Kevin T Kline1, Eric Gou2, Mohammad Bilal3, Sreeram Parupudi2. 1. Department of Internal Medicine, University of Texas Medical Branch, Galveston, TX, USA. 2. Division of Gastroenterology & Hepatology, University of Texas Medical Branch, Galveston, TX, USA. 3. Division of Gastroenterology & Hepatology, University of Texas Medical Branch, Galveston, TX, USA. billa17@hotmail.com.