Successful Endoscopic Management of Gastrojejunal Anastomotic Leak Following Open Roux-en-Y Gastric Bypass
Bibliographic record
Abstract
Gastrojejunal anastomotic leak following Roux-en-Y gastric bypass (RYGB) for morbid obesity can lead to devastating and life-threatening intraabdominal sepsis. Typical management includes external drainage of the intraperitoneal collection with a risk of long lasting and difficult to manage gastrocutaneous fistula. The situation is additionally aggravated by the nature of a severely obese patient with multiple comorbidities and a modified gastrointestinal anatomy. In the reported case, the gastrojejunal leak after an open RYGB was successfully managed by a combined laparoscopic and gastroscopic intervention with a nasogastric drainage of intraabdominal collection. The quick recovery of the patient was based on the minimally invasive nature of the procedure and early aggressive enteral feeding via gastric remnant. Intraoperative gastroscopy allowed confirmation of the absence of free intraperitonel leakage and guided nasogastric drainage of the abscess. This report confirms the feasibility of a laparoscopic revision after open RYGB for a contained gastrojejunal insufficiency when it is combined with on-table gastroscopy. doi:10.4021/jmc252w
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
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 | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.001 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 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".