Siagpk

29/10/2025

This work presents one of the most extensive a**lyses of ERCP outcomes to date from SIAG, Pakistan, highlighting significant trends and clinical insights from the region!

16/10/2025

Our case report recently got published in the ACG

08/10/2025

Cholestatic jaundice secondary to anastomotic stricture following hepatico-jejunostomy for complicated cholecystectomy

PTC-guided cholangioscopy was performed via the existing tract. Endoscopic visualization demonstrated a benign-appearing, smooth anastomotic stricture with erythematous but non-nodular mucosa. Controlled radial expansion (CRE) balloon dilation was performed up to 8 mm as an initial session. A PTC catheter was subsequently reinserted for ongoing tract maintenance and planned serial dilatations.

04/10/2025

50 year old female with post Lap Chole stricture – S/P ERCP x2 with three stents placed. Now with persistent narrowing- What Next?
Five stents were placed for effective stricturoplasty!

04/10/2025

M/F referred for Obstructive Jaundice due to choledocholithiasis now here for ERCP! Cholangiogram suggested low-lying cystic duct with impacted stone, likely Mirizzi Syndrome.
What are your thoughts about further management?

23/09/2025

CASE: 22-year-old female patient, presented with history of Bleeding PR. Colonoscopy revealed a pedunculated polyp in the distal re**um, just above the a**l verge, removed via hot snare and sent for histopathology. No immediate complication was observed.

23/09/2025

Case: 70 years old male, presented with Gastric Outlet Obstruction due to growth at the junction of D1 and D2. An ERCP was attempted, but an adult and pediatric duodenoscope could not be negotiated beyond the growth, hence EUS-guided biliary drainage and enteral stent placement was planned.
EUS linear scope was introduced. Lumen occluding growth was seen at the junction of D1 and D2. Dilated CBD and IHD identified. Proximal CBD was punctured at D1 via 19G EUS FNA needle, position was confirmed via aspiration of bile. Guidewire inserted, followed by dilatation of the tract via 6 Fr cystotome and 4mmx 4cm hurricane balloon, followed by placement of a fully covered SEMS measuring 10mm x 60 mm with good drainage. Duodenoscope introduced, guidewire passed across the duodenal growth into the small bowel, followed by placement of an enteral stent of 22mm x 90mm under fluoroscopic guidance, effectively bridging the duodenal growth. Proximal end of the enteral stent was placed proximal to the pylorus.

03/09/2025

02/09/2025

We are pleased to announce the launch of Pakistan’s first online endoscopy logbook by SIAG. This free platform allows trainees to document procedures in line with international standards. The platform is accessible to both national and international users.

Register at: siag.online/logbook

02/09/2025

Sindh Institute of Advanced Endoscopy & Gastroenterology