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A documented history of Billroth I (gastroduodenostomy) or Billroth II (gastrojejunostomy) reconstruction is a common clinical trigger for Z90.3, since both are partial gastrectomies performed for ulcer disease or gastric cancer

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A significant proportion of moderate or partially deficient patients (Class 3) still developed severe hyperbilirubinemia that require prompt phototherapy intervention (14), showing that higher residual enzyme activity level does not confer more protection against hyperbilirubinemia