Esophagobronchial Fistula Complicating Isolated Esophageal Crohn’s: A Case Report
Bibliographic record
Abstract
Isolated esophageal Crohn’s is a rare condition with few reported cases; there are even much fewer documented case reports of esophagobronchial fistula complicating esophageal Crohn’s. We present a case of isolated esophageal Crohn’s with esophagobronchial fistula presenting with hemoptysis. Diagnostic considerations and therapeutic options are detailed. We recommend chest computerized tomography (with computerized virtualization of endoluminal data when available) as the imaging modality of choice, as well as traditional studies: barium swallow, bronchoscopy and upper gastrointestinal endoscopy, for a complete elucidation of all associated clinical entities. We conclude by making the case for entertaining a diagnosis of esophagobronchial or related fistulas in patients with Crohn’s disease who present with interval development of respiratory symptoms or signs especially when these are persistent or recurrent. J Med Cases. 2014;5(3):143-146 doi: http://dx.doi.org/10. 14740 / jmc1601w
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.004 |
| Meta-epidemiology (narrow) | 0.003 | 0.002 |
| Meta-epidemiology (broad) | 0.002 | 0.002 |
| Bibliometrics | 0.004 | 0.003 |
| Science and technology studies | 0.004 | 0.003 |
| Scholarly communication | 0.003 | 0.003 |
| Open science | 0.002 | 0.003 |
| Research integrity | 0.008 | 0.004 |
| Insufficient payload (model declined to judge) | 0.003 | 0.001 |
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 source (direct Gemma or distilled Codex), 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".