EUS-guided gastroenterostomy for treatment of afferent limb syndrome
Bibliographic record
Abstract
Afferent limb syndrome (ALS) is an important yet underrecognized adverse event after gastrojejunostomy or Rouxen-Y reconstruction surgeries with diverted biliary limb.ALS refers to the obstruction of the afferent limb or biliary limb, leading to symptoms such as vomiting, abdominal pain, biliary obstruction, pancreatitis, and cholangitis.1 ALS can occur from several benign and malignant etiologies ranging from obstructing enteroliths, radiation enteritis, postsurgical adhesions, internal herniations, and recurrence of malignancy.Although the precise incidence of ALS remains uncertain, recent studies suggest it may be more common than previously believed.2,3 Although ALS traditionally has been treated by a surgical bypass or reconstruction, the optimal treatment strategy is not clearly established.Recent studies demonstrate that alternative endoscopic treatments can effectively manage ALS (Video 1, available online at www.videogie.org).
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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 | 0.001 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.001 | 0.002 |
| 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".