Pneumoperitoneum Post Esophageal Stent Insertion Managed With Paracentesis
Bibliographic record
Abstract
Gastrointestinal tract perforation is a known complication of endoscopy and may present itself as a pneumoperitoneum, pneumomediastinum or less commonly subcutaneous emphysema. Due to high insufflation pressures, barotrauma or mechanical trauma may result in a large pneumoperitoneum; however, the leak may spontaneously seal once insufflation has ceased. While unwell and peritonitic patients require prompt surgical intervention, in many cases patients may be clinically stable and respond appropriately to conservative management. We present the case of pneumoperitoneum post esophageal stent insertion for management of malignant dysphagia in a 74-year-old female patient. She experienced severe epigastric pain immediately post procedure and on image confirmation of a pneumoperitoneum underwent a paracentesis with significant pain relief and was then successfully managed conservatively. This case highlights that paracentesis may provide significant symptomatic relief from decompression of intra-abdominal free gas and facilitate non-operative management of pneumoperitoneum post upper gastrointestinal tract endoscopy.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
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 | 0.003 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.002 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.002 | 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".