Publications by authors named "G Deriban"
Testicular Mixed Germ Cell Tumor Presenting with Upper Gastrointestinal Bleeding: A Case Report.
Pril (Makedon Akad Nauk Umet Odd Med Nauki)
July 2023
Testicular mixed germ cell tumors (TMGCTs) are aggressive neoplasms that often have metastases at the time of diagnosis, primarily in the lungs, bones, and brain. Gastrointestinal metastases are rare, occurring in less than 5% of cases, while duodenal involvement is extremely rare, with only few reported cases. Furthermore, gastrointestinal bleeding is an atypical initial presentation of metastatic TMGCTs.
View Article and Find Full Text PDFBiologic Therapy in Inflammatory Bowel Disease - Results from a Single Tertiary Care Center in North Macedonia.
Pril (Makedon Akad Nauk Umet Odd Med Nauki)
July 2023
Article Synopsis
- Medical therapies for Inflammatory Bowel Disease (IBD) include both conventional options (like steroids and immunomodulators) and newer biologic treatments (such as TNF-alpha inhibitors and interleukin inhibitors).
- Until 2019, biologic medications were not covered by North Macedonia's public health insurance, limiting their use among IBD patients.
- A study conducted by the University Clinic of Gastroenterology and Hepatology in Skopje evaluates the effects of anti-TNF-alpha therapy on IBD patients who previously did not respond adequately to traditional treatments, now made more accessible since the introduction of insurance coverage.
The Value of Injection Therapy with Botulinum Toxin in Pain Treatment of Primary Chronic Anal Fissures Compared to Anal Dilation, and Local Nifedipine in Combination with Lidocaine.
Pril (Makedon Akad Nauk Umet Odd Med Nauki)
July 2023
: Anal fissure is a longitudinal tear of the mucosa of the anal canal extending from the outer anal orifice in the direction of the dentate line of the inner anal opening. Fissures are divided into primary and secondary, and acute or chronic. Besides minimal rectal bleeding, itching and soiling, primary chronic anal fissures (PCAF) manifest with anal pain as theirs main determinant.
View Article and Find Full Text PDFChronic Abdominal Pain, an Overlooked Diagnosis of Median Arcuate Ligament Syndrome (MALS).
Pril (Makedon Akad Nauk Umet Odd Med Nauki)
April 2022
Median arcuate ligament syndrome (MALS) is a rare condition that is often overlooked as a result of its nonspecific symptoms. It is usually presented with nausea, bloating, abdominal postprandial pain, and weight loss. The diagnosis of MALS is usually delayed and made by excluding other causes for the symptoms.
View Article and Find Full Text PDFBackground: Coronavirus disease 2019 (COVID-19) significantly affected endoscopy practice, as gastrointestinal endoscopy is considered a risky procedure for transmission of infection to patients and personnel of endoscopy units (PEU).
Aim: To assess the impact of COVID-19 on endoscopy during the first European lockdown (March-May 2020).
Methods: Patients undergoing endoscopy in nine endoscopy units across six European countries during the period of the first European lockdown for COVID-19 (March-May 2020) were included.