1Department of Medicine, Naval Medical Center San Diego, San Diego, California, USA;

2Department of Surgery, Naval Medical Center San Diego, San Diego, California, USA;

3Department of Gastroenterology, Naval Medical Center San Diego, San Diego, California, USA;

4Division of Pulmonary and Critical Care Medicine, Naval Medical Center San Diego, San Diego, California, USA;

5Department of Surgery, Naval Hospital Camp Pendleton, San Diego, California, USA;

6Department of Pathology, Naval Medical Center San Diego, San Diego, California, USA.

Correspondence: Maggie R. Dillione, DO. E-mail: [email protected].