Remnant Gastric Perforation at a Patient With Colon Interposition: A Rare Case
Bibliographic record
Abstract
The purpose of performing surgical treatment after benign or maligned pathologies of the esophagus is to provide the continuity of the intestinal system. Especially after caustic esophagus injuries mostly colon interposition is performed to provide continuity. In this case study was made to determine actions to be taken for follow-up and as a treatment method for patients developing remnant perforation at the stomach after a colon interposition. A 53-year-old female patient came with complaint of abdominal pain for 2 days. Anamnesis showed that left colon interposition was performed because of esophagus stricture development after she drank caustic substance about 10 years ago. After acute abdominal findings during the physical examination, a direct abdominal graphy was made while standing and the X-ray of the lungs showed free air in the inner abdomen, together with findings of perforation at the computed tomography (CT), and it was decided to perform an urgent surgical intervention. During the exploration a perforation of approximately 1 cm was determined on the front side of the remnant gastric antrum. The perforation was sutured primarily with 2/0 silk. Postoperative on the fourth day, the oral intake of the patient was opened which is tolerated and the patient was discharged on day 7 after surgery. If no results are obtained from the endoscopic dilatation methods performed on patients developing stricture after caustic esophagus and stomach injuries, the most appropriate method to provide the continuity of the intestinal system is a left colon interposition, which has got perfect long-term results. Although especially complications of the remnant organ are rarely seen, regarding cases with acute abdominal examination findings besides complications belonging to the colon graft, the remnant organ’s pathologies must be kept in mind and exploration must be performed with caution. J Med Cases. 2015;6(1):43-45 doi: https://doi.org/10.14740/jmc1998w
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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 | 0.004 |
| Meta-epidemiology (narrow) | 0.002 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.002 |
| Bibliometrics | 0.003 | 0.002 |
| Science and technology studies | 0.003 | 0.002 |
| Scholarly communication | 0.002 | 0.003 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.007 | 0.003 |
| Insufficient payload (model declined to judge) | 0.004 | 0.001 |
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".