{"id":"W4416262992","doi":"10.7759/cureus.96985","title":"Gallstone Ileus Occurring 35 Years After Cholecystectomy in an Elderly Male","year":2025,"lang":"en","type":"article","venue":"Cureus","topic":"Biliary and Gastrointestinal Fistulas","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"Brandon University","funders":"HCA Healthcare","keywords":"Gallstone ileus; Cholecystectomy; Exploratory laparotomy; Ileus; Bowel obstruction; Fistula; Laparotomy; Presentation (obstetrics)","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":[],"consensus_categories":[],"category_scores_codex":[0.0001123386,0.0001207129,0.0002040157,0.0001022491,0.0000210304,0.00001824935,0.0001036987,0.00007455803,0.000459592],"category_scores_gemma":[0.00006591607,0.0001196882,0.00005453194,0.0002320209,0.00005150427,0.0001153157,0.00004706871,0.0002858728,0.0000798662],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.00008073872,"about_ca_system_score_gemma":0.00006273525,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.00008181224,"about_ca_topic_score_gemma":0.0002608347,"domain_scores_codex":[0.999135,0.00003119716,0.000198171,0.0002671785,0.0001144281,0.0002539839],"domain_scores_gemma":[0.9994652,0.0000262574,0.00002477509,0.0003482481,0.00003617251,0.00009929264],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.001011637,0.0008382417,0.9722071,0.0002634075,0.00004826663,0.002246929,0.0005800062,0.0000203124,0.008239068,0.000310223,0.001904954,0.01232989],"study_design_scores_gemma":[0.002783038,0.0007651614,0.9799294,0.0007446866,0.0000574985,0.000271574,0.0001572865,0.0001880103,0.0006154815,0.0001285335,0.01419434,0.0001649463],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9898133,0.0006030991,0.00008818595,0.0002197896,0.0001870146,0.0002166028,0.000004722034,0.00005819574,0.008809148],"genre_scores_gemma":[0.9948724,0.000006541504,0.0009603385,0.0006897375,0.00009319291,0.0000335049,0.00000637943,0.00001211083,0.003325831],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.01228939,"threshold_uncertainty_score":0.503221,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.01006916155016831,"score_gpt":0.2944493112914379,"score_spread":0.2843801497412696,"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."}}