Special interest

Complex biliary & pancreatic endoscopy — and why it matters

Some of the most difficult problems in gastroenterology involve the bile ducts and pancreas. Advanced (interventional) endoscopy now lets many of them be treated through a scope — safely, precisely, and without open surgery. This is Dr. Maaz's core area of expertise.

What "advanced" endoscopy means

Beyond routine endoscopy and colonoscopy lies a smaller set of highly specialised techniques — ERCP, endoscopic ultrasound (EUS), and their therapeutic uses — that require dedicated advanced fellowship training and high case volumes to perform safely. Relatively few gastroenterologists are trained in them. They are what allow bile-duct and pancreatic disease to be managed without surgery.

ERCP — treating the bile ducts from within

ERCP reaches the point where the bile duct and pancreatic duct drain into the bowel. Through it, Dr. Maaz can remove bile-duct stones, open blockages and narrowings, relieve jaundice, and place stents to keep ducts draining — problems that once required major surgery, now solved endoscopically in most cases.

EUS — seeing, sampling, and treating

Endoscopic ultrasound places a tiny ultrasound probe right next to the pancreas and bile ducts. It gives extraordinarily detailed images, allows precise needle biopsies of pancreatic masses, and — in expert hands — enables treatments such as draining fluid collections and cysts, and targeted ablation of certain lesions.

Why it matters for you

The right advanced procedure at the right time can mean avoiding open surgery, a shorter recovery, fewer complications, and answers reached faster. For complex biliary and pancreatic problems, being seen by a high-volume advanced endoscopist genuinely changes outcomes.

When to seek an advanced endoscopist

  • Jaundice, or a bile duct blocked by stones or a narrowing
  • A pancreatic mass, cyst, or unexplained pancreatic finding on a scan
  • Recurrent or complicated pancreatitis
  • A large or difficult polyp, or an early cancer, that another endoscopist felt unable to remove
  • Any problem where you've been told surgery may be the only option — a second, endoscopic opinion is often worthwhile
Not sure if this applies to you?

If you have reports or scans and aren't sure whether an endoscopic option exists, the clinic is happy to review them. Reach out by phone or WhatsApp.

Travelling to Islamabad for advanced endoscopy?

If you have been advised to undergo ERCP, EUS, cholangioscopy or another advanced endoscopic procedure and you live outside Islamabad, your reports and imaging can often be reviewed before you travel.

Send them on WhatsApp, then book an online consultation to go through them together. That is where it is decided whether the procedure is appropriate, what further evaluation may be needed first, and what the next steps in your management should be.

WhatsApp: 03459116675. Reports are reviewed ahead of the consultation; management is decided during it.

Have a complex biliary or pancreatic problem?

Dr. Maaz welcomes complex referrals and second opinions.

This page provides general information only and does not replace personal medical advice. For emergencies, contact Shifa International Hospital or your nearest emergency department.