shock. 1999 Sep; 12(3):235-41; discussion 242. PMID: 10485604.
      View in: PubMed
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