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In patients who do not respond to treatment, the value of continuous enteral feeding and especially of surgical re-intervention and pancreatic resection is uncertain (statements 5658 and 6062) and a conservative, non-surgical approach is recommended (statement 59)

The big caveat is that these trials followed people for a few years at most

Sci Rep 12(1):1567

Consequently, many clinicians combine both therapies to achieve synergistic effects, particularly in complex or chronic tendon injuries

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