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Struve N, Binder ZA, Stead LF, Brend T, Bagley SJ, Faulkner C, et al

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The overall translocation of viable bacteria to mesenteric lymph nodes is an important feature of decompensated cirrhosis, which in turn can damage the hosts systemic and local immune defenses, leading to further exacerbation and a vicious cycle (Giannelli et al., 2014)