TY  - JOUR
AU  - Ćuk, Vladimir
AU  - Knežević-Ušaj, Slavica
AU  - Ignjatović, Mile
AU  - Kostić, Zoran
AU  - Tarabar, Dino
AU  - Kovačević, Bojan
AU  - Scepanović, Milena
AU  - Slavković, Damjan
PY  - 2014
UR  - https://smile.stomf.bg.ac.rs/handle/123456789/1924
AB  - Introduction. Esophageal fibrovascular polyps are rare, benign, intraluminal, submucosal tumor-like lesions, characterized by pedunculated masses which can demonstrate enormous growth. The most frequent symptoms are dysphagia, vomiting and weight loss. Fibrovascular polyps with long stalks can regurgitate into the airways and cause asphyxia. Esophageal inflammatory pseudotumor is extremely rare lesion accompanied with various systemic manifestations as fever, anemia and thrombocytosis. Case report. We presented a 29-year-old man complaining of a long-lasting fever and dysphagia. He was found to have huge pedunculated submucosal tumor of esophagus, surgically completely resected. Histopathological examination showed that this giant tumor, 24 x 9 x 6 cm, was a fibrovascular polyp. The postoperative course was uneventful. The preoperative fever, anemia and thrombocytosis disappeared and did not recur in the postoperative course. Conclusion. We reported a patient with giant esophageal pedunculated tumor with clinical manifestations of inflammatory pseudotumor and histopathological picture of fibrovascular polyp, that we have not found described in the literature before.
PB  - Vojnomedicinska akademija - Institut za naučne informacije, Beograd
T2  - Vojnosanitetski pregled
T1  - Giant esophageal fibrovascular polyp with clinical behaviour of inflammatory pseudotumor: A case report and the literature review
VL  - 71
IS  - 8
SP  - 784
EP  - 791
DO  - 10.2298/VSP130219058C
ER  - 

@article{
author = "Ćuk, Vladimir and Knežević-Ušaj, Slavica and Ignjatović, Mile and Kostić, Zoran and Tarabar, Dino and Kovačević, Bojan and Scepanović, Milena and Slavković, Damjan",
year = "2014",
abstract = "Introduction. Esophageal fibrovascular polyps are rare, benign, intraluminal, submucosal tumor-like lesions, characterized by pedunculated masses which can demonstrate enormous growth. The most frequent symptoms are dysphagia, vomiting and weight loss. Fibrovascular polyps with long stalks can regurgitate into the airways and cause asphyxia. Esophageal inflammatory pseudotumor is extremely rare lesion accompanied with various systemic manifestations as fever, anemia and thrombocytosis. Case report. We presented a 29-year-old man complaining of a long-lasting fever and dysphagia. He was found to have huge pedunculated submucosal tumor of esophagus, surgically completely resected. Histopathological examination showed that this giant tumor, 24 x 9 x 6 cm, was a fibrovascular polyp. The postoperative course was uneventful. The preoperative fever, anemia and thrombocytosis disappeared and did not recur in the postoperative course. Conclusion. We reported a patient with giant esophageal pedunculated tumor with clinical manifestations of inflammatory pseudotumor and histopathological picture of fibrovascular polyp, that we have not found described in the literature before.",
publisher = "Vojnomedicinska akademija - Institut za naučne informacije, Beograd",
journal = "Vojnosanitetski pregled",
title = "Giant esophageal fibrovascular polyp with clinical behaviour of inflammatory pseudotumor: A case report and the literature review",
volume = "71",
number = "8",
pages = "784-791",
doi = "10.2298/VSP130219058C"
}

Ćuk, V., Knežević-Ušaj, S., Ignjatović, M., Kostić, Z., Tarabar, D., Kovačević, B., Scepanović, M.,& Slavković, D.. (2014). Giant esophageal fibrovascular polyp with clinical behaviour of inflammatory pseudotumor: A case report and the literature review. in Vojnosanitetski pregled
Vojnomedicinska akademija - Institut za naučne informacije, Beograd., 71(8), 784-791.
https://doi.org/10.2298/VSP130219058C

Ćuk V, Knežević-Ušaj S, Ignjatović M, Kostić Z, Tarabar D, Kovačević B, Scepanović M, Slavković D. Giant esophageal fibrovascular polyp with clinical behaviour of inflammatory pseudotumor: A case report and the literature review. in Vojnosanitetski pregled. 2014;71(8):784-791.
doi:10.2298/VSP130219058C .

Ćuk, Vladimir, Knežević-Ušaj, Slavica, Ignjatović, Mile, Kostić, Zoran, Tarabar, Dino, Kovačević, Bojan, Scepanović, Milena, Slavković, Damjan, "Giant esophageal fibrovascular polyp with clinical behaviour of inflammatory pseudotumor: A case report and the literature review" in Vojnosanitetski pregled, 71, no. 8 (2014):784-791,
https://doi.org/10.2298/VSP130219058C . .

TY  - JOUR
AU  - Scepanović, M. S.
AU  - Kovačević, Bojan
AU  - Cijan, V.
AU  - Antić, A.
AU  - Petrović, Z.
AU  - Ašćerić, Radislav
AU  - Krdzić, I.
AU  - Ćuk, Vladimir
PY  - 2013
UR  - https://smile.stomf.bg.ac.rs/handle/123456789/1775
AB  - Background Anastomotic leakage (AL) represents a serious complication after abdominal surgery. Therefore, it is important to detect it early before it becomes clinically apparent. The predictive value of C-reactive protein (CRP) as a marker of infective postoperative complications, particularly in the form of anastomotic leakage, has been investigated by several authors with promising results. The aim of this study was to evaluate the diagnostic accuracy of C-reactive protein in predicting anastomotic leakage. The serum CRP level, white blood cell (WBC) count, and body temperature (BT) of 156 patients who underwent elective abdominal surgery with primary anastomosis were monitored daily until postoperative day (POD) 7. We recorded all postoperative complications and analyzed the data. Diagnostic accuracy of CRP with regard to development of AL was assessed by receiver operating characteristic curve analysis. Fifteen patients (9.6 %) developed anastomotic leakage. CRP was significantly higher every day during the first 7 postoperative days in patients who developed AL compared with those patients who did not develop complications, whereas the WBC count and BT were not. A CRP cutoff value of 135 mg/l on POD 3 yielded a sensitivity of 73 %, a specificity of 73 %, and a negative predictive value of 95.4 % for the detection of AL. According to our results, values of CRP less than 135 mg/l on POD 3 may contribute to a safe discharge from hospital. Patients with CRP values higher than 135 mg/l on POD 3 require prolonged hospitalization and an intensive search for infective complications, particularly AL.
PB  - Springer-Verlag Italia Srl, Milan
T2  - Techniques in Coloproctology
T1  - C-reactive protein as an early predictor for anastomotic leakage in elective abdominal surgery
VL  - 17
IS  - 5
SP  - 541
EP  - 547
DO  - 10.1007/s10151-013-1013-z
ER  - 

@article{
author = "Scepanović, M. S. and Kovačević, Bojan and Cijan, V. and Antić, A. and Petrović, Z. and Ašćerić, Radislav and Krdzić, I. and Ćuk, Vladimir",
year = "2013",
abstract = "Background Anastomotic leakage (AL) represents a serious complication after abdominal surgery. Therefore, it is important to detect it early before it becomes clinically apparent. The predictive value of C-reactive protein (CRP) as a marker of infective postoperative complications, particularly in the form of anastomotic leakage, has been investigated by several authors with promising results. The aim of this study was to evaluate the diagnostic accuracy of C-reactive protein in predicting anastomotic leakage. The serum CRP level, white blood cell (WBC) count, and body temperature (BT) of 156 patients who underwent elective abdominal surgery with primary anastomosis were monitored daily until postoperative day (POD) 7. We recorded all postoperative complications and analyzed the data. Diagnostic accuracy of CRP with regard to development of AL was assessed by receiver operating characteristic curve analysis. Fifteen patients (9.6 %) developed anastomotic leakage. CRP was significantly higher every day during the first 7 postoperative days in patients who developed AL compared with those patients who did not develop complications, whereas the WBC count and BT were not. A CRP cutoff value of 135 mg/l on POD 3 yielded a sensitivity of 73 %, a specificity of 73 %, and a negative predictive value of 95.4 % for the detection of AL. According to our results, values of CRP less than 135 mg/l on POD 3 may contribute to a safe discharge from hospital. Patients with CRP values higher than 135 mg/l on POD 3 require prolonged hospitalization and an intensive search for infective complications, particularly AL.",
publisher = "Springer-Verlag Italia Srl, Milan",
journal = "Techniques in Coloproctology",
title = "C-reactive protein as an early predictor for anastomotic leakage in elective abdominal surgery",
volume = "17",
number = "5",
pages = "541-547",
doi = "10.1007/s10151-013-1013-z"
}

Scepanović, M. S., Kovačević, B., Cijan, V., Antić, A., Petrović, Z., Ašćerić, R., Krdzić, I.,& Ćuk, V.. (2013). C-reactive protein as an early predictor for anastomotic leakage in elective abdominal surgery. in Techniques in Coloproctology
Springer-Verlag Italia Srl, Milan., 17(5), 541-547.
https://doi.org/10.1007/s10151-013-1013-z

Scepanović MS, Kovačević B, Cijan V, Antić A, Petrović Z, Ašćerić R, Krdzić I, Ćuk V. C-reactive protein as an early predictor for anastomotic leakage in elective abdominal surgery. in Techniques in Coloproctology. 2013;17(5):541-547.
doi:10.1007/s10151-013-1013-z .

Scepanović, M. S., Kovačević, Bojan, Cijan, V., Antić, A., Petrović, Z., Ašćerić, Radislav, Krdzić, I., Ćuk, Vladimir, "C-reactive protein as an early predictor for anastomotic leakage in elective abdominal surgery" in Techniques in Coloproctology, 17, no. 5 (2013):541-547,
https://doi.org/10.1007/s10151-013-1013-z . .

TY  - JOUR
AU  - Kovačević, Bojan
AU  - Ignjatović, Mile
AU  - Živaljević, Vladan
AU  - Ćuk, Vladimir
AU  - Scepanović, Milena
AU  - Petrović, Zaklina
AU  - Paunović, Ivan
PY  - 2012
UR  - https://smile.stomf.bg.ac.rs/handle/123456789/1710
AB  - The National Kidney Foundation Kidney Disease Outcomes Quality Initiative (NKF-K/DOQI (TM)) 2003 and Kidney Disease: Improving Global Outcomes (KDIGO) 2009 have established guidelines for the treatement of secondary hyperparathyroidism. This study evaluated the impact of parathyroidectomy to achieve recommended values for parathyroid hormone, calcium, phosphorus and CaxPO(4) product in dialysis patients with severe secondary hyperparathyroidism that is resistant to medical treatment. This study included 43 consecutive patients who underwent parathyroidectomy for a severe form of secondary hyperparathyroidism (SHPT) that is unresponsive to medical treatment. The serum iPTH, calcium and phosphorus levels were measured prior to surgery, every morning after surgery for 5 days and on the first, sixth and eighth postoperative months. Following parathyroidectomy, a significant decline in iPTH values was observed in all patients; however, after the 8-month study period, only one of these patients achieved a serum iPTH concentration within the K/DOQI recommended target range. Unlike iPTH, targeting for calcium, phosphorus and CaxPO(4) at the last follow-up were 55.8%, 60.5% and 93%, respectively. These values indicated a significant improvement in comparison to preoperative percentages. In regards to the KDIGO recommended guidelines, the iPTH levels did not significantly change at the end of our study compared to preoperative values; however, calcium levels significantly declined and phosphorus levels significantly improved compared to preoperative values. Although the majority of patients fail to reach recommended iPTH values, parathyroidectomy remains a valuable tool to attain these NKF-K/DOQI recommendations for serum calcium, phosphorus and CaxPO(4) in dialysis patients with secondary hyperparathyroidism resistant to medical therapy. Parathyroidectomy was shown to be an inadequate intervention for achieving KDIGO recommendations.
PB  - Springer, New York
T2  - Langenbecks Archives of Surgery
T1  - Parathyroidectomy for the attainment of NKF-K/DOQI (TM) and KDIGO recommended values for bone and mineral metabolism in dialysis patients with uncontrollable secondary hyperparathyroidism
VL  - 397
IS  - 3
SP  - 413
EP  - 420
DO  - 10.1007/s00423-011-0901-9
ER  - 

@article{
author = "Kovačević, Bojan and Ignjatović, Mile and Živaljević, Vladan and Ćuk, Vladimir and Scepanović, Milena and Petrović, Zaklina and Paunović, Ivan",
year = "2012",
abstract = "The National Kidney Foundation Kidney Disease Outcomes Quality Initiative (NKF-K/DOQI (TM)) 2003 and Kidney Disease: Improving Global Outcomes (KDIGO) 2009 have established guidelines for the treatement of secondary hyperparathyroidism. This study evaluated the impact of parathyroidectomy to achieve recommended values for parathyroid hormone, calcium, phosphorus and CaxPO(4) product in dialysis patients with severe secondary hyperparathyroidism that is resistant to medical treatment. This study included 43 consecutive patients who underwent parathyroidectomy for a severe form of secondary hyperparathyroidism (SHPT) that is unresponsive to medical treatment. The serum iPTH, calcium and phosphorus levels were measured prior to surgery, every morning after surgery for 5 days and on the first, sixth and eighth postoperative months. Following parathyroidectomy, a significant decline in iPTH values was observed in all patients; however, after the 8-month study period, only one of these patients achieved a serum iPTH concentration within the K/DOQI recommended target range. Unlike iPTH, targeting for calcium, phosphorus and CaxPO(4) at the last follow-up were 55.8%, 60.5% and 93%, respectively. These values indicated a significant improvement in comparison to preoperative percentages. In regards to the KDIGO recommended guidelines, the iPTH levels did not significantly change at the end of our study compared to preoperative values; however, calcium levels significantly declined and phosphorus levels significantly improved compared to preoperative values. Although the majority of patients fail to reach recommended iPTH values, parathyroidectomy remains a valuable tool to attain these NKF-K/DOQI recommendations for serum calcium, phosphorus and CaxPO(4) in dialysis patients with secondary hyperparathyroidism resistant to medical therapy. Parathyroidectomy was shown to be an inadequate intervention for achieving KDIGO recommendations.",
publisher = "Springer, New York",
journal = "Langenbecks Archives of Surgery",
title = "Parathyroidectomy for the attainment of NKF-K/DOQI (TM) and KDIGO recommended values for bone and mineral metabolism in dialysis patients with uncontrollable secondary hyperparathyroidism",
volume = "397",
number = "3",
pages = "413-420",
doi = "10.1007/s00423-011-0901-9"
}

Kovačević, B., Ignjatović, M., Živaljević, V., Ćuk, V., Scepanović, M., Petrović, Z.,& Paunović, I.. (2012). Parathyroidectomy for the attainment of NKF-K/DOQI (TM) and KDIGO recommended values for bone and mineral metabolism in dialysis patients with uncontrollable secondary hyperparathyroidism. in Langenbecks Archives of Surgery
Springer, New York., 397(3), 413-420.
https://doi.org/10.1007/s00423-011-0901-9

Kovačević B, Ignjatović M, Živaljević V, Ćuk V, Scepanović M, Petrović Z, Paunović I. Parathyroidectomy for the attainment of NKF-K/DOQI (TM) and KDIGO recommended values for bone and mineral metabolism in dialysis patients with uncontrollable secondary hyperparathyroidism. in Langenbecks Archives of Surgery. 2012;397(3):413-420.
doi:10.1007/s00423-011-0901-9 .

Kovačević, Bojan, Ignjatović, Mile, Živaljević, Vladan, Ćuk, Vladimir, Scepanović, Milena, Petrović, Zaklina, Paunović, Ivan, "Parathyroidectomy for the attainment of NKF-K/DOQI (TM) and KDIGO recommended values for bone and mineral metabolism in dialysis patients with uncontrollable secondary hyperparathyroidism" in Langenbecks Archives of Surgery, 397, no. 3 (2012):413-420,
https://doi.org/10.1007/s00423-011-0901-9 . .

TY  - JOUR
AU  - Kovačević, Bojan
AU  - Ignjatović, M.
AU  - Ćuk, Vladimir
AU  - Živaljević, Vladan
AU  - Paunović, Ivan
PY  - 2011
UR  - https://smile.stomf.bg.ac.rs/handle/123456789/1662
AB  - Background : Hypocalcemia is the most common postoperative complication after total thyroidectomy. The aim of this prospective study was to determine biochemical parameters in the early postoperative period that could identify patients with significantly increased risk of symptomatic hypocalcemia development. Methods : The study included 100 individuals undergoing total thyroidectomy from January to May 2009. In all patients PTH, calcium, inorganic phosphate, magnesium, and albumin levels were measured immediately preoperatively, 30 minutes postoperatively and every morning for the following five days. Results : Clinically significant hypocalcemia was observed in 19% of all cases. Fall of the iPTH values by more than 88% from preoperative values, 30 min after completion of the surgery, showed 100% sensitivity and 100% specificity for the occurrence of symptomatic hypocalcemia. Conclusions : According to our results immediate postoperative measurement of the iPTH may be considered as a useful method to predict with high certainty which patients will need calcium supplementation, and to separate them from patients who can be safely and early discharged.
PB  - Acta Medical Belgica, Brussels
T2  - Acta Chirurgica Belgica
T1  - Early Prediction of Symptomatic Hypocalcemia after Total Thyroidectomy
VL  - 111
IS  - 5
SP  - 303
EP  - 307
DO  - 10.1080/00015458.2011.11680758
ER  - 

@article{
author = "Kovačević, Bojan and Ignjatović, M. and Ćuk, Vladimir and Živaljević, Vladan and Paunović, Ivan",
year = "2011",
abstract = "Background : Hypocalcemia is the most common postoperative complication after total thyroidectomy. The aim of this prospective study was to determine biochemical parameters in the early postoperative period that could identify patients with significantly increased risk of symptomatic hypocalcemia development. Methods : The study included 100 individuals undergoing total thyroidectomy from January to May 2009. In all patients PTH, calcium, inorganic phosphate, magnesium, and albumin levels were measured immediately preoperatively, 30 minutes postoperatively and every morning for the following five days. Results : Clinically significant hypocalcemia was observed in 19% of all cases. Fall of the iPTH values by more than 88% from preoperative values, 30 min after completion of the surgery, showed 100% sensitivity and 100% specificity for the occurrence of symptomatic hypocalcemia. Conclusions : According to our results immediate postoperative measurement of the iPTH may be considered as a useful method to predict with high certainty which patients will need calcium supplementation, and to separate them from patients who can be safely and early discharged.",
publisher = "Acta Medical Belgica, Brussels",
journal = "Acta Chirurgica Belgica",
title = "Early Prediction of Symptomatic Hypocalcemia after Total Thyroidectomy",
volume = "111",
number = "5",
pages = "303-307",
doi = "10.1080/00015458.2011.11680758"
}

Kovačević, B., Ignjatović, M., Ćuk, V., Živaljević, V.,& Paunović, I.. (2011). Early Prediction of Symptomatic Hypocalcemia after Total Thyroidectomy. in Acta Chirurgica Belgica
Acta Medical Belgica, Brussels., 111(5), 303-307.
https://doi.org/10.1080/00015458.2011.11680758

Kovačević B, Ignjatović M, Ćuk V, Živaljević V, Paunović I. Early Prediction of Symptomatic Hypocalcemia after Total Thyroidectomy. in Acta Chirurgica Belgica. 2011;111(5):303-307.
doi:10.1080/00015458.2011.11680758 .

Kovačević, Bojan, Ignjatović, M., Ćuk, Vladimir, Živaljević, Vladan, Paunović, Ivan, "Early Prediction of Symptomatic Hypocalcemia after Total Thyroidectomy" in Acta Chirurgica Belgica, 111, no. 5 (2011):303-307,
https://doi.org/10.1080/00015458.2011.11680758 . .