Ziad Kanaan1, Allison Zhang, Kirthi Lilley, Milton Mutchnick. 1. Division of Gastroenterology Department of Medicine Wayne State University School of Medicine Detroit, MI Division of Gastroenterology Department of Medicine Wayne State University School of Medicine Detroit, MI John D. Dingell Veterans Affairs Medical Center Detroit, MI Division of Gastroenterology Department of Medicine Wayne State University School of Medicine Detroit, MI mmutchnick@med.wayne.edu.