Deriban, GJorgji
Preferred name
Deriban, GJorgji
Official Name
Deriban, GJorgji
Main Affiliation
Email
gjorgji.deriban@medf.ukim.edu.mk
23 results
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Item type:Publication, COVID-19 in the endoscopy unit: How likely is transmission of infection? Results from an international, multicenter study(Baishideng Publishing Group Inc., 2021-09) - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Case report-patient with cerebellar stroke and percutaneous enterogastric tube(2017); ; ; Babunovska MarijaAbstract Introduction: Cerebellar strokes occur in 1,5-2,3% of all ischemic stroke cases. Aim: We present 74-year-old male patient, admitted at the University Clinic of neurology due to acute ischemic cerebellar stroke with speech and swallowing difficulties, disturbed balance, weakness of the left side extremities, impaired consciousness. Case report: On admission the patient was presented with clinical picture of left hemicerbellar syndrome with compression of the medulla. Computer tomography of the brain (CT)on admission was with normal finding. Control CT of the brain after 48 hours showed irregular ischemic lesion in the left cerebellar hemisphere. Nuclear magnetic resonance imaging (MRI) of the brain confirmed the CT findings. Color duplex sonography of the vertebral arteries (VA)showed reduced Doppler signal in the left VA,finding conclusive with distal occlusion and compensatory increased blood flow velocity in the right VA. CT angiography of vertebral arteries showed hypoplastic extracranial segment of the left VA, while its intracranial segment could not be visualized. Posterior inferior cerebellar artery (PICA) was not visualized intracranially as well, finding conclusive with its occlusion. The right VA on CT angiography was seen with compensatory increased lumen. Patient was treated with usual therapy for ischemic stroke during a period of 3 weeks. Due to dysphagia, nasogastric feeding tube was placed. During the stay in hospital, the patient's physical and neurologicl status gadually improved, But, dysphagia still persisted and according to current guidelines for stroke treatment, together with the specialists from the Clinic of Gastroenterohepatology, we decided to place a percutaneous enterogastric tube (PEG). The intervention went very well and the patient was discharged for home treatment. He came for regular control check-ups every month for a period of 1 year. His physical and neurological symptoms gradually improved, and his swallowing function recovered. After 6 months, the PEG probe was taken out, and the patient continued to eat and swallow normally. Discussion: Dysphagia is a serious complication after stroke. It carries risk for aspiration and occurrence of pneumonia. Placement of nasogastric feeding tube is recommended in patients who have swallowing difficulties in the acute phase of stroke. Placement of PEG tube is recommended 2 weeks after stroke occurrence. Studies so far have shown that feeding through the PEG tube is more efficient than feeding through the nasogastric tube in terms of improved nutritive status and has lower complication risk. Conclusion: Successful treatment of stroke depends on many factors. Particular attention should be brought to the food and beverage intake, and assessment of early signs and risk factors of dysphagia in order to take appropriate therapeutic measures. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Pancreas and duodenum herniation in a giant inguinal hernia sac in a patient with severe scoliosis: a rare case report(Oxford University Press (OUP), 2025-07); ; ; Giant inguinal hernias (GIHs) are rare clinical entities, typically containing omentum or small bowel. Involvement of retroperitoneal organs, such as the pancreas and duodenum, is exceedingly uncommon due to their fixed anatomical positions. We report a unique case of a 52-year-old male with a longstanding right GIH and severe scoliosis, in whom preoperative imaging and surgical exploration revealed herniation of the pancreatic head and duodenum into the hernia sac. Contributing factors included altered retroperitoneal geometry from spinal curvature, reduced abdominal wall tone, and congenital right hip displacement with associated functional limitation. Incidental findings of multiple left hepatic duct calculi raised concerns for biliary stasis due to chronic duodenal displacement. This case highlights the importance of considering atypical hernia content in patients with longstanding hernias and complex musculoskeletal deformities, and underscores the role of comprehensive imaging and multidisciplinary assessment in surgical planning. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Biologic Therapy in Inflammatory Bowel Disease - Results from a Single Tertiary Care Center in North Macedonia(Македонска академија на науките и уметностите, Одделение за медицински науки = Macedonian Academy of Sciences and Arts, Section of Medical Sciences/Walter de Gruyter GmbH, 2023-07-01); ; ; ; Medical therapies used for Inflammatory Bowel Disease (IBD) include conventional (e.g. 5-aminosalicylates, steroids, immunomodulators) and biologic (e.g. inhibitors of tumor necrosis factor - alpha, integrin inhibitors, interleukin inhibitors) medications. Biologics, due to their high cost, were unfortunately not covered by the public health insurance system in North Macedonia until 2019 and, therefore, not widely utilized for our IBD patients. In 2019, the University Clinic of Gastroenterology and Hepatology in Skopje developed a biologic therapy supply, provided by the National Health Insurance Fund, making this therapy available for a larger number of patients. This report presents the initial results of our prospective, single tertiary-care center study on the effects of biologic therapy in patients with IBD in North Macedonia. The study is focused on the evaluation of clinical outcomes after anti-tumor necrosis factor alpha (anti TNF-alpha) therapy in IBD patients with prior inadequate response to conventional medications. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, FOUR YEAR RESULTS OF CONSERVATIVE TREATMENT OF BENIGN STRICTURES OF THE ESOPHAGUS WITH SVARY GILLIARD TECHNIQUE OF BOUGIENAGE: CROSS-SECTIONAL STUDY REPRESENTING FIRST EXPERIENCES IN REPUBLIC OF MACEDONIA(Macedonian Academy of Sciences and Arts, 2018-01); ; ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, СПОНТАН БАКТЕРИСКИ ПЕРИТОНИТИС КАЈ ПАЦИЕНТИ СО ЦРНОДРОБНА ЦИРОЗА И АСЦИТ: ДИЈАГНОСТИЧКИ И ТЕРАПИСКИ ПРЕДИЗВИК - ПРЕГЛЕД ОД ЛИТЕРАТУРАТА(SHMSHM - AAMD, 2022); ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, SERUM D-DIMER IN CIRRHOTIC PATIENTS WITH SPONTANEOUS BACTERIAL PERITONITIS(Macedonian Society of Gastroenterohepatology, 2024-09); ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Rare presentation of gastric schwannoma: a case report.(2016); ; ; Mishevski JSchwannomas or neurilemmomas are well-defined benign tumors arising from neural crest cells and surrounding the nerve sheath. These neoplasm’s are rare among the spindle cell mesenchymal tumors of the gastrointestinal tract, and develop most commonly in the stomach representing 0.2% of all gastric tumors. We present a case of 53-years-old female with a history of upper abdominal pain. The physical examination revealed palpable epigastric mass; serum biochemistry and tumor markers were in normal range. Abdominal ultrasound as a first imaging procedure detected 5 cm cystic tumor located between the body and the tail of the pancreas, while upper endoscopy showed sub mucosal mass in the region of cardia. Diagnostic dilemma was resolved by the means of endoscopic ultrasound (EUS), which defined the exact place of the tumor in the gastric wall. Since EUS biopsy was not available procedure, percutaneous biopsy was performed. Histological and immuno-histochemical findings of the biopsy specimen and surgically resected tumor were identical, establishing the diagnosis of schwannoma. Complete surgical resection of the tumor is the treatment of choice, and the prognosis after tumor resection is excellent. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Therapeutic endoscopic modalities for acute non-variceal upper gastrointestinal bleeding(2012); - Some of the metrics are blocked by yourconsent settings
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