1Department of Surgical Oncology, The University of Tokyo, Tokyo, Japan
2Department of Inflammatory Bowel Disease Surgery, Hyogo Medical University, Nishinomiya, Japan
3Department of Surgery, Keio University School of Medicine, Tokyo, Japan
4Department of Gastroenterology, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan
5Department of Surgery, Fukuoka University Chikushi Hospital, Chikushino, Japan
6Saitama Saiseikai Kazo Hospital, Kazo, Japan
7Department of Surgery, Tohoku University Graduate School of Medicine, Sendai, Japan
8Department of Gastroenterological Surgery, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan
9Department of Gastrointestinal and Pediatric Surgery, Institute of Life Sciences, Mie University Graduate School of Medicine, Tsu, Japan
10Division of Digestive and General Surgery, Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan
11Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
12Department of Coloproctology, Tokyo Yamate Medical Center, Tokyo, Japan
13Department of Surgery, Coloproctology Center Takano Hospital, Kumamoto, Japan
14Department of Surgery, Toho University Sakura Medical Center, Sakura, Japan
15Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, Osaka, Japan
16Inflammatory Bowel Disease Center, Yokohama City University Medical Center, Yokohama, Japan
17Department of Colorectal Surgery, Tohoku Rosai Hospital, Sendai, Japan
18Department of Surgery, Kyoto University Hospital, Kyoto, Japan
19Department of Gastrointestinal Surgery, Graduate School of Medicine, Institute of Science Tokyo, Tokyo, Japan
20Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan
21Department of General and Gastroenterological Surgery, Osaka Medical and Pharmaceutical University, Takatsuki, Japan
22Department of Surgery, Faculty of Medicine, Kindai University, Sayama, Japan
23Inflammatory Bowel Disease Center, Yokkaichi Hazu Medical Center, Yokkaichi, JapanÿØÿà JFIF d d ÿì Ducky d ÿáqhttp://ns.adobe.com/xap/1.0/ ÿî Adobe dÀ ÿÛ „ ÿÀ Š ÿÄ
! 1AQa"q�
2#w8ð‘¡ÁÑB3´µ6v¶7×X±Rr²$˜9áñb’C³Ãt%u&–ÖW·‚s'(xy¢ÂÓ4T”5f‡—ÇH¨¸Ø
!1AQaq"�‘¡2B ±ÁRbr#³´u67ðѲ3sTt5v8áñâSc$4Ä‚’¢C“ÔÔ%UÕÂÒÓ…•FVÅÿÚ ? ßà êÓ_A÷ú‹× j-ŠHÌûû>‚>Ì,šm*>½ôßÈÞfzp"áõö—£Téõ‹£—Ær÷Kkr¾ÒÙî��âœ^× »Òr. |_&€ã]¿|*œ™v¿P¶²uܶv”o‡±¿QÇ1Ÿ ¾�ŒŸmÍëw¾VJUöhu-ãIð"=L‹‡n§õ‘iù½AÆ•8Úö�"ûÛ²½þ„�ák�*Ò¿[yùu:ý.Ž‚v«U¤ÒÚQ+•)Ñá%F� D•Hy²V‡è×B훩kš>‘Hêy8øÓj©Ý¹q~§9Dúñ4íKR‚þm±zõÚíQ„¥ßö)µ^Ê”Ó.J%k_tVi5NTê¥Ójg!'¡k©Çy|5as…¨ðÃOÏÁÈ»)R–¯Û¸ß©FMÔ¿3LÕ4çj¹6dÖùÚœ#êNIwUF©•]J ûq¡BŒô¹/(ËF™aãŠâfJöRzq3à\GÕ›™
?ö~\£6å)6èý•Wµµ4¶m[O›ö^L0ìEË&r¤RMïØ¶*º×ÑC.ÍÂ]Un·l¥Š-1—
1ßr#Rj/¥´ø¯&QɈ׉˩·ás6Rj=5Tgæ.´êy™.·PÓ¡:ÖJJíS«…÷:îßC8èÝ-Äù„2u]–d�&¢é»Òvøª·Uºz;¾»7p·9‘˜»
5Všã‰nLÖ¢µ£”¢"y)Ц">Ói×™Ñ(ûIDDd|œ¹Ö
Yj0·;L›§ãR¯fÙÞàÝS�˜:k¥ÚÃñtYäK%*ÒN2^ômñ|&dÄŸthó":‡ãÊe§Øy¾)u§P—¶ôQó¡ZöðW)gcC3Pv&“M¾ÇéM¯„ÂWìÏì¬d&¯Å´ãÛ²½�mvŸT¹èRoÞÕªM0Ü3ä*…F3Yº›dûèæãýÃ6¡®èÚ\8õ,¼\h÷Ý»kß”‘õâi¶¡<k× žÞNTõð¦wSëÔªºÑmljö•’j[>->±p £tU©Ôâ�%¯'§L‹R>&EÇBïôH$ßÝý�§ÉMQAU¶x[›$Z6’ÒÍv®Ôi&’_“a.K˜IQ{äh©yÆ’½’j"JùOCá ê×9òö—ìeäFŒªÒ�´Þÿ fŽjµîí;™ËšÎ©<[3”_m%ÃïÑ÷
·•l‹¦Q@¥Ö4œ³Ñg²ü�=5$°™(J]YëÁ®c-OMqé<÷ÊÚõÇ�‡“wSø²�¨¹z’œ«ïÚ—)kš$ÜË7ªV©I¥ïÅPý붾ͯnV+卵*t]i‚ÐŽD¥31ñí~S¨Añí1ûéÃCÐ2u)ÑÂʼnΛãQn-UÅoîi÷3ò´�:®«gß»rI8ý¯ÊØ“Wm*G
zà«Ü•)ZÌ×§J}Åê§Yµ Y“lGeJ6ØcB2I ‹NS3×Qµ>kÔõÞ=KT›½ÅBëœâ—ÆÙÎT]ŠŽž‚W鿇¢ÂÞ6œ¬«Ü+ãSÓÛ¦ööï÷Ož—X©QgG©R¦?
te¥l¾ËŠ%šµ-R¾e\hѯ2TF“"ì×C/ŸOÕó´JΩ¥Î6�¥¼rŒ[N¼.0’ª{šªªÙSéÕpljjXš¬1å“jOsöÓ¥;Òhe}ñx¹u`ÈÕ”�&£.�¨„)yˆ“OÌ’™F†ß‘.$ŒÏØQwñ;š9®þ»Òå«I»w2o+RЬVØJMSŽOj[SoÒŒËZ%½;Ÿ®`d$çbÔç÷l’Q{Ro{£ImÚŒ>3àe§gf½¤\O—Ö�UÚz™úxŒœ"䢸g+mv%GÛëô™æëÉÄʆ:|V®[Nª'&ס-Þ�á'éõkÙØfEÚ|K·´‡,G&˳98ðJ±u¥i»nÚïì/Š…›®\\QÝ¿´Ì‹vó~ÕÀ´Úá«Ç¨!r©Ât¹ÑæWU™ ºŽdš™„Ã|ÆE§°ß«R”º4dè}.·›qÁäñ»Pw*Ó¬v5YE·±Ëcìn›Èù©òüµŽ~¿‰f5ŒcÇ%MÑTîMïkßÞb-F§>5ú�JT‰“¤,Ü}ù)ÇQ™šHÔg©%¤{("Ó”ŒÈ¸�WµMsY»yëWÝëNRáŒçrkk®ëŽJ‹r¡ž°0¬XÓドnÍ«‘T«Š�¾â«ð}»rÖ-j£j,µÅ”Ê�\‰Qø2Ri>v$5©!æ]"âJÔÏBÐÈô2ú¹šõWÉ…Ü)]V•Ôœ—UÚøc8›iØ|š§.ájšeÜ<¹X•ú7ì´åT¶=±r[{w÷OlÖãÜTUv*†jp™–mëà8âKÅŽ}¼Xu*AñíH�:&£oZÒljQj—m§³áí–Ïu‘C;N–›Ÿw
koÁØ»@“׎š}_@ý*¾>ñRøO�6ë^ÆV. ¸æüÚ
–ÆQÕ&Öô�#|×ܶ-*Ýu”¡OÀ‚µG%¥JAËtÒÄRZR¤�r]F¤FG ë\Û©ÞÑùw+?'zÕ¹SŠ´Ü÷ѧð£õtjz¾>çKW&“¦úot{7£P›&¡2Dé¯;&\Ç\�ü‡×â>â�Q»÷ÇÚ2J–zÜ— AÝKSÊÕòîfeÎNn¾Í[‚§jRr£ôÔ•ºf6,q,F1Štâ¢R§fÔ—Ô>vÖ¶Ö‡¥¥Äj´-³&–—“R'äZ…¤i2=xv‘üš~Eìl‡‘bs·vm8ÉÅìô¦�=Ó›"Å«ñ•œˆBõºµ÷È©lôWa–u[š]Ù·š½B¢âߨF~™J™!|ÜﹿIðÞpõÓÆr3ÈRÌ´#Y™‘p)={7˜:G{+:\W¡}Ûn²|QŒ#%Äå)7^-»hûŒ"Æ‘ÔËq¢£�:M*%Jñ&¶$©T軨ŒI333׎¦gùä_Ü-êúu�÷œcB®wwìõÞ»�òjp�[¶6öÿ Œië2âŸÎ5¤”žÎÅ$Ì�Ôb×ÃUÂ’áÙ±R©v?G ºã\~#IͪÕýbÿ 7ù<<}é¼ÐEô³¡zt"áõÉÄïô…qì_ÎôIn�ÞöwÓü,Æ7-Åõ«dž�µÿ ¾½µï,º‘ŸGç÷%Tö*Æ
W·g¤Ê1“„"äøä¥±Ëk÷Áq/¯AóÎ.æ,_¢ÔþK¥hžÿ ®qµÅ’òx”wvoîÿ �u“2Û¥¦®óºäëÛ§.bQ}žXκô¸úA§º$Ö£
Û+K·÷×´ÅZUÉÞêNmÚ¸IâI{.ŠœvŒ{5ºz5úù�›�Ñ®…êRãmìÙêØe[m¤ßoyƾ¢îÐûÈÈÈÒd~”¨ˆÇc¶ÚRª¦Ý¾êôúK'j.\iµ&öµ½®çèô/†S®6¶f|bË=5à’:Œ¾ õp!6úi_Í4Ûj6Õ=â.sžÎi˧eƾ¡tSÞ^Ž�úc¾.ßYÖ^ò¡R€ J»Vò�â¿S-Vi3,esiÃï08ú?åH$GõvŽ…ÔZþgg?µ—Ôgi䤟2a×ì×Ôdwö‘™ö릿ù:÷ý"ÛªŒÛíl”�k‰Sì�×Nâ>qý-4âkIÓüÜ‹ÖÛŽ¿eõÌŠ£qÛ…ÜgÛñDoѨÚçú9òô¤ú;–ŸñÙþ
#ÖT´ì.óQýÕÓ;ÿ 7¡#ä~ù»_U™fÆûž¦sßõ£ütƒÞýbçÉû”_Öÿ 'wÿ †‰ÿ �ŠÏê…~Xÿ w1¼ÿ X‹òýk,vÒcOtþå™._}ÑÉv}¤8—û"û¯Û(¾4¾á™Züœá\�÷Û˜gkõ?�ùJ?€¼bmõ‰™ü–_»´cÑöŸæî!…g¼Ë÷{ ¿HZV]ž²F°ÇòkkÅ%~èÌg¦Ÿ¢¿Á¯¨EŽtý)Ìþýbç§´þ“ñvúΰ÷û…B |꽸}Êm®»p~Eø6ݹ¥Ýví×í;â7«PÙ¤Ôè›vì¶+Òñ ªr–œià¤Í*3Ô¢�š|ê'O14�_’õ‡�~åë7ãàãÝnâP�¦¼{7ZöUÔø\Vűï[òÑîŠõ«+˜ùª7ó–±…o#:ÍÇ¥™»¶ïŬ\›|3ðrŒŸ·%T•JX]V7œÍõe½zæÂ¨Y]–ã—lc|O3„V!ª½
R©–z”b“J'PnGq£›VÔJ"19ÌçWV½‚õ½eOFù埜EâaEJωqCN5‡¬Z’ß�
�óg�¯-—9[S·Ë<³àó$´ü…‰sùÇUŸK³5b|7sån\7x
ÈÊ”šqmv‘’ˆŒŒŒŒˆÈÈõ##âFF\Œ†Õwí[�=-4è÷ž3$^”üo�o¬…VSi¦XÖ…ÉvÎ7iB¢Û´y•g›>]Vfê"r‘$�J3""32!ùZî� h™šæ[Kíù·»†Ô%7ðG×ÜvNLå¬Îsæý+”4ôÞn©¨ãâB›ø²/BÒ{vls«obJ¯a¨ÒºªïÑJR‹:¥¥’Œ0á¥g©%&¼zµšR\S3ô™�TËÌï[å&Ö´’orÃÀ¢ô*â·³ÒÛôž„cä3ÊŠŠO•[iozž±WéÙ¨%ï$�ƒúgn:óܶÜêÉWwFB¶¯›–Ô¹j¥H£P�’”&zˆêé”
u&�ÚF®2Â\f;ipØW73„µôòëÔ
[¨�;Ž©Ì'_Ç̽büü;vÛiÆå¿bÔ!oe«��cŸd¤ÍCùÙè×-tS¬ßÌ<•†ðyC7KÆÊƵâÞ¾¢Û¹bòW/Ü»u·zÄæã;’qã\4ƒŠR3¹Mwú“õ Ü~ÜÝGaœÕ¡nÚö]¤UÚSv}�qWMj<«‰ùo̺ZåF;¯Pjôô“(y,’•’ KZ•<ÄõÓ¨™Ôirç%êqÅÀDZâÛV1n¿çÖܯY¹4Ý©ÚöT”iF•dÛÜ'’Ï)=êoD,óÇSô9j:Æv§—à]yyøébÙ”qãÃ*Ź%~ÖCãpsrn.N1Š^7`ÛßÞÆâ7IŽñÍߘ·c-5úýíO,}Šé„ý¿B¡O–L*uȧUcÚÇ”ŒKŽón$Þ#×B1ù= ë/Xº�Ô¼VÕ¼}Fíܘ|×
µnܨ¸ãÂj·]¸û2OnúTìžl¼°yeè÷BµŽråî]ù¯4'bÆÏç
RçEûöáÅÁ{6å©pYñnRä% Õ+Ce!°ÓJà i¼-Âäìû›/ú¥÷_¬»H¤ÞúU«g?*STKF�H©Î¦Ó`B¢©åC‹Pj4”ù'Æ}õ8¥¨ù´-7õŸ¹—�ùÓPžµ‘yàØÍ»nÆ;”•«0µ9 [¯
¹ÃñçN)IÊ®”KÓÏ—N�r?Iºe¤`r®&4u�:ÅÜ¬ÈÆ.ö]ë¶¡råÉÞ§¹¿½B¼‚„b¶UËÇEÂ寱’p�ápVn»BÙ´ ÝöœŠÜ™5'íW›Ç¤N¡Â¨É[�¢™VEU5jSl®"ÔÉ#�ÞiY培›[½©r޳‘{/LÅÇ…ë¸Üåe¹ðJÚœ›|âRŒj<á¢móúK:Aȼ¹§h½MåÜLlbÍÔ'‰—�¸å'fWa~vâ”]ÛNÓ„®¤¥5v*ã—)° œ†¤€ àÌËM4íïm-å{;þ¬”½L”DGÇC">_¬Ì_$©X”s‡’]íl9çîÕ&zñ$ñ2/NšŽ>%'Ãþ’äàÝ[й½}bœ{hã/{`¬{ÑJ–iÐô׉×�çöãYJ›£B޽�/X%¨û¸}.|+{(•ÎøÓÑS…¨ôÑ:qàzöéÇ]4ï©Û_KѵoŒä¸`ãÅÛ^îßtµY©_ú4¹ˆ‹‡�Sï#*¤^ÁÐz‘vݾMÎrŒþ+ìTÜþ´rkQæg.8Ï¿í^ò<‹îOü2ÿ „'…¹øäœ\\©Eñ–Ííw®¡Å^4Ÿ´èŸ¡z}¤-dz~Qœ íöÇmkMŸ Æý‹\Ù7·wÂû‹¢þM÷wð¢/î�®3�/©Ç¤°š^Î|ÕWð6ÿ lÄšÂ�ö›„àë
=µùWLtïüÞ„Œ‘ûä~í}Ve«îz™ÏÖ�ñÒ{õ‹Ÿ'îQ[ü�ßþ'þf+?ªùcýÜÆóýb/Éÿ õ¬°ØIŒ==Óû–d¹|E÷G%Ùõþ�â_ì‹î¿l¢øÒû†dkòr´…r?ßnaœu¯Ôþå(þñ‰´OÖ&gòY~îÑ�GÚ›¸†žó,[Ýî‚ý!iYvzÉÃÉÿ •û£0Mžš~ˆbÿ ¾¡9Óô§3øWõ‹žžÓúLwÅÛë:Ãßî
€ #'«Ž;øçf7m]˜É“?]•ûNT¼†¨*Õ«-µ(Óª£Ý/¼´ëí%H�D’×Í.�üùÒÌ‹pSÈÓïØÊŽê¥øW¯u«³mv¥²®ˆ›¿GÇ8~ky“Óôû³pÄÖðrðgÜäí¬«I®ù^Å„"û»lÔHjŒô.o_¶+çæ^Ýp…ô¥¤Ü˜¾ËŸQÑF²E\¨0£Ö™ç6Úçð*Ì<ŽnTëË®ƒv½<Ö¿8ùG×^Ë™Zn=É*Ö“v£Æ«EZO‰VŠ´Üy^ë‡+~eu�™ùV*–pµÜÈ[ÙJÙñç+.•tâµ(:UÒ´1gª¾HN;ÙvEŽÓ̳RÈ•sÒüb%ª®T
©[e´Ý¼»R…Påâ\†\üyt