An Obstetric Perspective on Functional Bowel Obstruction After Cesarean Section: A Case Series
Why this work is in the frame
A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.
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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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 | 0.021 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 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 | 0.001 |
| 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 it