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Biliary diversion is associated with short-term mortality rates of 36% to 57%8, 18 and is associated with long-term complications.8, 19 In a small case series describing choledochal stenting in cats with pancreatitis and cholangitis, five of seven experienced long-term survival (7 months), but reobstruction occurred in two of seven and chronic vomiting and recurrent cholangitis were reported

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Sustained systemic oxidative stress may in turn contribute to mitochondrial dysfunction, activation of inflammatory pathways, and dysregulation of neural function, thereby potentially contributing to the symptom burden of ME/CFS (Holden et al., 2020