1 Washington State University Elson S. Floyd College of Medicine, Spokane, Washington

2 University of Pennsylvania College of Arts and Sciences, Philadelphia, Pennsylvania

3 Department of Surgery, Kadlec Regional Medical Center, Richland, Washington

Funding/Support: None reported.

Financial Disclosure: None reported.

Correspondence: Luay D. Ailabouni, M.D., Kadlec Regional Medical Center, Colon and Rectal Surgery, 780 Swift Blvd, Suite 100, Richland, WA 99352. E-mail: [email protected]