An unusual case of an intraabdominal esophageal atresia without tracheoesophageal fistula
Bibliographic record
Abstract
Pure esophageal atresia (EA) is typically characterized by a long gap between the proximal and distal ends. Thus, a primary repair is not usually possible and different techniques may be required to approximate the two pouches. Although very rare, membranous atresia of the esophagus has been described. At surgery, this membrane can be tented on the end of a nasogastric tube when viewed through a gastrotomy. The membrane is often located in the intrathoracic portion of the esophagus and may be perforated and dilated or resected. We describe an unusual case of a type 2 (fibrous band) intraabdominal esophageal atresia without tracheoesophageal fistula (TEF) – there was no mucosal continuity as is seen with the membranous atresia. This type of intraabdominal EA does not appear in Kluth's classification. The fibrous band was short, enabling us to perform a primary, tension free anastomosis via a laparotomy. The patient made an uneventful recovery. To our knowledge, there has been no similar case previously described.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.003 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".