An Obstetric Perspective on Functional Bowel Obstruction After Cesarean Section: A Case Series
Bibliographic record
Abstract
Ogilvie’s syndrome (OS) and paralytic ileus are two types of functional bowel obstructions well known in obstetrics. Cesarean section and spinal anesthetic have been reported as etiological factors. OS is rare; however, associated morbidity and mortality rates are high. We report on three patients whose post-cesarean section course was complicated by a functional bowel obstruction. Two of the patients exhibited signs of imminent perforation from cecal dilation and required major surgical intervention. The pathophysiology of OS and paralytic ileus and their respective management are discussed based on a review of the literature. A new approach to the management of functional bowel obstructions after cesarean section is offered from an obstetric perspective. Identification of cecal dilation is the key. We suggest prompt measurement of the cecum with an abdominal X-ray followed by surgical review and intervention in symptomatic patients with a cecal diameter equal to or greater than 10 cm. J Clin Gynecol Obstet. 2016;5(1):53-57 doi: http://dx.doi.org/10.14740/jcgo390w
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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 | 0.000 | 0.002 |
| Meta-epidemiology (narrow) | 0.002 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.004 | 0.002 |
| Science and technology studies | 0.003 | 0.001 |
| Scholarly communication | 0.002 | 0.002 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.004 | 0.003 |
| Insufficient payload (model declined to judge) | 0.005 | 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".