Severity: Warning
Message: file_get_contents(https://...@gmail.com&api_key=61f08fa0b96a73de8c900d749fcb997acc09&a=1): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests
Filename: helpers/my_audit_helper.php
Line Number: 176
Backtrace:
File: /var/www/html/application/helpers/my_audit_helper.php
Line: 176
Function: file_get_contents
File: /var/www/html/application/helpers/my_audit_helper.php
Line: 250
Function: simplexml_load_file_from_url
File: /var/www/html/application/helpers/my_audit_helper.php
Line: 1034
Function: getPubMedXML
File: /var/www/html/application/helpers/my_audit_helper.php
Line: 3152
Function: GetPubMedArticleOutput_2016
File: /var/www/html/application/controllers/Detail.php
Line: 575
Function: pubMedSearch_Global
File: /var/www/html/application/controllers/Detail.php
Line: 489
Function: pubMedGetRelatedKeyword
File: /var/www/html/index.php
Line: 316
Function: require_once
Analysis of 9 cases showed that diagnostic laparotomy is advisable in patients with side-to-side anastomosis of the small intestine who are suffering from chronic posthemorrhagic iron deficiency anemia and in whom the source of bleeding is not identified by methods of clinical examination. Improper techniques of the creation of a side-to-side anastomosis+ lead to the formation of blind pouches with the development of ulcers and erosions on the mucous membrane, which are the source of the bleeding. Resection of the anastomosis and subsequent establishment of an end-to-end anastomosis removes the source of the bleeding and comprises etiopathogenetic treatment of iron deficiency anemia in these patients.
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