Endoscopic balloon dilation in pre-pouch ileal strictures in patients with Crohn�s-like disease of the pouch: a tool not to be overlooked!
Bibliographic record
Abstract
Strictures are among the possible complications of ileal pouch-anal anastomosis (IPAA) performed after restorative proctocolectomy for ulcerative colitis (UC) and occur in approximately 11% of patients following this surgical procedure. Large-scale data for EBD in pouch strictures worldwide are still lacking, especially for pouch strictures in the context of Crohn's disease (CD)-like disease of the pouch. We report a procedural success in treating, through EBD, a complex case of double short pouch stenosis in an elderly patient with coexisting CD-like pouch disorder and chronic antibiotic-refractory pouchitis. The patient, a 78-year-old female, was diagnosed with UC (E3 according to Montreal classification) in 2009 and, due to the development of severe disease activity, underwent a two-step restorative proctocolectomy with the construction of a J-pouch IPAA (2001).
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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 | 0.001 |
| 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".