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Genzyme Corporation supplied some laboratory material; no author has any relationship with the company.

Received May 19, 1999; Revised September 20, 1999; Accepted October 1, 1999.

From the Department of Surgery, University of Minnesota Medical School, Minneapolis, MN, USA.

Correspondence address: John P Delaney, MD, PhD, FACS, University of Minnesota, FUHC, Box 89, 420 Delaware St SE, Minneapolis, MN 55455.

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