A Case of Medically Refractory Cronkhite-Canada Syndrome That Was Improved by Surgical Resection of the Main Lesion
Bibliographic record
Abstract
症例は68歳の男性で，Cronkhite-Canada症候群（以下，CCSと略記）の診断にてステロイドを中心とした内科的治療を継続するも無効で3.5か月が経過していた．ポリポーシスが原因の終末回腸浮腫による通過障害にて成分栄養の経口投与で栄養管理され，proton pump inhibitor（以下，PPIと略記）は経口投与されていた．右側腹部痛の急激な増悪を認め，上部消化管穿孔の診断のもと緊急手術を施行した．十二指腸球部前壁の穿孔部分への大網充填に加え，通過障害を呈していた回盲部を切除し，回腸人工肛門造設術を併施した．術後はステロイド，抗TNFα抗体の投与にてCCS症状が改善した，またPPIも術直後の静脈投与から内服に変更したが十二指腸潰瘍の再発は認めなかった．内科的治療抵抗性のCCS症例では主病変の外科的切除を行うことも考慮する必要があると考えられた．
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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) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.003 | 0.002 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.005 | 0.003 |
| 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 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".