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| 1 | Clinical outcome in patients with hilar malignant strictures type Ⅱ Bismuth-Corlette treated by minimally invasive unilateral versus bilateral endoscopic biliary drainage显示文摘BACKGROUND:Stenting of malignant hilar strictures remains a standard endoscopic treatment in patients with unresectable tumors.The aim of this two-center prospective study was to compare unilateral versus bilateral drainage in hilar malignant stenosis Bismuth-Corlette type II.METHODS:During a 3-year period,a total of 49 patients with hilar tumors(Bismuth-Corlette type II) were referred for endoscopic treatment,following the criteria of unresectability.Ultrasound,computed tomography scan and magnetic resonance cholangiopancreatography(MRCP) were previously performed in all patients in order to facilitate endoscopic retrograde cholangiopancreatography(ERCP).The stricture was first passed by the hydrophilic guide-wire and then contrast medium was injected.Mechanical bile duct dilation was performed,followed by plastic stent placement only in the liver lobe which was previously opacified.The procedures were performed under conscious sedation.The patients were followed up for the next 12 months with a stent exchange every 3 months.Primary outcome was assessed by patient survival in the first 12 months after the procedure.RESULTS:All 49 patients were treated with ERCP while 39(79.59%) had successful stent placement.Among these,32 had hilar cholangiocarcinoma(82%) and 7(18%) had gallbladder cancer.Two groups of patients had Bismuth II strictures:A,21 patients(54%) with unilateral contrast injection and drainage,and B,18(46%) with bilateral contrast injection and drainage.A total of 57 plastic stents were used(10 Fr,89%;11.5 Fr,11%).Group B showed a lower bilirubin level 7 days after the procedure(P=0.008).Early complications were cholangitis(3 patients,2 in group A and 1 in group B) and acute pancreatitis(2 patients,1 each in A and B) with no statistical difference between the groups.Late complications were stent migration(5 patients,1 in A and 4 in B) and stent clogging(6 patients,2 in A and 4 in B) showing a significant difference between the groups(P<0.01).The first stent replacement after 3 months was successful in 87% of patients(four died due to disease progression and one due to cardiopulmonary insufficiency) showing no statistical difference between the groups.At 6 months follow-up,72% patients survived,with no statistical difference between the groups.A final follow-up(12 months) showed the survival rate of 18%(4 patients from group A and 3 from group B)(P>0.05).CONCLUSIONS:A minimally invasive approach,based on the criterion that every bile duct being opacified needs to be drained,is associated with a lower incidence of early complications.Considering that the clinical outcome measured by bilirubin level was lower in patients with bilateral drainage 7 days after the procedure,we assumed that drainage of 50% or more of the liver volume leads to sufficient drainage effectiveness. | Milutin Bulajic Nikola Panic Miodrag Radunovic Radisav Scepanovic Radoslav Perunovic Predrag Stevanovic Tatjana Ille Maurizio Zilli Mirko Bulajic | 2012 | Hepatobiliary & Pancreatic Diseases International2012，11，2： | 8 |
| 2 | Infrared study of laser synthesized anatase TiO2 nanopowders显示文摘 | Gruiic-Brojcin M Scepanovic M J Dohcevic-Mitrovic Z D | 2005 | J Phys DAppl Phys2005，38，9： | 1 |
| 3 | Does the metabolic syndrome impact left-ventricular mechanics? A two-dimensional speckle tracking study显示文摘 | Marijana Tadic Cesare Cuspidi Anka Majstorovic Biljana Pencic Sladjana Backovic Branislava Ivanovic Radisav Scepanovic Jelena Martinov Vesna Kocijancic Vera Celic | 2014 | Journal of Hypertension2014，，： | 1 |
| 4 | Multidisciplinary approach to nitric oxide signaling:focus on the gastrointestinal and the central nervous system显示文摘 | Stojanovic M Scepanovic L Hrncic D | 2015 | Vojnosanit Pregl2015，72，7： | 1 |
| 5 | Finite element anal- ysis in defining the optimal shape and safety factor of retentive clasp arms of a removable partial denture 显示文摘 | Scepanovic M Tihaeek-Sojic L Tasic M | 2013 | Vojnosanit Pregl2013，70，11： | 1 |
| 6 | Melting and solidification in laser-irradiated HgCdTe a numerical analysis 显示文摘 | Jevtic M M Scepanovic M | 1991 | Applied Physics A: Solids and Surfaces1991，53，4： | 1 |
| 7 | 二维与三维斑点追踪技术分析高血压患者心肌应变与心功能之间的关系显示文摘该研究通过二维和三维斑点追踪成像技术了解高血压患者左心室结构,并确定高血压人群左心室结构与功能之间的关系。方法:该研究为横断面研究,选取新确诊为高血压但未接受治疗的高血压患者51例(未治疗组),接受高血压治疗并且血压得到良好控制的患者49例(血压控制良好组), | 陈敏 叶鹏 Celic V Tadic M Suzic-Lazic J Andric A Majstorovic A Ivanovic B Stevanovic P Iracek O Scepanovic R | 2014 | 中华高血压杂志2014，22，5： | 1 |
| 8 | C-reactive protein as an early predictor for anastomotic leakage in elective abdominal surgery显示文摘 | Scepanovic MS Kovacevic B Cijan V | 2013 | Tech Coloproctol2013，17，5： | 1 |
| 9 | Real time raman system for in vivo disease diagnosi显示文摘 | MOTZ J T GANDHI S J SCEPANOVIC O R | 2005 | J Biomedi Optics2005，113，03： | 1 |
| 10 | A multimodal spectroscopy system for real-time disease diagnosis显示文摘 | SCEPANOVIC OR VOLYNSKAYA Z KONG CR | 2009 | Review of Scientific Instruments2009，4，04： | 1 |
| 11 | Detection of morphological markers of vulnerable atherosclerotic plaque using multimodal spectroscopy显示文摘 | Fitzmaurice M Gardecki JA | 2006 | J Biomed Opt2006，11，02： | 1 |
| 12 | Brachyther- apy as a treatment for malignantmelanoma of the nasalcavi- ty and nasopharynx-casereport 显示文摘 | Scepanovic D Paluga M Rybnikarova M | 2013 | J Comtemp Brachyther- apy2013，5，3： | 1 |
| 13 | A 1-year prospective cohort study on mandibular overdentures retained by mini dental implants 显示文摘 | Scepanovic M Calvo-Guirado JL Markovic A | 2012 | Eur J Oral Implantol2012，5，4： | 1 |
| 14 | Melting and solidification in laser-irradiated HgCdTe a numerical analysis显示文摘 | Jevtic M M Scepanovic M J | 1991 | Appl Phys A1991，53，4： | 1 |
| 15 | Melting and solidification in laser-irradiated HgCdTe显示文摘 | M M Jevtic M J Scepanovic | 1991 | Appl Phys A1991，53，4： | 1 |
| 16 | Global warming scenarios for the Eastern Adriatic Sea indicate a higher risk of invasiveness of non-native marine organisms relative to current climate conditions显示文摘Globally,marine bioinvasions threaten marine ecosystem structure and function,with the Mediterranean Sea being one of the most affected regions.Such invasions are expected to increase due to climate change.We conducted a risk screening of marine organisms(37 fishes,38 invertebrates,and 9 plants),both extant and‘horizon’(i.e.,not present in the area but likely to enter it).Based on expert knowledge for the Eastern Adriatic Sea coasts of Slovenia,Croatia,and Montenegro,screenings were conducted under both current and predicted climate conditions indicating with an increase in sea surface temperature and salinity of the Adriatic Sea together with changes in precipitation regime.Our aims were to:(1)identify non-native extant and horizon marine species that may pose threats to native biodiversity and(2)evaluate the risk of invasiveness of the selected species under current and predicted climate conditions.Of the 84 species screened,there was an increase in those ranked as‘high risk’from 33(39.3%)under current climate conditions and to 47(56.0%)under global warming scenarios.For those ranked as‘very high’risk,the increase was from 6(7.1%)to 21(25.0%).Amongst the screened species,the already established high-risk species Pacific oyster Magallana gigas and Atlantic blue crab Callinectes sapidus represent a threat to ecosystem services.Given the under-representation of marine species in the current European Union List,the species we have ranked as high to very high risk should be included. | Branko Glamuzina Lorenzo Vilizzi Marina Piria Ante Zuljevic Ana Bratos Cetinic Ana Pesic Branko Dragicevic Lovrenc Lipej Marijana Pecarevic Vlasta Bartulovic Sanja Grđan Ivan Cvitkovic Tatjana Dobroslavic Ana Fortic Luka Glamuzina Borut Mavric Jovana Tomanic Marija Despalatovic Domen Trkov Marina Brailo Scepanovic Zoran Vidovic Predrag Simonovic Sanja Matic-Skoko Pero Tutman | 2024 | Marine Life Science & Technology2024，6，1： | 0 |
| 17 | David Lloyd George and the Balfour Declaration: Assessing the Role of Individuals in Historic Policy Making显示文摘 | Janko Scepanovic | 2018 | Fudan Journal of the Humanities and Social Sciences2018，11，3： | 0 |
| 18 | The Optical Emission Spectroscopy Experiment of Open Air Plasmas显示文摘 | S. Mijovic M. Vuceljic M. Scepanovic | 2013 | Journal of Chemistry and Chemical Engineering2013，7，7： | 0 |
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