Estenosis de Anastomosis Hepático-yeyunal Termino- Lateral en Y de Roux tratada mediante reconfección y modificación de la técnica de Anastomosis a Termino-Terminal
Bibliographic record
Abstract
Las estenosis tempranas de la vía biliar luego de una anastomosis bilio-digestiva se relacionan con aspectos del procedimiento quirúrgico mientras que las tardías con fenómenos inflamatorios, fibrosis por fugas biliares, isquemia por lesión vascular, reflujo yeyuno-biliar o colangitis séptica por fenómeno de asa ciega; el tratamiento definitivo es una nueva Hepático-yeyuno anastomosis. El presente caso se trata de un paciente de 39 años de edad intervenido por lesión de vía biliar Bismuth 4 ocasionada durante una colecistectomía laparoscópica, se lo trato mediante Hepático-yeyuno-anastomosis Termino-lateral con Y de Roux después de la cirugía presentó episodios de colangitis a repetición por lo que fue referido al Hospital Pablo Arturo Suárez de Quito donde se resolvió el cuadro mediante la modificación de la técnica quirúrgica de anastomosis Termino-lateral a Termino-terminal procedimiento que se realiza en los pacientes atendidos en este hospital por haber demostrado menor morbilidad posoperatoria en comparación con la técnica clásica.
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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 | 0.002 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.000 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 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".