Entero-Enteric Fistula Following Mild Necrotizing Enterocolitis
Bibliographic record
Abstract
We report a 26-week gestational age newborn who developed an entero-enteric fistula associated with a small bowel stricture following a mild episode of necrotizing enterocolitis. The fistula led to a delay in the diagnosis and surgical treatment of the stricture, and should therefore be considered in the setting of partial or intermittent obstruction in the newborn who has had necrotizing enterocolitis. Résumé Nous rapportons le cas d'un enfant de 26 semaines d'age gestationnel qui a développé une fistule entéro-entérique associée à une sténose de l'intestin grêle suivant un épisode modéré d'entérocolite nécrosante. La fistule a conduit à retarder le diagnostic et le traitement chirurgical de la sténose et devrait être considéré en cas d'obstruction partielle ou intermittente chez un nouveau-né qui a eu une entérocolite nécrosante. Resumen Presentamos un recién nacido de 26 semanas de gestación que desarrolló una fístula entero-entérica asociada con una estenosis del intestino delgado tras un episodio leve de enterocolitis necrotizante. La fístula produjo un retraso en el diagnóstico y en el tratamiento quirúrgico de la estenosis y debe por lo tanto ser considerada en el cuadro de las obstrucciones parciales intermitentes del recién nacido que tuvo enteritis necrotizante. Zusammenfassung Es wird über ein in der 26. SSW geborenes Neugeborene berichtet, das eine entero-enterale Fistel mit Stenose des Dünndarmes als Folge einer milden nekrotisierenden Enterokolitis entwickelte. Die Diagnose der Fistel erfolgte erst verzögert. Sie wurde jedoch dann reseziert einschließlich der Stenose. Das Hauptsymptom war eine partielle, intermittierende Obstruktion. Schlussfolgerungen: Auch die Entwicklung einer entero-enteralen Fistel kann nach nekrotisierender Enteritis erfolgen und zunächst nicht zu akuten Symptomen führen. Man sollte bei jeder rezidivierenden Obstruktion im Gefolge einer NEC jedoch daran denken.
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 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 | 0.000 | 0.006 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.002 | 0.002 |
| 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 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".