16ocluzia intestinala

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    &%$%f

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    .:,390893,g ,-803x,97,39::390893,50397:2,907,0 .:020.,3.g

    -89,.4097380. -89,.4397380.

    .:05,7,9.g 0:8 580:/44.:0

    503908938:-x70 50.443

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    &f 5,7x,g8:-4.:0 .42509g ,.:9g .743.g 825g .:,38g0.:8g .:,3703g1g7g,3703g

    073;4;::8

    3907.059,70,;,8.:,7,x0 8.020

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    &&%$%f%$%f

    !#$%!#$%'&%$%&&'&%$%&&

    $$

    &&%$%f%$%f

    !#$%!#$%'&%$%&&'&%$%&&

    $$

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    %%%%,:02:950

    .,:,573.5,gL34300047,1.0.:/:7,9g20/0/0;,xg7/.,9g,/0703x054894507,947 ,/4:,.,:g0730 ,90.,:0

    9:2470 574.080 31,2,9474.,0

    ,503/.9g /;079.:9g .443.g

    897.9:7/;0780 -4,,743

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    %#& 9:247 9,,-,7g .475897g3 5,7,x -04,7

    %#

    9:247 -0330 2,30

    897.9:7 02,94,20 039079,7043,g 039079,7,/.g 8.02.0

    4-897:.x%#$

    ,/0703x0 -7/054894507,947 /703:731,2,94754897,/.0/;079.:0.0

    073,0507090:,-/423,390730

    ,7.342,94,83/742:,790702003907.08:5074,705038,,47942003907.g

    $&$&&&$&$&&&2, 25479,39/0.9 0944,,7025.,x,8:57,.425742907390893::20.,3820573.5,0

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    ;4;::8 574/:8573 1,70/01.9,7g,L3970::3908938,:/4,7,

    043::90723, 9478:30L3:7::30,/0703x08,:,:3:34/:

    9:247, L3.,7.07,70, L397:385,x:29,9

    0730 -4.,70,L394,7.07;034,809478:30 31,7.9:

    802039::390893,

    3;,3,x0 9008.45,70,,/:x /,9479g:300:3397,2:7,08,:,2:.4,80 9:247-0330 /;079.:0.0

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    %$%%%#

    $&&%$%$

    $%

    %#%$%#&

    %#%#$%%# %#

    .,7.34230:7403/4.73

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    21422,33434/3,3/1:.:.0:0

    2,7390893,

    %#%#&&%#%#

    $%%%

    #%$%$&&!#%#&%#$#

    &%%$%&&&$

    !#&&$%#&%$%%#

    !%

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    %%#&&%$%!#'%$#$

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    %&%&%&%&3/107039/0.,:g /:.07,5/,

    ,.:2:,70/01:/0,0L3:2035742,/0

    3;0:4-897:.x0,07L3x9 ./390893, 50789,9.,,..039:0,g/89038,5742,/0

    3;0:4.:0 L3L3,900:3;g78g9:7570.4.0.,70

    /23:g/89038, L34,80;g78g9:70,5,79,7/;L30;4:x,

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    L3,.:9g 50789,9.g,.9;g5742,/03;0:4-897:.x0 /:707,-/423,08:-1472g/0.7,2502.g7

    50789,9.0;-0/07059,x0.0/:70,g.90;,470

    ,5,700/02:/89038, ,5,70/:7070,507889039g8023/08.0208,:

    507147,x0 9,7/; 24/1.,70,,850.9::.43x3:9::

    390893, 574107,70,-,.907,3g89,, .43x3:9:/0;3010.,4/

    ;g78g9:710.,4/0F 5,9434243.0

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    $%$%$%$% /,3489.549;,.,:0,/3970

    5,.03x ,3,230g/09,,9g 0,2034-0.9;/0/0391.,9L3850.,

    0730.,7080897,3:0,g170.;039

    /,.g/,3489.:08909,7/;

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    !#!#!#!# ;,4,707089738g 0.05x0##f

    $!fL3479489,982 .43172g/,3489.:2,3/74,07.0 54,901:73,31472,x/08570

    3;0: 0944, 7,/:4-897:.x0

    ;,:,70,

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    99:/30,907,50:9.g

    ,10.x:390723,0 97,9,2039.43807;,947

    4507,x020/,9g L34.:,.42509g 4507,x0/0:703xg L38:-4.:0

    570.0/,9g/02g8:7/0700.-7,705489,857,x04.97049/

    0,23,70.3.g,470

    #,-/423,g825g,470

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    %#%%%#%%!#%!#%##%#%%%#%%!#%!#%##

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    #&f20.,3.g,390893::8:-x70 f#f78./0897,3:,70507147,x0.,7L3.,:704:x0902547,70,825942,9440

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    $!#$%#f /23:g/89038, 970-:0389,,9g.92,7,5/ 3:8:3930.08,709:-:7/0,857,x0:3

    390893,0

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    %#'%#'#f#f%#'%#'#f#f

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    54,901:4,7g8,:.4250g

    ,39-45741,0 97,9,2039:25.g ,99:/30,1,xg/0

    802039:390893,,3;0:4-897:.x0 390893:5742,/,9,9

    .,:,4-897:.x0 L3.,::304507,xL3,390.0/0390

    5g97:3/070L3.,;9,90,5079430,g,/89,3xg/0;0.0,3.0,380,/070390

    ,;7893.L3.,:30,902,35:,7057:/039g,$/,9,978./081070

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    4-0.9;:g870,3;0::4.:0 573/07:,70,,38047

    30/,9,90 /0.42572,70,,38047/,9,905:7,70709747,/g8570843/,

    /38942,.8,:/70.9g5739740390749420.:-:78g30.08,7g50397: 70,,70,,3,894240 .047,10

    ,9073,9;0/097,9,2039.7:7., 700.x0.:,3,89424g%%8,: -5,88:3;0::/04-897:.x0L3.,7.342,94070./;0

    9:247,0 /090723,70,;,-9gx390893::

    4-807;,70,$925/023:90 L3.,/0/:-:F 700.x0 /039070893x1.30.9,70/01:4708.03g97,38:23,70.:

    ,25,.:&'44/8,:45507 L3.,:,/0703x047

    ,,/0703x047;8.074g /35g.,9080701,. 8:-89,3x0.2.0.,70L250/.g.43899:70,,/0703x047

    .:7,07347

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    !#!#!#!#

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    2g8:7397,4507,947/0570;0370,,5,7x0,/0703x047

    232,70,0g78074,80 0;9,70,3974/:.07/02,907,897g3L3

    5079430: 2,35:,70-3/g,$ 8:9:7308.02,390 .470.9,70,43047/0548,90

    .:7,07347

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    !#!# !!!#!# !!

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    &%$%f&%$%f#'%f#'%f

    &%$%f&%$%f#'%f#'%f

    .02,170.;039573,/0703x0

    97,9,2039.43807;,947 5074,/,/04-807;,703:970-:0

    570:39g0.08;78./0.4257429070,$

    /,.g,704.704:x,85439,3g3:089030.08,7g703907;03x, 5.,9:7,390893,g

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    %#%#

    %#%#

    %#%#

    %#%#

    ,5,70L3850.,/:5g 7,/070,9:2474750;30 .425.,x07,/07

    507147,x85439,30.:1472,70/0,-.080 189:0 &%$%f

    20.,3827,/070,574/:.0 0:3,02:.4,80$ 0/02 :.07,x ,79079g9742-40 31,7.90507147,x ,/0703x0;,8.:,7,90 897.9:71-74,80

    .,:,0890170.;03989,-9gL3242039:3907;03x0 3./03xg2,70,/08.03x0,3,89424047 :304708902,3/.,9g70,,70,:3:-5,88,802039::,10.9,9

    .02,-30573974,3,89424g907234,907,g

    089g548-9,90,70./;0

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    %%

    %$%%%$%%

    %%

    %$%%%$%%

    .,7.342,94,5079430,g/090723g

    :30472:950890340,0$ 209,89,002003907.0549.4397-:,

    1,70,$ 45x:3/097,9,2039

    .43807;,947 -5,88 700.x05,7.2434,8g

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    825942,9440 70,xg ;g78g9:7

    2,479,90,30.089g97,9,2039.7:7., ,89740:348942,3:089001.039g &&$%

    %#$f

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    &&%$%f%$%f

    !#$%!#$%'&&&'&&&

    &&%$%f%$%f

    !#$%!#$%'&&&'&&&

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    5734-89,.4.443.089025479,39/03/;/:,,9/,9479g .425.,x4754903x,014,7907,;0

    507147,x, 002039047850.,0.,7031:03x0,g

    923:9,.9.,4507,9470

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    $#$# ##$#$# ## 89038,80.0897,70,./,3g390893,g

    8:7;39,7/; .443:,70450789,9.g70/:8g .7,2502,5:x3

    80;070/0.9,$ ,2,479,90,5,.03x47;,;,04.0.,g

    .42509039g 570;30701::.43x3:9::.443.L3$ 1,;470,g.43899:70,:30,3800.:80.,7080

    /0893/0/,89,g 78./07:59:7g/,89,9.g5070900.443.08:-x70

    /89038,$,5,709,7/;

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    '&f'&f'&f'&f ,/080,38/4,8g/3970.443.0 574/:80

    5733045,820.,70/090723g,9073,3xg.43895,x0 /,700

    .7,250/08,-g390389,90 45770,97,39::50397:2,907,0 /890380,-/423,g 8054,905,5,.0.:/,9,9 %&$%

    54,9070;0,49:247g70.9,g ,-803x,2,9074710.,0L3,25:,70.9,g

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    $%!#$%!#$%!#$%!# #7,1,,-/423,g825g

    570.0,g3;0:4.:0 /0.00,g0;039:,,507147,x0

    530:245079430: /89038,.443::,8.03/03950890

    .2 747,1, 010.9:,9g1g7g,147x,

    3974/:.070,-,7::

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    && ff&& ff

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    ,3.07:.443. L3xg70/0;49,90 .0,2,170.;039g.,:g

    /0.443.g

    2,170.;039gL3.,3.07:.443::893L3.070.9,

    573.,3.07/0.443893570.0/,9g/08:-4.:0

    573.,3.07/0.443/7059/0-:9-7:8. 78.:4507,947 2,70L3.,/0507147,x0

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    ;079.:9, .,:g7,7g/0 2,170.;0398:-4.:0 54,90,39703,,/0703x,:30,380

    8:-x7 //10703x,/1..::33045,82

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    '4;::8: '4;::8:&!%

    /,947,9:3:;.:/01,x0

    /090723g,.:9g L384x9/0897,3:,70;,8.:,7g78./0

    507147,x0 /#8,:397,4507,947

    '4;::8:$ /,947,9/4.4824/:: 70./;0,g

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    90.,:0 073 89034054898.02.0 .,7.342,94g .49,7,/.g

    -431,2,947/;0780 ,/0703x0

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    %#%%%#%%%#%%%#%%

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    3/.,x,4507,9470

    ,10.x:390723,0 97,9,2039.43807;,947

    4507,x020/,9g L34.:,.42509g 4507,x0/0:703xg L38:-4.:0

    570.0/,9g/02g8:7/0700.-7,705489,857,x04.97049/

    0,23,70.3.g,470

    #,-/423,g825g,470

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    ,3.07:.443. #&&!% 02.40.9420/70,59g.:0497,38;0784,3,89424g L3.,/0507147,x0!#%!

    700.x0.:048942g 70,3,89424g

    9:247g30700.,-g!$$ 0497,38;0784,3,89424g 048942g.0.48942g

    #&$%&&%#$'#$$% .40.94208:-949,g.:04824/4,3,89424g

    #&&&$$%$&!## 7,70470890548-g44507,x0L397:383:7925 .448942gL3.4393:9,90 700.x070.94824/,3g95,792,33

    #%&&&$# 4507,x0L3/48,:970925 .448942g 4507,x0,792,33

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    ;079.:9, .02,57:/039

    700.x0L3/4925 700.90,72,33 7089,-70,.4393:9,9390893,0

    ,9073,9;g090747,70,802039::

    .:0:30,

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    '4;::8: !#$4507,x0L3/4925

    700.x0.:0489420,547089,-70,97,39::

    %%.0.4500

    $

    /0.4257080824/48.45.g,54824/0.942000.9;g L3.,/000.8,:8:85.:30/030.74g

    9:-70.9,5704507,947 4507,x0,792,33

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    &f

    &$: !$&&

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    &$& 5,7,0390893,g

    54894507,9470 .4380.3x,,947,10.x:3

    ,10.90g$.443:

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    !$&& /00.-7:5,7,825,9. 825,9.

    ,3;0:$8,:748 ,.:9,50.443 83/7;08,:.743.g

    54894507,947

    5,.03x30.7:7.,530:2430.5404.8.020 390893,g/00.-7000.9749.0

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    /,9,x02570843,39g,.0.::

    97,9,2039 /0.425708097,3870.9,g.44348.45.

    3048923g 3907;03x0.7:7.,gL3.,/079,x0

    5079430,g

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    &%$%f&%$%f

    !$%!#%!$%!#%##

    &%$%f&%$%f

    !$%!#%!$%!#%## 54894507,947054,90.425.,47.04507,x0,-/423,g/,3489.:0890

    /07:9,9/00:8 /082594200802300.,70L384x08./070:g43.05489,5,749420

    L324/3472,5,70,390893,g54894507,9470/85,70L3/:5g43907;03x0L3.,70,14892,35:,9$70,5,70,5099:8070,9407,3x,

    /089;g97,39:390893, .4380.3x,/800.9740247,/2/03,7.49.045,.00,3,09.02,:70 .,:,.0,2,1700.;039g ,/0703x0-7/0.,7025.g043:

    ,/0703x00L3.058g80147200,.7.,/047054894507,947,0/0;3/0380;,8.:,70/:5g.,70L3.050704:x,

    :3047 574.08/0507;8.079g8:14.,39g ,90.,:00;8.07,x8:-.:9,3,90073,-.080 % 574-02g/,3489.:/10703x,L397054520.,3.g545/3,2.g

    0:8545 25479,390,23,70,.3.g#70509,9g /89038,/30:8.:573/0.443:

    ,857,x,0.-7,70,/7400.9749.g 09702/025479,390 !#%# /0.0/0.,9g547,70,08903/.,9gL3.,/0

    4-897:.x0.42509g 80230/080588 0;4:x0/0:3g/:7,9g8:-97,9,2039.43807;,947