Aims: Since its description in 1980, percutaneous endoscopic gastrostomy has become the modality of choice for providing enteral access to patients who require long-term enteral nutrition. This study aimed to evaluate current indications and complications associated with PEG feeding. Methods: We conducted a retrospective analysis of all patients who referred to our endoscopic unit of the Department of Gastroenterology and Hepatology of the Medical Center University of Sarajevo for PEG tube placement over a period of 7 years. Medical records of 359 patients dealing with PEG tube placement were reviewed to assess indications, technical success, complications and the need for repeat procedures. Results: The indications for enteral feeding tube placement were malignancy in 44% (n=158), of which 61% (n=97) patients were suffering of head and neck cancer and 39% (n=61) of other malignancy. Central nervous disease was the indication in 48.7 % (n=175) of patients. Cerebrovascular accidents (CVA) accounted for 20% (n=73), head injury for 16% (n=59) and cerebral palsy for 11% (n=38). In 6.13% (n=22) of patients minor complications occur which included wound infection (0.8%), inadvertent PEG removal (2.5%) and tube blockage (1.1%). 11 patients experienced major complications including hemorrhage, tube migration and perforation. There were no deaths related to PEG procedure placement and the overall 30-day mortality rate due to primary disease was 15.8%. Oral feeding was resumed in 23% of the patients and the tube was removed subsequently after 6 -12 months. Conclusions: Percutaneous endoscopic gastrostomy is a save and minimally invasive endoscopic procedure associated with a low morbidity (9.2%) rate, easy to follow-up and to replace when blockage occurs. Over a seven-year period we noticed an increase of 63% in PEG placement at our department.

The current JMRI reviewer pool includes approximately 2000 names. Evaluation of the 992 manuscripts submitted in 2011 was accomplished through the efforts of 1174 reviewers representing 33 countries. By listing their names here, we attempt to express our sincere appreciation to the 1174 individuals who were willing to give their time and expertise to evaluating and improving JMRI manuscript submissions.

UDK 630*68(497.6)          630*9(497.6) In order to define functional model of governing of forest resources in F B-H, as well as efficient and effective organizational model of the forest enterprises, qualitative research has been conducted for the purposes of this paper. Through direct interviewing of all key forest policy decision makers in F B-H, opinions and attitudes about these questions were collected. Based on analysis of interest groups importance as well as influence and involvement in the process of creation of the functional forest governing model in F B-H - functional governing model has been proposed with clear emphasis of advantages concerning present model. Principles of sustainable governing and management of forest resources, assurance of participative approach in the process of decision making and transparency were basis for definition of functional governing model for management of forest resources. For provision of optimal model of organization of forest sector in F B-H, it has been crucial to define ecological, sociological, economical and other criteria, that user of forest resources should respect. The optimal number of organizational units, which manage forest resource on the territory of F B-H, depends from the achievement of the established criteria and real capacities for establishment of the enterprise. This would lead to further decentralization in management of forest resources in F B-H; that would have its positive effects.