Endoscopic Treatment of a Duodenal Duplication Cyst
Why this work is in the frame
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Bibliographic record
Abstract
A 23-year-old Caucasian woman underwent investigations for symptoms of epigastric pain and gastroesophageal reflux. She was treated with a proton pump inhibitor for a few months without any improvement in symptoms. Abdominal computed tomography and endoscopic ultrasound examination revealed a paraduodenal cystic lesion on the antimesenteric side of the second part of the duodenum. This lesion was echo-poor, was more than 6 cm in length, and was composed of multiple layers similar to those of the intestinal wall. The diagnosis was a duodenal duplication. Examination with a side-viewing Olympus TJF-160 duodenoscope revealed a soft and depressible mass (Figure [1]). An incision was made with a needle-knife papillotome (Microknife XL; Boston Scientific Microvasive, Spencer, Indiana, USA) on the proximal, dependent portion of the cyst. The cyst was cannulated with a sphincterotome (Cotton Cannulatome II PC Double Lumen; Wilson-Cook Medical, Winston-Salem, North Carolina, USA). The incision was extended until an opening of 1.5 cm was obtained. One month later, a second endoscopy was performed and the duplication cavity was found to be totally collapsed. The previous incision was now about 2 cm long and was extended for another 1 cm (Figure [2]). One month after discharge, the patient was well and symptom-free.
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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 | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| 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 it