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the following typical radiographic signs129, 137 may or may not be present: • Accordion-like pleating or gathering (plication) of the jejunum • Most of the small intestine localized in midventral region of the abdominal cavity instead of being dispersed uniformly throughout the peritoneal cavity on the lateral view (Figure 23-29 ) • Gathering of small intestine to the right side of the midline in the ventrodorsal view (Figure 23-30 ) • Altered gas pattern with luminal gas collecting in small bubbles instead of normal curved tubular columns

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This is mechanistically distinct from proton pump inhibitor pharmacology and is part of why the peptide attracts interest as a research tool for ulcer biology and NSAID-induced gastric injury