Experiencia de cinco años en el manejo de pacientes con alto riesgo de coledocolitiasis
Bibliographic record
Abstract
Introduccin: La coledocolitiasis se desarrolla entre 8 y 18% de los pacientes con colecistitis litisica. El diagnstico se establece con base en los criterios de la American Society for Gastrointestinal Endoscopy (ASGE). En pacientes con alto riesgo, el tratamiento sugerido es colangiopancreatografa retrgrada endoscpica (CPRE). Aunque la exploracin quirrgica de la va biliar (EVB) ha demostrado resultados similares en cuanto a efectividad y complicaciones, an existe controversia respecto a la mejor opcin de tratamiento. Objetivo: Anlisis y descripcin de nuestra experiencia en el manejo de pacientes con alto riesgo de coledocolitiasis en el Centenario Hospital Miguel Hidalgo en un periodo de cinco aos. Material y mtodos: Estudio tipo serie de casos, retrospectivo, descriptivo, analtico y comparativo de pacientes con alto riesgo de coledocolitiasis, generando dos grupos con base en el tratamiento: colangiopancreatografa retrgrada endoscpica (CPRE) o exploracin de va biliar (EVB). Descripcin de variables cualitativas y cuantitativas con porcentajes y medidas de tendencia central, 2 para variables categricas, t de Student o U Mann-Whitney, segn normalidad de los datos. Resultados: Muestra de 76 pacientes con alto riesgo de coledocolitiasis, 55 (72.37%) mujeres y 21 (27.63%) hombres. Media de edad 43 aos (DE 19.07). La CPRE fue teraputica en 41 casos (56.94%), no teraputica en 31 (va biliar no permeable, n = 20; ausencia
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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 | 0.003 |
| 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 | 0.000 | 0.000 |
| Open science | 0.001 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 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".