Publications by authors named "M Hemmink"
Introduction: Several prediction scores for triaging patients with upper gastrointestinal (GI) bleeding have been developed, yet these scores have never been compared to the current gold standard, which is the clinical evaluation by a gastroenterologist. The aim of this study was to assess the added value of prediction scores to gastroenterologists' Gut Feeling in patients with a suspected upper GI bleeding.
Methods: WE PROSPECTIVELY EVALUATED GUT FEELING OF SENIOR GASTROENTEROLOGISTS AND ASKED THEM TO ESTIMATE: (1) the risk that a clinical intervention is needed; (2) the risk of rebleeding; and (3) the risk of mortality in patients presenting with suspected upper GI bleeding, subdivided into low, medium, or high risk.
Article Synopsis
- High-resolution esophageal manometry (HRM) is a new method for evaluating how well the esophagus functions, and this study aimed to see how consistently different clinicians could diagnose esophageal motility disorders using it.
- 18 practitioners classified individual swallows, showing good agreement for normal function and achalasia, but not for peristaltic dysmotility; while 36 practitioners assessed diagnostic studies, revealing moderate overall agreement.
- Agreement improved among those with more than 400 studies and was highest among experts who helped create the Chicago Classification, indicating HRM is useful but that certain disorders may need clearer metrics for accurate diagnosis.
Background And Study Aims: This study aimed to reassess whether the Forrest classification is still useful for the prediction of rebleeding and mortality in peptic ulcer bleedings and, based on this, whether the classification could be simplified.
Patients And Methods: Prospective registry data on peptic ulcer bleedings were collected and categorized according to the Forrest classification. The primary outcomes were 30-day rebleeding and all-cause mortality rates.
Background: Software for the analysis of left ventricular (LV) volumes and mass using border detection in short-axis images only, is hampered by through-plane cardiac motion. Therefore we aimed to evaluate software that involves longitudinal cardiac motion.
Methods: Twenty-three consecutive patients underwent 1.