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Services

Endoscopy and advanced procedures

General descriptions of common digestive and liver procedures. Your doctor will explain what applies to you.

Why endoscopy?

Endoscopy uses a thin, flexible tube with a camera to look inside the digestive tract. It can often find the cause of symptoms that scans and blood tests cannot, take small tissue samples (biopsies) and treat some problems at the same time.

Dr Usman Naeem completed a Fellowship in Advanced Digestive Endoscopy. A procedure is recommended only when it is likely to answer a question or provide treatment, and you will always have the chance to ask questions and give consent first.

All procedures are available at both hospitals. See "Procedures by location" below. Please book an appointment before visiting; the clinic confirms the date and how to prepare. This page gives general information only.

Where

Procedures by location

Which procedures Dr Usman Naeem performs at each hospital, as confirmed by the clinic.

Aadil Hospital

Main Boulevard, DHA Lahore

  • ERCP (endoscopic retrograde cholangiopancreatography)
  • Bile duct stone extraction
  • Biliary stenting
  • Oesophageal stenting
  • Duodenal stenting
  • Oesophageal variceal band ligation
  • Upper GI endoscopy (gastroscopy)
  • Colonoscopy
  • Diagnostic and therapeutic endoscopic procedures

Monday to Friday: 7 pm to 9 pm; Saturday: 4 pm to 6 pm; Sunday: Closed. Consultation by appointment only. Please book an appointment before visiting.

Doctors Hospital and Medical Center

Canal Road, Block G-1, Johar Town, Lahore

  • ERCP (endoscopic retrograde cholangiopancreatography)
  • Bile duct stone extraction
  • Biliary stenting
  • Oesophageal stenting
  • Duodenal stenting
  • Oesophageal variceal band ligation
  • Upper GI endoscopy (gastroscopy)
  • Colonoscopy
  • Diagnostic and therapeutic endoscopic procedures

Wednesday: From 2 pm onwards. Consultation by appointment only. Please book an appointment before visiting.

What we do

Procedures

Click through the cards for a plain-language summary of each.

Upper GI endoscopy (gastroscopy)

Looks at the food pipe, stomach and first part of the small bowel.

Why it may be done

  • Heartburn that does not settle, difficulty or pain on swallowing
  • Vomiting blood, black stools or unexplained anaemia
  • Persistent upper abdominal pain, nausea or weight loss
  • Checking for ulcers, H. pylori, coeliac disease or swollen veins (varices) in liver disease

What to expect and risks

Usually done after fasting for several hours, with throat spray or sedation. Biopsies may be taken. Serious complications are uncommon, but include bleeding, a tear in the wall of the gut, and reactions to sedation.

Colonoscopy

Looks at the whole large bowel and the end of the small bowel.

Why it may be done

  • Blood in the stool, a lasting change in bowel habit or anaemia
  • Long-standing diarrhoea, or suspected inflammatory bowel disease
  • Checking for and removing polyps, and screening where advised

What to expect and risks

Needs careful bowel cleaning beforehand, which is the most important part of preparation. It is usually done with sedation. Polyps can be removed during the test. Risks are uncommon but include bleeding, a tear in the bowel wall, and reactions to sedation.

ERCP

An endoscopic procedure using X-ray guidance to treat the bile duct and pancreatic duct.

Why it may be done

  • Stones in the bile duct
  • Blocked or narrowed bile ducts, sometimes with a stent placed
  • Selected pancreatic duct problems

What to expect and risks

ERCP is mainly a treatment procedure, usually decided after scans such as ultrasound or MRCP. Risks include pancreatitis, bleeding, infection and a tear in the gut wall, which your doctor will explain before you consent.

Other advanced endoscopic procedures

Procedures that go beyond a routine diagnostic test.

Why it may be done

  • In general, advanced endoscopy can include treating bleeding, banding swollen veins (varices), removing larger polyps or placing stents
  • These procedures are available at both hospitals; which is right for you depends on your condition, and the clinic will confirm the details

What to expect and risks

Every procedure has benefits and risks that depend on you and on the specific treatment. They will be explained to you before you are asked to agree.

Preparing for endoscopy and colonoscopy

Good preparation makes the test safer and more accurate.

  • Follow the written fasting and bowel-preparation instructions exactly
  • Tell the team about all medicines, allergies and medical conditions. Never stop blood thinners or diabetes medicines on your own
  • Arrange for an adult to accompany you if you will be sedated, and do not drive that day
  • Bring earlier reports and a list of your medicines
  • Ask any questions about benefits and risks before you sign consent

These are general tips. You will receive specific instructions from the clinic for your procedure. Never stop a regular medicine on your own.

Ready to arrange a consultation?

Send a short message or call. We will reply with the available days and times. A request is not a confirmed booking until the clinic confirms.