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Record W4392389244 · doi:10.1093/jcag/gwae008

A rare case of oesophageal mucosal bridge

2024· article· en· W4392389244 on OpenAlexaff
Dain Kim, Matthew Woo

Bibliographic record

VenueJournal of the Canadian Association of Gastroenterology · 2024
Typearticle
Languageen
FieldMedicine
TopicEsophageal and GI Pathology
Canadian institutionsUniversity of CalgaryUniversity of Saskatchewan
Fundersnot available
KeywordsBridge (graph theory)MedicineAnatomy

Abstract

fetched live from OpenAlex

A 76-year-old previously healthy male presenting with ascending paralysis was diagnosed with Guillain-Barre syndrome. Due to respiratory failure, he underwent tracheostomy and had nasojejunal and nasogastric feeding tube placed fluoroscopically without immediately apparent complication. Esophagogastroduodenoscopy performed for abdominal pain demonstrated a mucosal bridge at 25 cm from the incisors (Figure 1). Endoscopic finding of esophageal mucosal bridge. An oesophageal mucosal bridge is a smooth muscle that extends and connects across the lumen of the esophagus, rarely found through upper endoscopy.1 It is described to be visualized as a “double lumen” on upper endoscopy due to the connecting smooth muscle, and can cause various symptoms including dysphagia and bleeding.1 However, mucosal bridges are often asymptomatic in nature, which probably contributes to underdiagnosis. The aetiology of this condition may either be congenital or acquired secondary to oesophageal trauma and inflammation.2 One of the known causes of oesophageal mucosal bridge is nasoenteric tube insertion and use associated with oesophageal mucosal injury.3 As this condition is exceedingly rare, more studies and case reports are needed to understand the full scope of pathogenesis, aetiology, and effective treatment. D.K. was involved in the drafting of the manuscript. M.W. was involved in study concept and design, and drafting the manuscript. None declared. None declared. There are no data associated with this manuscript.

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 imitation

Not 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.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.007
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Case report · Consensus signal: Case report
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.015
Threshold uncertainty score0.028

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0010.007
Meta-epidemiology (narrow)0.0030.002
Meta-epidemiology (broad)0.0020.003
Bibliometrics0.0040.003
Science and technology studies0.0040.003
Scholarly communication0.0030.005
Open science0.0030.005
Research integrity0.0150.008
Insufficient payload (model declined to judge)0.0080.004

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.

Opus teacher head0.011
GPT teacher head0.256
Teacher spread0.246 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designCase report
Domainnot available
GenreEmpirical

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".

Quick stats

Citations0
Published2024
Admission routes1
Has abstractno

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