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    In selected patients it is appropriate, although data are insufficient to demonstrate a long-term benefit from endoscopic surveillance. 2. Is surveillance indicated for patients with gastric polyps?. Endoscopic surveillance, if undertaken, should be performed no more frequently than every 3 to 4 years in the absence of dysplasia.

    Fundic gland polyps are promoted by the long-term use of proton pump inhibitors. When gastric polyps are too numerous to count (as is commonly the case with fundic gland polyps and in some polyposis syndromes), resection or biopsy should be performed on the largest lesions, and a sufficient number sampled to confirm benignity and uniformity of histology.

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    The behavioral sequelae of dorsomedial thalamic lesions recapitulate all of the principal features of the three prefrontal syndromes (Table 26.2).

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