Cholangioscope-assisted evaluation and endoscopic incision of stricture caused by thick mucosal bridge in Crohn’s disease
Bibliographic record
Abstract
Cholangioscope-assisted evaluation and endoscopic incision of stricture caused by thick mucosal bridge in Crohn's disease A 32-year-old man with an 8-year history of Crohn's disease (Montreal classification A2, L3, B2 p) presented with recurrent abdominal pain.After regular treatment with ustekinumab for 3 years, recent computed tomography revealed severe stricture in the ascending colon ( Fig. 1), and colonoscopy showed colorectal mucosal healing.However, two tiny holes were observed and could not be passed by the colonoscope ( Fig. 2).In order to find out which hole was the real narrow bowel lumen and to exclude a potential fistula, a cholangioscope (eye-MAX, 9 F; Micro-Tech, Nanjing, China) was inserted into the two holes respectively to gain direct views inside and behind the holes ( Fig. 3) [1,2].Amazingly, the ileocecal valve was reached by the cholangioscope through both holes, and superficial ulcer in the inner wall of the holes and multiple scar changes in the ileocecal region were observed simultaneously ( Fig. 4).The cholangioscopy result indicated that the stricture was caused by a rare thick mucosal bridge E-VideosVideo 1 Cholangioscopy-assisted evaluation and targeted treatment for Crohn's disease-associated stricture.
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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 | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 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".