[1] Johns Hopkins Univ, Sch Med, Dept Physiol, Baltimore, MD 21218 USA
[2] Johns Hopkins Univ, Sch Med, Dept Med, Div Gastroenterol, Baltimore, MD USA
[3] Johns Hopkins Univ, Sch Med, Dept Anesthesiol & Crit Care Med, Baltimore, MD USA
[4] Vanderbilt Univ, Sch Med, Nashville, TN 37232 USA