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16th Annual Meeting of PSSLD 2022

16th Annual Meeting of PSSLD 2022

The theme of PSLD 2022 Conference was “Emerging Trends in Hepatology: Challenges and Opportunities”

Karachi: The Pakistan Society for the Study of Liver Diseases (PSSLD) orchestrated its 16th Annual Meeting in the Movenpick Hotel, Karachi, starting from December 2nd to December 4th, 2022. For this annual meeting, “Emerging Trends in Hepatology: Challenges and Opportunities” was selected as the theme. To attend this meeting international and local remarkable stars gathered in Karachi. The three-day conference was organized in a hybrid model, linking all the web-based and on-site physical symposiums.

However, it was still made possible by the organizers to air and share the conference through Zoom and Facebook. All of this was possible with the help of PSSLD App with a special portion for the conference. The feasible weather and climatic conditions also helped in the success of the conference. Gladly the restrictions which were imposed and followed because of the immense spread of Covid-19 were lenient as well, and the national and international researchers were freely able to come together under one roof and share their perspectives and somehow explore the region too.

The basic aim was to bring the leading international and national researchers and experts who are actively working as hepatologists. The international scholars tried to relate their research work to the current health stance of Pakistan. National researchers also actively participated in presenting their publications and research work, although it can be noticed that the young individuals were given the preference too.

A three-day conference was held to highlight the opportunities available as well as the challenges faced by the researchers, hepatologists, and doctors. While also discussing the upcoming and newly adopted medical trends and how they can be helpful in Pakistan while tackling the upgraded forms of liver diseases.

Day 1

DECEMBER 2nd, 2022

The conference embarked on with the symposiums highlighting the regional achievements in coping with the hepatitis disease, and how the epitome of new consulting and research methods were applied to manage and tackle the common liver problems. During the first symposium of the day the speakers put forward and talked about “Endo-Hepatology: A New Paradigm”. While commencing the symposium Amjad Salamat chose to talk about “EUS-guided diagnostic hepatic procedures”, followed by an Egyptian researcher who enlighten the listeners with “EUS guided Hemostasis. Later Mostafa Arain and Ghias Un Nabi Tayyab discussed and analyzed the “Endoscopic management of biliary complications” and “EUS guided biliary decompression: A local experience” respectively. 

The second symposium emphasized “managing common liver issues”. All national participants of this symposium put forth ideas on how to tackle the uncomplicated cases of NAFLD (Nonalcoholic fatty liver disease) and hepatitis B, C, and D. While the first PSSLD studio symposium further continue to explicate the ongoing and expected progress in its attempt to fight against and eliminate hepatitis C, this symposium was presented by Human Qureshi, Zaigham Abbas from Pakistan and Homie Razavi from America.   

Moving on to the next symposium after the lunch break, the professor speakers focused on the critical and researchable medical cases they had tackled during their professional experience. The speakers of this symposium included Necati Omreci from Turkey, Mohammad Alborate from India, along with four other national doctors and surgeons. The last symposium of day one was regarding the “HBV elimination in Pakistan”, in this symposium Homie Razavi, Robert Gish, Bilal Hameed from America and Amna Subhan, and Saeed Hamid joined from Pakistan. 

Inaugural Ceremony

Before day one ended, an inaugural ceremony was held which started with the recitation of the Holy Quran and the National Anthem accompanied by the welcoming and thanking speeches by the pioneers of the event along with a speech explaining the theme of the conference. Firstly, Patron Wasim Jafri briefly thanked and welcomed the audience later he even congratulated the organizers who made it happen. After him the dice was soon taken over by the President of PSSLD Prof Amjad Salamat expressed his gratitude and honor to host a remarkable event in Karachi which had resulted in gathering renowned national and international gems in the field of Hepatology. Dr. Amna Subhan butt, chair organizing committee, and one of the young members of the team showed utter excitement to organize a platform that helps generate information related to the study of liver diseases while not being restricted to taking the strict SOP of covid-19. Dr. Zaigham Abbas Chair Scientific Committee addressed the audience highlighting the key points to look for while attending the conference. After their addressing a short lecture was organized by Wasim Jafri highlighting the theme before the chief guest join in. followed by an awards ceremony to appreciate all the hard work placed in by the participants. Day one of the annual meeting ended after a vote of thanks to the vice president of PSSLD and a dinner that was served then and there.

Day 2

DECEMBER 3rd, 2022

Day two of the conference commenced with the research paper presentations and e-paper presentations by an ample number of participants. The sixth symposium of the three-day conference was abiding by to follow the sub-topic of “emerging concepts in hepatitis B and D”. This symposium was carried away by Cihan Yurdaydin from Turkey, Norah Terrault and Robert Gish from America, and Altaf Alam from Pakistan. The speakers mostly focused on the discussion, implying the managed and improved methods to cure hepatitis B.  Moving on to the next symposium after a tea break Nancy S Reau, Bilal Hameed and Rajender Reddy joined in from America while Ammara Naveed represented Pakistan. This symposium took “Hepatitis C” into account to further explain its treatment, the expected and unexpected consequences of it, and the difficulties faced by the patients and the doctors while treating HCV.

After the lunch break a PSSLD steering committee meeting was held, however later on the conference symposiums proceeded. The eighth symposium included the point of view of “Portal Hypertension and Vascular Diseases” in the discussion. The individuals who discussed this side of the research were Anil Aroro from India, Ibrahim Mostafa from Egypt, Rajender Reddy from America, and Nasir Luck from Pakistan. While nearing the end of day two, the ninth symposium raised the chaotic issue of “Complications in managing Cirrhosis”. These symposiums provided an opportunity for Necati Ormeci from Turkey who explained “stages of cirrhosis and how to prevent decompensation”, Nadeem Tehami from the United Kingdom, Qin Ning from China, Anjum Gardezi from the United Kingdom and Ashfaq Ahmed from Pakistan, to share their research and knowledge regarding the topic. The speaker for the second PSSLD studio of the annual meeting was Yogesh Chawla who enlighten the listeners with the research on “Emerging trends in the management of Acute on Chronic Liver Failure (ACLF). The last hour of the day was dedicated to a PSSLD quiz competition.

Day 3

DECEMBER 4th, 2022

Following the pattern of the symposium, Day three of the conference also started with research paper presentations by an ample number of participants. The eleventh symposium focused on “NAFLD” (nonalcoholic fatty liver disease). In this session, the audience was joined by Ajay Duseja from India, Arun Sanyal, and Zobair Younossi from the United States of America. They talked about the process by which the disease flourishes and how possibly it might be treated. The next symposium focused on “post-transplant management”. This session was carried on by Abdul Wahab Dogar, Osama Tariq from Pakistan, Khalid Mumtaz, and Syed Shareef from the United States of America. The outcome of LDLT and the effect of treatment were discussed by this panel. The third PSSLD studio session talked about the “multidisciplinary team approach in the management of HCC”, elaborating on the discourse of early detection of HCC, current perspectives, and “the new algorithm for systemic and immunotherapy.

The thirteenth and last symposium was about “potpourri”.  Muhammad Akram, Farhana Kayani, and Shahab Abid, remain the leading speakers to discuss and update on autoimmune hepatitis and the updates of PBC and PSC.  Mudassri Laeeq concluded the day with an elaborate discussion on pain management in chronic liver diseases. The closing ceremony took place after the Q/A session and the awards and certificates were distributed between the respected participants before lunch.

Award Winners

Best Oral Presentation Award winners

1st Prize
PKR 75,000
Sana M. Hussain

2nd Prize
PKR 50,000
Mahrukh Ali

3rd Prize
PKR 50,000
Saman Shahid

Best E. Poster Award Winners

1st Prize

PKR 75,000
Imran Ali Syed

PKR 75,000
Sulhera Khan

2nd Prize

PKR 50,000
Badar Hina Afnan

PKR 50,000
Imdad Ali, Danish Kumar

3rd Prize

PKR 50,000
Falak Naz

PKR 50,000
Hina Hafiz

Hepatology Champions
1st Prize
Team DUHS (Dow University of health sciences) Karachi
Shazia Siddiqi
Ammara Majeed
2nd Prize
Team HMS (Hayatabad Medical Complex) Peshawar
Muhammad Qasim
Fazal Wahab
3rd Prize
Team Shifa International Hospital Islamabad
Talia Azad
Khalid Zeb
Best Case Report Award Winners
Talha Azad
Shifa International Hospital Islamabad
Yumna, Taha
SIUT
Ibrahim Saeed
AKUH
Deeraj Kumar
LNH

Organizers

Patron: Wasim Jafri
Advisory Committee: Masood Siddiq, Saeed Sadiq Hamid, Amjad Salamat
Chair Scientific Committee: Zaigham Abbas
Chair Organizing Committee: Amna Subhan Butt
Organizing Committee

Tassawar Hussain, Altaf Baqir Naqvi, Sharbat Khan, Fakhar Ali Qazi Arisar, Shahid Rasool, Adil Naseer Khan, Shamail Zafar, Junaid Saleem, Qazi Masroor Ali, Bakht Biland, Saleh M. Channa, Faisal Waseem Ismail, Abdul Basit Siddiqui, Mian Shah Yousaf, M. Atif Majeed, Faisal Aslam, Manzoor Husain, Masood Karim, Zahid Azam

Scientific Committee Sadik Memon, Mohammad Salih, Mohammad Kamran, Farhana Kayani

Price-winning papers
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WORLD DIGESTIVE HEALTH DAY-2021: OBESITY AN ONGOING PANDEMIC

PSSLD celebrated the WORLD DIGESTIVE HEALTH DAY-2021 on 23rd May, 2021. Based on OBESITY AN ONGOING PANDEMIC that was the theme of this year’s World Digestive Health Day, the Express Media Group hosted a webinar in collaboration with PSSLD that was appreciated widely and joined by a majority of Gastroenterologists, experts and medical students from across Pakistan. The session was moderated by the Dr. Zaigham Abbas, who is the president of PSSLD and the Head of Department of Gastroenterology at Dr. Ziauddin University Hospital in Karachi. He explained that the obesity is spreading rapidly like a pandemic all over the world including Pakistan. Other speakers like Dr. Shahid Rasool from Madina Hospital Faisalabad attributed the major cause of diabetes to fatty liver. At the end of session, Dr. Zaigham Abbas thanked the valuable participants and the Express Media Group, urging them to arrange the similar events in the future to stress the need to help eliminate liver diseases. Moreover, Dr. Zaigham Abbas concluded the session with the remarks to change our lifestyle and diet to avoid obesity that results in chronic liver diseases.

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10th SAASL WEBINAR ON LIVER DISEASES AND COVID-19 (PART-1)

On 26th June, 2021, South Asian Association for the Study Of Liver (SAASL) hosted a webinar in collaboration with PSSLD. Professor Vivek A. Saraswat from India, who is the head of department of Gastroenterology at Sanjay Gandhi Postgraduate Institute (SGPGI) in Lucknow chaired this event. Dr. Amna Subhan Butt, Associate Professor at the department of gastroenterology of Aga Khan University Hospital and the General Secretary of PSSLD moderated the session. Professor Zaigham Abbas, Professor Rakhi Maiwall from ILBS in India and Dr. Sanjiv Saigal who is Principal Director and Head of Hepatology and Liver Transplant Medicine at Max Super Specialty Hospital in India discussed hepatitis and its different types during covid-19. Professor Syed Muhammad Zahid Azam from the Dow University of Health Sciences, Professor Amit Goel from the SGPGI of Medical Sciences in India, Dr. Ali Nazeem, Senior Consultant in Medicine from Indira Gandhi Memorial Hospital in Maldives and Dr. Achini Diana Withanachchi Consultant at General Hospital in Sri Lanka were the panelists of this webinar. Many people from around the world joined this session and appreciated the speakers for spreading awareness via this informative webinar.

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WORLD HEPATITIS DAY, 2021 with Jang Group

PSSLD organized the World Hepatitis Day Seminar in collaboration with Jang, Geo, and MKRMS at Karachi. The theme of this seminar was HEP CAN’T WAIT.
Renowned gastroenterologists and hepatologists discussed the growing number of hepatitis cases in Pakistan, stressing the need to get tested immediately.
All the participants appreciated PSSLD and Jang group for organizing such an informative seminar in Karachi.
If you want to know the proceeding of this valuable seminar, click on the following link: https://e.jang.com.pk/08-21-2021/karachi/page7.asp

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World Hepatitis Day 2019

PSSLD observed the World Hepatitis Day 2019 on 28th July, 2019 at Serena Hotel in Islamabad. A number of gastroenterologists and Hepatologists gave presentation on the “HEPATITIS SHOULD BE ELIMINATED GLOBALLY BY 2030”. Awareness walks, blood screening test for Hepatitis and seminars were conducted in different parts of Pakistan in a joint collaboration with PSSLD.
A number of people joined these sessions all over Pakistan and appreciated the efforts of PSSLD to spread awareness and for taking on the mission of hepatitis-free Pakistan by 2030.

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11th SAASL International Webinar ON LIVER DISEASES AND COVID-19 (PART-2)

THEME: LIVER DISEASES AND COVID -19 (PART 2)
Date: 31st July, 2021
Time: 05:00 PM (PKT)

On 31st July, 2021, PSSLD and SAASL organized a successive event on the theme of “LIVER DISEASES And COVID-19 (Part-2)”. Professor Kaushal Madan, Secretary General at INASL and Professor Massod Siddiq, Head of department of medicine at Jinnah Memorial Hospital were the chairpersons of this event. The moderator at this session was Dr. Amna Subhan Butt, while Professor Aabha Nagral, chairperson at SAASL women’s forum, Professor Saeed Hamid, former president of PSSLD and Professor Mamun Al Mahtab (Shwapnil), General Secretary of SAASL discussed Hepatitis and its consequences during Covid-19 and its particular implications in the context of South Asia.

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World Hepatitis Day 2021

On 25th July, 2021 PSSLD, Express Media Group and Metier Group hosted a live webinar that went successfully and received huge appreciation from experts, academics, doctors and people from all over Pakistan for spreading awareness about Hepatitis and its different causes, urging the people to get tested immediately for it.

The theme of WHD 2021 was based on “HEP CAN’T WAIT”, urging the need to get tested immediately as Hepatitis is taking a precious life in every fifteen minutes in Pakistan. The day was observed in multiple cities like Karachi, Mardan, Faisalabad and Jehlum on different days. Free blood screening tests and awareness walks were arranged on these days to increase awareness about the critical situation of hepatitis in Pakistan among the masses. On 25th July, 2021, PSSLD arranged an online webinar via Facebook with Express Media Group, discussing liver diseases, particularly Hepatitis during Covid-19. Stressing the need to get tested, the renowned experts from Pakistan discussed the critical situation of hepatitis in Pakistan and how it can be prevented and treated effectively. Moreover, on 27th July, WHD was observed at Awari Towers in Karachi, where Sheikh Bashir Ahmad and Asif Baig chaired the event. While Dr. Farina Hanif, Gastroenterologist at Sindh Institute of Urology and Transplantation moderated this event. Dr. Zaigham Abbas, Dr. Amna Subhan Butt, Nasir Luck, Dr. Fakhar Qazi, and Dr. Zahid Azam discussed in detail the symptoms of Hepatitis, its effects during Covid-19 and the effective measures to manage this disease. On 28th July, 2021, PSSLD and Ziauddin University Hospital jointly hosted a seminar at Abul Hassan Jaffery Auditorium at Ziauddin University Hospital. Dr. Zaigham Abbas and Dr. Khurram Baqai were the speakers at this particular event. A number of people became part of all these events and appreciated the PSSSLD for their efforts to mitigate hepatitis from Pakistan.

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WORLD HEPATITIS DAY LIVER CANCER IN PAKISTAN HCC FORUM PAKISTAN

Agenda:
WORLD HEPATITIS DAY LIVER CANCER IN PAKISTAN

Date: FRIDAY 9TH OF JULY
Time: 10-15 PMPM PST, 6-15 PM (UK), 6-15PM GERMANY 11-15 AM (USA)

PSSLD and Urdupoint conducted a webinar on World Hepatitis Day on the 9th of July, 2021 that was streamed live on Urdupoint. Dr. Muhammad Affan Qaiser, Senior anchor person hosted this live session. Professor Dr. Shahid Rassol, head of the department of Gastroenterology at University medical & dental college of Faisalabad and Dr. Muhammad Irfan Rashed from Toba Tek Singh were the guests who raised the issue of growing number of hepatitis patients every day in Pakistan. They urged the government to provide safe water and the facilities of free blood screening tests to detect hepatitis at the early to save lives at the right. Right decision at the right time would save many people from succumbing to death.

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ADVANCE IMAGING AND MODALITIES

Agenda:
Innovation Modality in Portal Hypertension
Advanced Imaging in EUS)

Join us for a session on Advance Imaging and Modalities with international experts Dr. Rinaldi Lesmana and Prof. Adrian Saftoiu who will reveal techniques to enhance patient and user experience by sharing their insights on clinical benefits.

Date: 10th July, 2021
Time: 21:00 SG Time ( GMT +08:00), 18:00 Pakistan time, 18:30 IST 20:00 Indonesia Time

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Ziauddin University

 

Ziauddin University in association with the

Pakistan Society for the Study of Liver Diseases organized an event on

Updates on the Diagnosis and Management of Hepatocellular Carcinoma

Karachi: Ziauddin University in association with the Pakistan Society for the Study of Liver Diseases (PSSLD) organized an event on “Updates on the Diagnosis and Management of Hepatocellular Carcinoma”. Dr. Ammad Hussain, Chief Executive of Dr. Ziauddin Hospital Clifton Campus welcomed the delegates.

President of PSSLD Prof. Dr. Zaigham Abbas, Head Department of Hepato-Gastroenterology, Dr. Ziauddin Hospital Clifton Campus commenced the seminar with the presentation on “Surveillance of Hepatocellular Carcinoma” he highlighted the magnitude of this problem in Pakistan. He said that in Pakistan there was a need to organize, coordinated and national system of surveillance for hepatocellular carcinoma. Early detection of carcinoma in high-risk groups will be the key to protect patients from the lethal consequences of this disease. He said that guidelines are available from AASLD, EASL, APASL, NCCN, VA, and JSH to develop surveillance programs for hepatocellular carcinoma. He said alfa fetoprotein, PIVKA (DCP) and alfa fetoprotein L3 biomarkers are helpful in the early detection of hepatocellular carcinoma. He mentioned the GALAD scoring that includes gender and age in addition to the biomarkers mentioned above.

Dr. Usman Ali, Consultant Chemical Pathologist, Department of Pathology, Ziauddin University discussed the “Tumor Markers of Hepatocellular Carcinoma” he thanked Prof. Zaigham Abbas for a very elaborating presentation on the surveillance of HCC. He focused on tumor markers from the pathology perspective.

Prof. Dr. Muhammad Ali, Consultant Interventional Radiologist, Department of Radiology, Ziauddin University presented on “Perspective of Interventional Radiologist in the Management of Hepatocellular Carcinoma” he said, ‘assessment of patients based on modified RECIST criteria is helpful in the measurement of tumor response. He further elaborated different radiological interventions for HCC like partial hepatectomy, PEI, RFA, Microwave Ablation, TACE, TARE or SIRT, and CyberKnife Radiosurgery.

Dr. Khurram Baqai, Assistant Professor of Gastroenterology, Dr. Ziauddin Hospital discussed the “Role of Gastroenterologist in the Management of Hepatocellular Carcinoma” he said etiological factors in Pakistan were hepatitis C and B viruses and rapidly increasing number of fatty liver diseases. He suggested to the physicians that if we could control the complications of HCV and NASH ultimately we would decrease the chance of HCC.

The last speaker of the seminar was Dr. Reena Kumari, Clinical Oncologist of Dr. Ziauddin Hospital. Her topic of the presentation was “Treatment Options for Advance HCC”. Barcelona-Clinic Liver Cancer Staging System (The BCLC system) stratifies HCC patients based on tumor size, extent, liver function, and performance status, Child class and also directs us for treatment strategy. For patients with progressive disease who are not eligible for loco-regional treatments, current FDA-approved first-line treatment options include tyrosine kinase inhibitors (TKIs) Sorafenib, or Lenvatinib. She mentioned the recently approved first-line therapy for advanced HCC which includes atezolizumab and bevacizumab. She projected results of the IAmBrave study

KAHOOT Quiz Competition arranged after the presentations. The participants of the seminar enthusiastically participated in the quiz and interacted with speakers during the Q & A session. In the end, shields were presented to the speakers.

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