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Kurtcehajic A, Zerem E, Bokun T, Alibegovic E, Kunosic S, Hujdurovic A, Tursunovic A, Ljuca K. Could near focus endoscopy, narrow-band imaging, and acetic acid improve the visualization of microscopic features of stomach mucosa? World J Gastrointest Endosc 2024; 16:157-167. [PMID: 38577642 PMCID: PMC10989255 DOI: 10.4253/wjge.v16.i3.157] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/18/2023] [Revised: 01/07/2024] [Accepted: 02/18/2024] [Indexed: 03/14/2024] Open
Abstract
BACKGROUND Conventional magnifying endoscopy with narrow-band imaging (NBI) observation of the gastric body mucosa shows dominant patterns in relation to the regular arrangement of collecting venules, subepithelial capillary network, and gastric pits.
AIM To evaluate the effectiveness of a new one-dual (near) focus, NBI mode in the assessment of the microscopic features of gastric body mucosa compared to conventional magnification.
METHODS During 2021 and 2022, 68 patients underwent proximal gastrointestinal endoscopy using magnification endoscopic modalities subsequently applying acetic acid (AA). The GIF-190HQ series NBI system with dual focus capability was used for the investigation of gastric mucosa. At the time of the endoscopy, the gastric body mucosa of all enrolled patients was photographed using the white light endoscopy (WLE), near focus (NF), NF-NBI, AA-NF, and AA-NF-NBI modes.
RESULTS The WLE, NF and NF-NBI endoscopic modes for all patients (204 images) were classified in the same order into three groups. Two images from each patient for the AA-NF and AA-NF-NBI endoscopic modes were classified in the same order. According to all three observers who completed the work independently, NF magnification was significantly superior to WLE (P < 0.01), and the NF-NBI mode was significantly superior to NF magnification (P < 0.01). After applying AA, the three observers confirmed that AA-NF-NBI was significantly superior to AA-NF (P < 0.01). Interobserver kappa values for WLE were 0.609, 0.704, and 0.598, respectively and were 0.600, 0.721, and 0.637, respectively, for NF magnification. For the NF-NBI mode, the values were 0.378, 0.471, and 0.553, respectively. For AA-NF, they were 0.453, 0.603, and 0.480, respectively, and for AA-NF-NBI, they were 0.643, 0.506, and 0.354, respectively.
CONCLUSION When investigating gastric mucosa in microscopic detail, NF-NBI was the most powerful endoscopic mode for assessing regular arrangement of collecting venules, subepithelial capillary network, and gastric pits among the five endoscopic modalities investigated in this study. AA-NF-NBI was the most powerful endoscopic mode for analyzing crypt opening and intervening part.
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Affiliation(s)
- Admir Kurtcehajic
- Department of Gastroenterology and Hepatology, Blue Medical Group, Tuzla 75000, Tuzla Kanton, Bosnia and Herzegovina
| | - Enver Zerem
- Department of Medical Sciences, The Academy of Sciences and Arts of Bosnia and Herzegovina, Sarajevo 71000, Bosnia and Herzegovina
| | - Tomislav Bokun
- Department of Gastroenterology and Hepatology, University Clinical Hospital Dubrava, Zagreb 10000, Croatia
| | - Ervin Alibegovic
- Department of Gastroenterology and Hepatology, University Clinical Center Tuzla, Tuzla 75000, Tuzla Kanton, Bosnia and Herzegovina
| | - Suad Kunosic
- Department of Physics, Faculty of Natural Sciences and Mathematics, University of Tuzla, Tuzla 75000, Tuzla Kanton, Bosnia and Herzegovina
| | - Ahmed Hujdurovic
- Department of Internal Medicine, Blue Medical Group, Tuzla 75000, Tuzla Kanton, Bosnia and Herzegovina
| | - Amir Tursunovic
- Department of Surgery, University Clinical Center Tuzla, Tuzla 75000, Bosnia and Herzegovina
| | - Kenana Ljuca
- School of Medicine, University of Tuzla, Tuzla 75000, Bosnia and Herzegovina
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Zerem E, Denjagić Bašić M, Kurtcehajic A, Zerem D, Imamović M, Zerem O. Indications for the Use of Endoscopic Ultrasound-Guided Liver Biopsy in Patients with Liver Fibrosis. Dig Dis Sci 2024; 69:643-644. [PMID: 38180698 DOI: 10.1007/s10620-023-08228-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/19/2023] [Accepted: 12/01/2023] [Indexed: 01/06/2024]
Affiliation(s)
- Enver Zerem
- Department of Medical Sciences, The Academy of Sciences and Arts of Bosnia and Herzegovina, Bistrik 7, 71000, Sarajevo, Bosnia and Herzegovina.
| | - Mirela Denjagić Bašić
- Department of Gastroenterology and Hepatology, University Clinical Center Tuzla, Tuzla, Bosnia and Herzegovina
| | - Admir Kurtcehajic
- Department of Gastroenterology and Hepatology, Blue Medical Group, 75000, Tuzla, Bosnia and Herzegovina
| | - Dina Zerem
- Department of Internal Medicine, Cantonal Hospital "Dr. Safet Mujić", University of Mostar, 88000, Mostar, Bosnia and Herzegovina
| | - Mirza Imamović
- Department of Internal Medicine, University Clinical Center Tuzla, 75000, Tuzla, Bosnia and Herzegovina
| | - Omar Zerem
- Department of Internal Medicine, Cantonal Hospital "Dr. Safet Mujić", University of Mostar, 88000, Mostar, Bosnia and Herzegovina
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Zerem E, Puljiz Ž, Zdilar B, Kunosić S, Kurtcehajic A, Zerem O. What Is the Optimal Treatment for Liver Hydatid Cysts in Emergency and Elective Situations? Turk J Gastroenterol 2024; 35:158-159. [PMID: 38454248 PMCID: PMC10895872 DOI: 10.5152/tjg.2024.23523] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Received: 10/10/2023] [Accepted: 11/15/2023] [Indexed: 03/09/2024]
Affiliation(s)
- Enver Zerem
- Department of Medical Sciences, The Academy of Sciences and Arts of Bosnia and Herzegovina, Bistrik, Sarajevo, Bosnia and Herzegovina
| | - Željko Puljiz
- Department of Gastroenterology and Hepatology, University Clinical Center, Split, Croatia
| | - Boris Zdilar
- Department of Medicine, Croatian Military Academy, Ilica, Zagreb, Croatia
| | - Suad Kunosić
- Department of Physics, University of Tuzla Faculty of Natural Sciences and Mathematics, Tuzla, Bosnia and Herzegovina
| | - Admir Kurtcehajic
- Department of Gastroenterology and Hepatology, Blue Medical Group, Tuzla, Bosnia and Herzegovina
| | - Omar Zerem
- Department of Internal Medicine, Cantonal Hospital “Dr. Safet Mujić”, University of Mostar, Mostar, Bosnia and Herzegovina
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Zerem E, Kurtcehajic A, Kunosić S, Zerem Malkočević D, Zerem O. Current trends in acute pancreatitis: Diagnostic and therapeutic challenges. World J Gastroenterol 2023; 29:2747-2763. [PMID: 37274068 PMCID: PMC10237108 DOI: 10.3748/wjg.v29.i18.2747] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/09/2023] [Revised: 02/07/2023] [Accepted: 04/18/2023] [Indexed: 05/11/2023] Open
Abstract
Acute pancreatitis (AP) is an inflammatory disease of the pancreas, which can progress to severe AP, with a high risk of death. It is one of the most complicated and clinically challenging of all disorders affecting the abdomen. The main causes of AP are gallstone migration and alcohol abuse. Other causes are uncommon, controversial and insufficiently explained. The disease is primarily characterized by inappropriate activation of trypsinogen, infiltration of inflammatory cells, and destruction of secretory cells. According to the revised Atlanta classification, severity of the disease is categorized into three levels: Mild, moderately severe and severe, depending upon organ failure and local as well as systemic complications. Various methods have been used for predicting the severity of AP and its outcome, such as clinical evaluation, imaging evaluation and testing of various biochemical markers. However, AP is a very complex disease and despite the fact that there are of several clinical, biochemical and imaging criteria for assessment of severity of AP, it is not an easy task to predict its subsequent course. Therefore, there are existing controversies regarding diagnostic and therapeutic modalities, their effectiveness and complications in the treatment of AP. The main reason being the fact, that the pathophysiologic mechanisms of AP have not been fully elucidated and need to be studied further. In this editorial article, we discuss the efficacy of the existing diagnostic and therapeutic modalities, complications and treatment failure in the management of AP.
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Affiliation(s)
- Enver Zerem
- Department of Medical Sciences, The Academy of Sciences and Arts of Bosnia and Herzegovina, Sarajevo 71000, Bosnia and Herzegovina
| | - Admir Kurtcehajic
- Department of Gastroenterology and Hepatology, Plava Medical Group, Tuzla 75000, Bosnia and Herzegovina
| | - Suad Kunosić
- Department of Physics, Faculty of Natural Sciences and Mathematics, University of Tuzla, Tuzla 75000, Bosnia and Herzegovina
| | - Dina Zerem Malkočević
- Department of Internal Medicine, Cantonal Hospital “Safet Mujić“ Mostar, Mostar 88000, Bosnia and Herzegovina
| | - Omar Zerem
- Department of Internal Medicine, Cantonal Hospital “Safet Mujić“ Mostar, Mostar 88000, Bosnia and Herzegovina
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Kurtcehajic A, Zerem E, Alibegovic E, Kunosic S, Hujdurovic A, Fejzic JA. Portal vein aneurysm-etiology, multimodal imaging and current management. World J Clin Cases 2023; 11:725-737. [PMID: 36818612 PMCID: PMC9928716 DOI: 10.12998/wjcc.v11.i4.725] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/06/2022] [Revised: 12/24/2022] [Accepted: 01/12/2023] [Indexed: 02/03/2023] Open
Abstract
Portal vein aneurysm (PVA) is a rare vascular abnormality, representing 3% of all venous aneurysms in the human body, and is not well understood. It can be congenital or acquired, located mainly at the level of confluence, main trunk, branches and bifurcation. A PVA as an abnormality of the portal venous system was first reported in 1956 by Barzilai and Kleckner. A review from 2015 entitled “Portal vein aneurysm: What to know” considered fewer than 200 cases. In the last seven years, there has been an increase in the number of PVAs diagnosed thanks to routine abdominal imaging. The aim of this review is to provide a comprehensive update of PVA, including aetiology, epidemiology, and clinical assessment, along with an evaluation of advanced multimodal imaging features of aneurysm and management approaches.
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Affiliation(s)
- Admir Kurtcehajic
- Department of Gastroenterology and Hepatology, Plava Medical Group, Tuzla 75000, Tuzla Kanton, Bosnia and Herzegovina
| | - Enver Zerem
- Department of Medical Sciences, The Academy of Sciences and Arts of Bosnia and Herzegovina, Sarajevo 71000, Bosnia and Herzegovina
| | - Ervin Alibegovic
- Department of Gastroenterology and Hepatology, University Clinical Center Tuzla, Tuzla 75000, Tuzla Kanton, Bosnia and Herzegovina
| | - Suad Kunosic
- Department of Physics, Faculty of Natural Sciences and Mathematics, University of Tuzla, Tuzla 75000, Tuzla Kanton, Bosnia and Herzegovina
| | - Ahmed Hujdurovic
- Department of Internal Medicine, Plava Medical Group, Tuzla 75000, Tuzla Kanton, Bosnia and Herzegovina
| | - Jasmin A Fejzic
- Department of Internal Medicine, General Hospital Tesanj, Tesanj 74260, Bosnia and Herzegovina
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Bokun T, Tadic M, Kurtcehajic A, Grgurevic I, Kujundzic M. Broken handle cord of impacted biliary basket - rescue by cholangioscopy with laser lithotripsy. Endoscopy 2020; 52:E459-E460. [PMID: 32428949 DOI: 10.1055/a-1167-0904] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/10/2022]
Affiliation(s)
- Tomislav Bokun
- Department of Gastroenterology, University Hospital Dubrava, Zagreb, Croatia
| | - Mario Tadic
- Department of Gastroenterology, University Hospital Dubrava, Zagreb, Croatia
| | - Admir Kurtcehajic
- Gastroenterology Unit, Department of Internal Medicine, Plava Poliklinika Medical Center, Tuzla, Bosnia and Herzegovina.,Medical Faculty, University of Tuzla, Tuzla, Bosnia and Herzegovina
| | - Ivica Grgurevic
- Department of Gastroenterology, University Hospital Dubrava, Zagreb, Croatia
| | - Milan Kujundzic
- Department of Gastroenterology, University Hospital Dubrava, Zagreb, Croatia
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Alibegovic E, Kurtcehajic A, Hujdurovic A, Mujagic S, Alibegovic J, Kurtcehajic D. Bouveret Syndrome or Gallstone Ileus. Am J Med 2018; 131:e175. [PMID: 29555049 DOI: 10.1016/j.amjmed.2017.10.044] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/30/2017] [Accepted: 10/31/2017] [Indexed: 12/17/2022]
Affiliation(s)
- Ervin Alibegovic
- Department of Gastroenterology and Hepatology, University Clinical Center Tuzla, Tuzla, Bosnia and Herzegovina
| | - Admir Kurtcehajic
- Department of Internal Medicine, Medical Center "Plava Poliklinika", Tuzla, Bosnia and Herzegovina
| | - Ahmed Hujdurovic
- Department of Internal Medicine, Medical Center "Plava Poliklinika", Tuzla, Bosnia and Herzegovina
| | - Svjetlana Mujagic
- Department of Radiology and Nuclear Medicine, University Clinical Center Tuzla, Tuzla, Bosnia and Herzegovina
| | - Jasminka Alibegovic
- Primary Health Care Center and Polyclinics Dr Mustafa Sehovic, Tuzla, Bosnia and Herzegovina
| | - Dzenita Kurtcehajic
- Department of Internal Medicine, Medical Center "Plava Poliklinika", Tuzla, Bosnia and Herzegovina
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Alibegovic E, Kurtcehajic A, Hujdurovic A, Zeco A, Kurtcehajic D. Acute submucosal hematoma: an adverse event of routine colonoscopy. Gastrointest Endosc 2017; 86:409-411. [PMID: 28238717 DOI: 10.1016/j.gie.2017.02.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/27/2016] [Accepted: 02/16/2017] [Indexed: 02/08/2023]
Affiliation(s)
- Ervin Alibegovic
- Department of Gastroenterology and Hepatology, University Clinical Center Tuzla, Tuzla, Bosnia and Herzegovina
| | - Admir Kurtcehajic
- Department of Internal Medicine, Medical Center Plava Poliklinika, Tuzla, Bosnia and Herzegovina
| | - Ahmed Hujdurovic
- Department of Internal Medicine, Medical Center Plava Poliklinika, Tuzla, Bosnia and Herzegovina
| | - Adnan Zeco
- Clinic for Surgery, University Clinical Center Sarajevo, Sarajevo, Bosnia and Herzegovina
| | - Dzenita Kurtcehajic
- Department of Internal Medicine, Medical Center Plava Poliklinika, Tuzla, Bosnia and Herzegovina
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Abstract
We present here a systemic lupus erythematosus (SLE) related biochemically silent pancreatitis which was assessed via computed tomography in a 35-year-old woman. A patient with a twelve-year history of SLE presented with exacerbation of symptoms of the basic disease, with SLE Disease Activity Index > 15. She was referred to inpatient care. Dosage of corticosteroid and azathioprine for SLE was increased; subclinically and biochemically silent pancreatitis had developed, and was not diagnosed within an appropriate time. On the 15th hospital day, the patient died due to multisystem organ failure, which was defined as a consequence of clinically and biochemically silent pancreatitis in systemic lupus erythematosus.
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Affiliation(s)
- Ervin Alibegovic
- Department of Gastroenterology and Hepatology, University Clinical Center Tuzla, Tuzla, Bosnia and Herzegovina
| | - Admir Kurtcehajic
- Department of Internal Medicine, Medical Center “Plava Poliklinika”, Tuzla, Bosnia and Herzegovina
- Address correspondence to: Dr. Admir Kurtcehajic, Department of Internal Medicine, Medical Center “Plava Poliklinika”, 3th Tuzlanska brigada No. 7, 75000 Tuzla, Bosnia and Herzegovina. E-mail:
| | - Ismar Hasukic
- Department of Gastroenterology and Hepatology, University Clinical Center Tuzla, Tuzla, Bosnia and Herzegovina
| | - Ahmed Hujdurovic
- Department of Internal Medicine, Medical Center “Plava Poliklinika”, Tuzla, Bosnia and Herzegovina
| | - Jasmin A Fejzic
- Department of Internal Medicine, General Hospital Tesanj, Tesanj, Bosnia and Herzegovina
| | - Dzenita Kurtcehajic
- Department of Internal Medicine, Medical Center “Plava Poliklinika”, Tuzla, Bosnia and Herzegovina
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Masic I, Donev D, Sinanovic O, Jakovljevic M, Zerem E, Milosevic DB, Gajovic S, Gasparyan AY, Sokolovic S, Salkic N, Uzunovic S, Dobric S, Kurti F, Begic E, Kurtcehajic A. The First Mediterranean Seminar on Science Writing, Editing and Publishing, Sarajevo, December 2-3, 2016. Acta Inform Med 2016; 24:424-435. [PMID: 28077910 PMCID: PMC5203755 DOI: 10.5455/aim.2016.24.424-435] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2016] [Accepted: 11/25/2016] [Indexed: 11/03/2022] Open
Abstract
The First Mediterranean Seminar on Science Writing, Editing & Publishing (SWEP 2016) was held in Sarajevo, Bosnia & Herzegovina from 2nd to 3rd December 2016. It was organized by Academy of Medical Sciences of Bosnia and Herzegovina, running concurrent sessions as part of its Annual Meeting titled " "Days of AMNuBiH - Theory and Practice in Science Communication and Scientometrics". Hotel Bosnia in the city centre was the chosen venue. On the first day, nineteen presentations on various issues of science writing and publication ethics were delivered by speakers from Croatia, Serbia, Macedonia, Albania, Bosnia & Herzegovina and the UK (Asim Kurjak, Milivoj Boranić, Doncho Donev, Osman Sinanović, Miro Jakovljević, Enver Zerem, Dejan Milošević, Silva Dobrić, Srećko Gajović, Izet Mašić, Armen Yuri Gasparyan, Šekib Sokolović, Nermin Salkić, Selma Uzunović, Admir Kurtčehajić, Edin Begić and Floreta Kurti). Each presentation had a take-home message for novice and seasoned authors, encountering numerous problems in non-Anglophone research environment. Lecturers, who were internationally recognized editors of regional journals, generously shared their experience of adhering to the best ethical guidance. Elegant presentations by Srećko Gajović (Editor-in-Chief of the Croatian Medical Journal) and Armen Yuri Gasparyan (past Chief Editor of the European Science Editing) showcased their accomplishments that strengthened ties between authors from all over the world. Gasparyan reflected on educational resources of editorial associations, such as the International Committee of Medical Journal Editors (ICMJE) and the Committee on Publication Ethics (COPE), and called not just to declare the adherence to, but also to enforce their ethical guidance in daily practice. Editors of Medical Archives, Croatian Medica Journal, Vojnosanitetski Pregled, Psychiatria Danubina, Acta Informatica Medica, Materia Socio-Medica, The Donald School Journal of Ultrasound in Obstretics and Gynecology, Acta Medica Saliniana and Medicinski Glasnik presented their editorial strategies aimed at attracting best authors and resolving problems with authorship, conflicts of interest, and plagiarism. Topical education on science writing and editing was considered as an inseparable part of continuing professional development in biomedicine. Armen Yuri Gasparyan (UK) was offered an opportunity to interact with more than 70 participants, attending the SWEP 2016 on the second day. The lecturer talked about author contributions, disclosures of conflicts of interests, plagiarism of ideas and words, research performance and impact indicators, and targeting ethical journals. Topics were presented in a way to help non-Anglophone authors, reviewers and editors avoid common ethical problems. Dr Gasparyan stressed the importance of regularly arranging such meetings across Balkan and Mediterranean countries to eradicate plagiarism and other forms research misconduct. The organizers of the SWEP 2016 awarded selected keynote speakers with certificates of lifetime achievement in journal editing, and decided to run the Seminar annually with support of Balkan and Mediterranean editors and publishers. The SWEP 2016 marked a turning point in the process of regional developments since all attending editors opted for nurturing enthusiasm of the organizers and launching the Mediterranean Association of Science Editors and Publishers (MASEP). The Seminar was a great success with its impressive scientific and social activities. It attracted more than 100 students, researchers, editors, and publishers from Bosnia & Herzegovina and neighbouring countries. Proceedings, in the form of short reports, were published in Acta Informatica Medica and archived in PubMed Central. New friendships were forged between regional experts in editing and young specialists during those unforgettable two days of intensive discussions and informal interactions (a-y).
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Affiliation(s)
- Izet Masic
- Faculty of medicine, University of Sarajevo, Bosnia and Herzegovina
| | - Doncho Donev
- Faculty of Medicine, University "Ss Cyril and Methodius", Skopje, Republic of Macedonia
| | - Osman Sinanovic
- Faculty of medicine, University of Tuzla, Bosnia and Herzegovina
| | | | - Enver Zerem
- Faculty of medicine, University of Tuzla, Bosnia and Herzegovina
| | | | - Srecko Gajovic
- Croatian Institute for Brain Research, University of Zagreb School of Medicine, Zagreb, Croatia
| | | | - Sekib Sokolovic
- Faculty of medicine, University of Sarajevo, Bosnia and Herzegovina
| | - Nermin Salkic
- University Clinical Center, Tuzla, Bosnia and Herzegovina
| | - Selma Uzunovic
- Institute for Health and Food Safety, Zenica, Bosnia and Herzegovina
| | - Silva Dobric
- Faculty of medicine, University of Defence, Belgrade, Serbia
| | - Floreta Kurti
- Faculty of Medical Technical Sciences, University of medicine, Tirana, Albania
| | - Edin Begic
- Faculty of medicine, Sarajevo School of Science and Technology, Sarajevo, Bosnia and Herzegovina
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Vele E, Kurtcehajic A, Zerem E, Maskovic J, Alibegovic E, Hujdurovic A. Plasma D-dimer as a predictor of the progression of abdominal aortic aneurysm. J Thromb Haemost 2016; 14:2298-2303. [PMID: 27567003 DOI: 10.1111/jth.13487] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2016] [Accepted: 08/08/2016] [Indexed: 08/31/2023]
Abstract
Essentials D-dimer could provide important information about abdominal aortic aneurysm (AAA) progression. The greatest diameter of the infrarenal aorta and the value of plasma D-dimer were determined. AAA progression is correlated with increasing plasma D-dimer levels. The increasing value of plasma D-dimer could be a predictor of aneurysm progression. SUMMARY Background The natural course of abdominal aortic aneurysm (AAA) is mostly asymptomatic and unpredictable. D-dimer could provide potentially important information about subsequent AAA progression. Objectives The aims of this study were to establish the relationship between the progression of an abdominal aortic aneurysm (AAA) and plasma D-dimer concentration over a 12-month period and determine the value of plasma D-dimer in patients with sub-aneurysmal aortic dilatation. Patients/Methods This was a prospective observational study that involved 33 patients with an AAA, 30 patients with sub-aneurysmal aortic dilatation and 30 control subjects. The greatest diameter of the infrarenal aorta, which was assessed by ultrasound, and the value of plasma D-dimer were determined for all subjects at baseline assessment, as well as after 12 months for those with an AAA. Results A positive correlation was found between the diameter of an AAA and plasma D-dimer concentration at the baseline and the control measurement stages. There was a strong positive correlation between AAA progression and increasing plasma D-dimer concentration over a 12-month period. Among patients with sub-aneurysmal aortic dilatation (n = 30), the value of plasma D-dimer was higher compared with matched controls (n = 30). Conclusions There is a strongly positive correlation between AAA progression and increasing plasma D-dimer concentration. The value of plasma D-dimer is higher in patients with sub-aneurysmal aortic dilatation than in control subjects.
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Affiliation(s)
- E Vele
- Department of Surgery, Cantonal Hospital 'Dr. Safet Mujic', Mostar, Bosnia and Herzegovina
| | - A Kurtcehajic
- Department of Internal Medicine, Medical Center 'Plava Poliklinika', Tuzla, Bosnia and Herzegovina
| | - E Zerem
- Department of Medical Sciences, The Academy of Sciences and Arts of Bosnia and Herzegovina, Sarajevo, Bosnia and Herzegovina
- Department of Gastroenterology and Hepatology, University Clinical Center Tuzla, Tuzla, Bosnia and Herzegovina
| | - J Maskovic
- Department of Radiology, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina
| | - E Alibegovic
- Department of Gastroenterology and Hepatology, University Clinical Center Tuzla, Tuzla, Bosnia and Herzegovina
| | - A Hujdurovic
- Department of Internal Medicine, Medical Center 'Plava Poliklinika', Tuzla, Bosnia and Herzegovina
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Kurtcehajic A, Zerem E, Boričić I, Hujdurovic A, Zerem O. Multicentric Reticulohistiocytosis: A Unique Case of Chronic Colitis. Am J Gastroenterol 2016; 111:1227. [PMID: 27580770 DOI: 10.1038/ajg.2016.150] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Affiliation(s)
- Admir Kurtcehajic
- Medical Center "Plava Poliklinika," Tuzla, Bosnia and Herzegovina.,The Academy of Sciences and Arts of Bosnia and Herzegovina, Sarajevo, Bosnia and Herzegovina;,University Clinical Center Tuzla, Tuzla, Bosnia and Herzegovina
| | - Enver Zerem
- The Academy of Sciences and Arts of Bosnia and Herzegovina, Sarajevo, Bosnia and Herzegovina;,University Clinical Center Tuzla, Tuzla, Bosnia and Herzegovina
| | - Ivan Boričić
- Medical Center "Plava Poliklinika," Tuzla, Bosnia and Herzegovina
| | - Ahmed Hujdurovic
- Medical Center "Plava Poliklinika," Tuzla, Bosnia and Herzegovina
| | - Omar Zerem
- Medical Faculty, University of Tuzla, Tuzla, Bosnia and Herzegovina
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13
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Kurtcehajic A, Vele E, Hujdurovic A. Portal vein aneurysm and portal biliopathy. J Hepatobiliary Pancreat Sci 2016; 23:658. [PMID: 27561886 DOI: 10.1002/jhbp.383] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/09/2016] [Accepted: 07/25/2016] [Indexed: 12/18/2022]
Abstract
Highlight Kurtcehajic and colleagues present a rare case of congenital portal vein aneurysm (PVA) with biliopathy. Symptoms associated with PVA occur in less than 10% of cases. Imaging modalities showed the PVA partially compressing the common and right hepatic ducts. Conservative treatment markedly lowered bilirubin levels and relieved the abdominal pain.
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Affiliation(s)
- Admir Kurtcehajic
- Department of Internal Medicine, Medical Center "Plava Poliklinika", 3th Tuzlanska Brigada No. 7, 75000, Tuzla, Bosnia and Herzegovina.
| | - Esved Vele
- Department of Surgery, Cantonal Hospital "Dr. Safet Mujic" Mostar, Mostar, Bosnia and Herzegovina
| | - Ahmed Hujdurovic
- Department of Internal Medicine, Medical Center "Plava Poliklinika", 3th Tuzlanska Brigada No. 7, 75000, Tuzla, Bosnia and Herzegovina
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Kurtcehajic A, Zerem E, Hujdurovic A, Fejzic JA. Thrombotic risk factors in nonmalignant and noncirrhotic patients with portal vein thrombosis: need for extensive investigation. Eur J Gastroenterol Hepatol 2016; 28:116-8. [PMID: 26594916 DOI: 10.1097/meg.0000000000000501] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/10/2022]
Affiliation(s)
- Admir Kurtcehajic
- aDepartment of Internal Medicine, Medical Center 'Plava Poliklinika' Tuzla bDepartment of Gastroenterology and Hepatology, University Clinical Center Tuzla, Tuzla cDepartment of Medical Sciences, The Academy of Sciences and Arts of Bosnia and Herzegovina, Sarajevo dDepartment of Internal Medicine, General Hospital Tesanj, Tesanj, Bosnia and Herzegovina
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