{"id":"W4407509292","doi":"10.1159/000543537","title":"Management of Refractory Esophageal Variceal Bleeding when TIPSS Is Not Possible: Review of a Challenging Case","year":2025,"lang":"en","type":"review","venue":"Case Reports in Gastroenterology","topic":"Liver Disease and Transplantation","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"McGill University Health Centre","funders":"","keywords":"Medicine; Refractory (planetary science); Portal vein thrombosis; Hepatocellular carcinoma; Complication; Portal hypertension; Portosystemic shunt; Transjugular intrahepatic portosystemic shunt; Ligation; Embolization; Surgery; Radiology; Thrombosis; Gastroenterology; Internal medicine; Cirrhosis","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":false,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"codex-gemma-dda1882f352a","candidate_categories":["metaepi_narrow"],"consensus_categories":[],"category_scores_codex":[0.0007038036,0.0004104094,0.002509166,0.0006355643,0.00003287621,0.00000398773,0.00007579904,0.0002304652,0.0001267264],"category_scores_gemma":[0.00001358318,0.0003711189,0.0005403112,0.0002593883,0.00008262829,0.00006954751,0.0001072684,0.0004388933,0.000001358763],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0001600639,"about_ca_system_score_gemma":0.0002107214,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.00007290523,"about_ca_topic_score_gemma":0.000008275912,"domain_scores_codex":[0.9963658,0.0002120549,0.002125272,0.0006380978,0.0002786908,0.0003800273],"domain_scores_gemma":[0.997629,0.0001091511,0.00128784,0.000699563,0.0001387656,0.0001356418],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"case_report","study_design_gemma":"case_report","study_design_scores_codex":[0.0000766247,0.0001582176,0.0002827819,0.4141208,0.001295487,0.538018,0.00009298317,2.601031e-7,1.00159e-7,0.00001171988,0.00004796622,0.04589505],"study_design_scores_gemma":[0.0008492118,0.0003857122,0.00008228207,0.3880668,0.02256129,0.5832705,0.00007831897,0.000006010188,0.000002085822,0.000008725729,0.00454403,0.0001450307],"study_design_candidate":"case_report","study_design_consensus":"case_report","genre_codex":"review","genre_gemma":"review","genre_scores_codex":[0.001849043,0.9953356,0.0001250114,0.00004788916,0.0003385674,0.001507086,0.0001261049,0.00002232881,0.0006483318],"genre_scores_gemma":[0.01493591,0.9839145,0.0003378668,0.0002332193,0.00006071856,0.0001323926,0.0002185583,0.00003445684,0.0001323918],"genre_candidate":"review","genre_consensus":"review","teacher_disagreement_score":0.04575001,"threshold_uncertainty_score":0.9998741,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.03048369281907874,"score_gpt":0.3355378225441001,"score_spread":0.3050541297250214,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}