PSH 2017

The 17th Annual Conference of Pakistan Society of Hepatology November 3-5, 2017, PC Peshawar, Pakistan

Conference Theme

“Challenges in everyday clinical practice of Hepatology”

Friday 3rd November 2017 EMERALD Workshop – PCP Learning Initiative (HBV)

Joint venture of PSH and IASL 09.00 – 09.10 Program overview

09.10 – 09.30 Pre-Training Survey

09.30 – 09.50 Overview of HBV Infection

Dr. Rehman Uddin

09.50 – 10.10 Screening, Counseling & Referral

Dr. Naveed Iqbal

10.00 – 10.30 HBV Work-up

Dr. Bilal Awan

10.30 – 11.00 Tea Break

11.00 – 11.20 Pre-Treatment Assessment

Dr. Usman Khattak

11.20 – 11.40 Antiviral Treatment of HBV

Dr. Bushra Ali

11.40 – 12.00 Long term HBV Treatment

Dr. Wazir Muhammad Khan

12.00 – 12.20 Special Populations

Dr. Dilaram Khan

12.30 – 12.45 Feedback / Review of Workshop

12.45 – 01.00 Distribution of Shields / Closing program

Friday 3rd November 2017 PSH-2017 Core Scientific program

Anchors Dr. Zia Uddin Dr. Iqbal Haider Dr. Abdur Rahman Dr. Muhammad Asghar

01.50 – 04.30 Plenary Session – 1 Chairman Prof. Syed Hasnain Ali Shah Co-Chairs Prof. Intekhab Alam

Prof. Kashif Malik

Moderator Dr. Muhammad Kamran Hassan 13.50 – 14.00 Welcome By Scientific Chairman

Dr. Sher Rehman 02.00 – 02.20 Esophageal Varices: Screening and Primary/Secondary Prophylaxis

Dr. Abbas Khan Khattak 02.20 – 02.40 Management of Acute Bleeding in Patients with Chronic Liver Disease

Prof. Wasim Uddin 02.40 – 03.00 Endoscopic Management of Gastric Varices: Reducing the Risks of

Intervention and What Techniques and/or Agent(s) Are Appropriate? Prof. Arif Amir Nawaz

03.00 – 03.20 Portal Gastropathy, GAVE and Ectopic Varices: Diagnostic Dilemmas and Treatments Dr. Muhammad Iltaf

03.20 – 03.40 Ascites: Principles, Practices, Pearls Prof. Intekhab Alam

03.40 – 04.00 Role of Beta Blockers in patients with decompensated cirrhosis liver Prof. Syed Hasnain Ali Shah

04.00 – 04.15 Panel Discussion 04.15 – 04.30 Tea and Prayer 04.30 – 06.45 Plenary Session – 2 Chairman Prof. Arif Amir Nawaz Co-Chairs Prof. Mumtaz Ali Marwat

Dr. Noor Muhammad Moderator Dr. Dilaram Khan 04.30 – 04.50 Endoscopy in the Setting of Hepatic Coagulation Disorder

Dr. Hasmat Ullah 04.50 – 05.10 ERCP in patients with Chronic Liver Disease

Brig. Dr. Amjad Salamat 05.10 – 05.30 Treatment of Portal Vein Thrombosis in Cirrhosis: Who, When & Where?

Dr. Muhammad Kamran Hassan 05.30 – 05.50 Surgical Risk Assessments in patients with Chronic Liver Disease

Dr. Zabih Ullah 05.50 – 06.10 Surveillance & Diagnosis of HCC

Dr. Abdul Majid 06.10 – 06.30 Management of Unresectable HCC

Dr. Aman Nawaz Khan 06.30 – 06.45 Panel Discussion 05.30 – 06.30 PSH Executive Council Meeting 07.30 – 11.30 Inauguration Ceremony

Saturday 4th November 2017 08.30 – 10.15 Plenary Session – 3 Chairman Prof. Masood Siddiq Co-Chairs Dr. Muazzam Uddin

Dr. Asad Chaudhary Moderator Dr. Hashmat Ullah 08.30 – 08.50 HDV: Treatment Options

Prof. Badar Faiyaz Zuberi 08.50 – 09.10 How to interpret abnormal LFTs

Prof. Zahid Ysaeen Hashmi 09.10 – 09.30 Treatment of Tuberculosis in patients with Chronic Liver Disease

Dr. Nazish Butt

09.30 – 09.50 Cardiopulmonary Complications of Chronic Liver Disease: Diagnosis & Management Dr. Amna Subhan

09.50 – 10.10 Acute on chronic Liver Failure Dr. Lubna Kamani

10.10 – 10.30 Impaired Renal Functions in End Stage Liver Disease Dr. Zeeshan Ali

10.30 – 10.45 Panel Discussion 10.45 – 11.00 Tea Break

11.00 – 01.00 Plenary Session – 4 Chairman Prof. Muhammad Umar Co-Chairs Prof. Muhammad Humayun

Dr. Khalid Hameed Moderator Dr. Bushra Ali 11.00 – 11.20 Non invasive assessment of Liver Fibrosis - Utility and Limitations

Dr. Asif Gul 11.20 – 11.40 Treatment of Genotype 1 & 3: Update & Local perspective

Prof. Altaf Alam 11.40 – 12.10 Treatment of HCV in Decompensated Cirrhosis & Liver Transplant Recipients

Prof. Anwaar Ahmad Khan 12.10 – 12.30 HCV in patients with Chronic Renal Failure and HBV/HIV co-infection

Dr. Asad Chaudhary 12.30 – 12.50 New HCV Therapies: Is there a benefit beyond the liver?

Dr. Adeel Butt 12.50 – 01.00 Panel Discussion 01.00 – 02.00 Lunch and Prayer

02.00 – 04.15 Plenary Session – 5 Chairman Prof. Altaf Alam Co-Chairs Prof. Muhammad Noor Wazir

Dr. Nazish Butt Moderator Dr. Adnan ur Rehman Khattak 02.00 – 02.20 HBV: Natural History & Treatment

Prof. Muhammad Umar 02.20 – 02.40 Management of Liver Disease in Pregnancy

Dr. Adil Naseer 02.40 – 03.00 Hepatitis B Vaccination

Dr. Khalid Hameed 03.00 – 03.20 HEV: Current Status and Future Prospects

Prof. Zahid Azam 03.20 – 03.40 Health-related Quality of Life in patients with advanced chronic liver disease

Dr. Humaira Rahim 03.40 – 04.00 AIH: Review of the current approach to Diagnosis and Treatment

Dr. Kashif Malik 04.00 – 04.15 Panel Discussion 04.15 – 04.30 Tea and Prayer

04.30 – 06.45 Plenary Session – 6 Chairman Prof. Javed Aslam Butt Co-Chairs Prof. Khalid Mehmood

Dr. Bakht Biland Moderator Dr. Muhammad Iltaf 04.30 – 04.50 Nutrition in patients with liver diseases: what to eat and what to avoid in

patients with NAFLD & those with cirrhosis

Prof. Masood Siddiq 04.50 – 05.10 Management of Hepatic Encephalopathy: Starvation diet no longer required

Prof. Shahab Abid 05.10 – 05.30 Non-cirrhotic Portal Hypertension

Dr. Asif Zaidi 05.30 – 05.50 Cholestatic Liver Diseases: Pakistan Perspective

Prof. Nasir Khokhar 05.50 – 06.10 Management of Hemorrhoidal Bleeding in Cirrhosis

Prof. Qamaruddin Baloch 06.10 – 06.30 Panel Discussion 06.45 – 07.45 PSH General Body 08.30 – 11.30 Gala Dinner

Sunday 5th November 2017 08.30 – 09.45 Parallel Session – 1 Free Papers Hall A Chairman SM Muneer Co-Chairs Prof. Ibrar Shaikh

Dr. Naveed Anwar Moderator Dr. Muhammad Bilal Awan 08.30 – 08.37 Viral Kinetics observed during and after HCV therapy with Sofosbuvir &

Ribavirin in HCV therapy. Obaidullah, Kashif Shehzad, Rahid Ayaz, Muhammad Naeem, Inamullah, Aysha Durrani, Shiraz Iqbal, Asim Khan, Fahad, Atta Muhammad Khan, Musharaf Kamal, Javed Iqbal Farooqi Al-Hayat Clinic and Research Center/Department of Medicine, Lady Reading Hospital, Peshawar

08.37 – 08.45 Pre-treatment Determinants of Early Virologic Response in Sofosbuvir Treated Patients. Khalid Khan, Kashif Shehzad, Muhammad Naeem, Aysha Durrani, Imranullah, Obaidullah, Rahid Ayaz, Inamullah, Naveed Imran, Imran. Inayat, Atta Muhammad Khan, Musharaf Kamal, Javed Iqbal Farooqi Al-Hayat Clinic and Research Center/Department of Medicine, Lady Reading Hospital, Peshawar

08.45 – 08.52 Distribution of IL28-B genotypes and their association with response in HCV Patients treated with Sofosbuvir Usama Javaid, Kashif shehzad, Asim khan, Fakhr-e-Alam, Abdul Qadir, Shiraz Iqbal, Syed Rehan Ilahi, Bilal Ahmad, Aamir Khan, Musharraf Kamal, Atta Muhammad khan, Javed Iqbal Farooqi Al-Hayat Clinic and Research Center/Department of Medicine, Lady Reading Hospital, Peshawar

08.52 – 09.00 Efficacy and safety of Sofosbuvir in HCV-related advanced liver cirrhosis Kashif Shehzad, Muhammad Naeem, Inamullah, Musharaf Kamal. Atta Muhammad Khan, Aysha Durrani, Obaidullah, Usama Javaid, Imranullah, Rahid Ayaz, Javed Iqbal Farooqi Al-Hayat Clinic and Research Center/Department of Medicine, Lady Reading Hospital, Peshawar

09.00 – 09.07 Demographic distribution and staging at presentation of patients presenting with obstructive jaundice of malignant origin at tertiary care level in Pakistan Adnan Salim, Sadia Bhatti, Farhan ul Amin, Asif Zaidi, Akif Dilshad, Joher Amin, Kashif Malik, Arshad Kamal Butt, Altaf Alam Shaikh Zayed Hospital, Lahore

09.07 – 09.15 Predictive factors of relapse in HCV genotype 3 cirrhotic patients treated with sofosbuvir and ribavirin Khushal Khan, Muhammad Osama Tariq Butt, Farzana Shafqat,

Department of Gastroenterology, Shifa International Hospital, Islamabad

09.15 – 09.22 Diagnostic accuracy of conventional ultrasound and contrast enhanced computerized tomography in disease staging of patients presenting with obstructive jaundice secondary to malignancy Adnan Salim, Sadia Bhatti, Farhan ul Amin, Mubashir Ijaz, Aamir Kahn, Shafiq Ahmed, Arshad Kamal Butt, Altaf Alam Shaikh Zayed Hospital Lahore

09.22 – 09.30 Hematological side effects of Sofosbuvir and Ribavirin combination therapy in Chronic Hepatitis C patients Farooq Mohyud Din Chaudhary, Waseem Sarwar Malghani, Farooq, Asma Tameez Ud Din, Anum Khakwani Nishtar Medical University & Hospital, Multan

09.30 – 09.37 Endoscopic management of post living donor liver transplant anastomotic strictures: A single center experience Adnan Salim, Akif Dilshad, Muhammad Israr ul Haq, Asid zaidi, Kashif Malik, Johar Amin, Tariq Bangash, Amir Lateef, Anwaar Ahmed Khan, Arshad Kamal Butt, Altaf Alam Shaikh Zayed Hospital Lahore

09.37 – 09.45 Treatment experience of patients presenting with obstructive jaundice of malignant origin arising from the gall bladder, biliary tree or pancreas Adnan Salim, Sadia Bhatti, Farhan ul Amin, Asif Zaidi, Akif Dilshad, Joher Amin, Kashif Malik, Arshad Kamal Butt, Altaf Alam Shaikh Zayed Hospital Lahore

08.30 – 09.45 Parallel Session – 2 Free Papers Hall B Chairman Prof. Badar Fiyaz Zuberi Co-Chairs Prof. Shiraz Jamal

Prof. Jahanzeb Afridi Moderator Dr. Riaz Muhammad 08.30 – 08.37 Safety and efficacy of sofosbuvir for Chronic Hepatitis C: The

Experience of Tertiary Care hospitals. Sehrish Reema1, Nazish Butt1, 2, Ali Akbar1, Sehrish Butt2, Ali Khan1, Farhan Haleem1, Amanullah Abbasi3

1Jinnah Postgraduate Medical Centre, Karachi. Pakistan 2Aga Khan University Hospital, Karachi, Pakistan. 3Dow University of medical sciences.

08.37 – 08.45 Sofosbuvir In Combination With Ribavirin In Genotype 3 Hepatitis C Patients With Cirrhosis. The Experience of Tertiary Care hospital Ali Akbar1,Nazish Butt1, Sehrish Reema1, Sehrish Butt2, Ali Khan1, Farhan Haleem1, Ghulam Basit1, Muhammad Masood1, Anoshia Saleem1, Talha Qureshi1

1Jinnah Postgraduate Medical Centre, Karachi 2Aga Khan University Hospital, Karachi, Pakistan

08.45 – 08.52 Response and complications of Different regimens (sofosbuvir, daclatasvir and ribavirin) in patients treated for hepatitis C on outpatient basis Muhammad Furqan, Lubna Kamani, Baseer Sultan, Qadir Sammad Liaquat National Hospital & Medical College, Karachi, Pakistan

08.52 – 09.00 KAP (Knowledge, Attitude and Practices) Study among medical and dental students regarding hepatitis B vaccination Iqbal Haider, Aliena Badshah, Mohammad Humayun Department of Medicine, Khyber Teaching Hospital, Peshawar

09.00 – 09.07 Epidemiological, clinical characteristics and management status of hepatitis B: A cross-sectional study in tertiary care hospital. Muhammad Ali Khan, Nazish Butt, Sehrish Butt , Sehrish Reema, Farhan Haleem. Jinnah Postgraduate Medical Centre, Karachi

09.07 – 09.15 Effect on Clinical and Laboratory Parameters in HCV Cirrhosis after

Successful Eradication of Hepatitis C Virus with Sofosbuvir based Antiviral Treatment Raja Ikram Ul Haq, Arif A. Nawaz, Bushra Ali, Hina Khalid Fatima Memorial Hospital, Lahore

09.15 – 09.22 Efficacy and Safety of Sofosbuvir & Ribavirin to treat post-liver transplant patients with hepatitis C recurrence Imran Ullah, Kashif Shehzad, Muhammad Naeem, Inamullah, Ayesha Durrani, Usama Javaid, Obaid Ullah, Asim Khan, Shiraz Iqbal, Muhammad Shahid, Rahid Ayaz, Musharraf Kamal, Atta Muhammad Khan, Javed Iqbal Farooqi Al-Hayat Clinic and Research Center/Department of Medicine, Lady Reading Hospital, Peshawar

09.22 – 09.30 Experience with Sofosbuvir & Ribavirin to treat hepatitis C patients below 18 years of age Group Muhammad Shahid, Shiraz Iqbal, Adnan Shah, Asif Hameed, Azmat Ali, Qasim, Muhammad Naeem, Kashif Shehzad, Imranullah, Atta Muhammad Khan, Musharaf Kamal, Javed Iqbal Farooqi Al-Hayat Clinic and Research Center/Department of Medicine, Lady Reading Hospital, Peshawar

09.30 – 09.37 Hepatocellular Carcinoma appearing in chronic hepatitis C patients treated with sofosbuvir & ribavirin Naveed Imran, Shiraz Iqbal, Muhammad Shahid, Muhammad Naeem, Nabila Sultan, Atta Muhammad Khan, Musharaf kamal, Javed Iqbal Farooqi Al-Hayat Clinic and Research Center/Department of Medicine, Lady Reading Hospital, Peshawar

09.37 – 09.45 Characteristics of HCV-related HCC Shiraz Iqbal, Muhammad Shahid, Adnan Shah, Asif Hameed, Azmat Ali, Qasim, Muhammad Naeem, Kashif Shehzad, Imranullah, Atta Muhammad Khan, Musharaf Kamal, Javed Iqbal Farooqi Al-Hayat Clinic and Research Center/Department of Medicine, Lady Reading Hospital, Peshawar

09.45 – 11.15 Parallel Session – 3 Free Papers Hall A Chairman Prof. Zahid Yaseen Hashmi Co-Chairs Dr. Usman Khattak

Dr. Rehman Uddin Moderator Dr. Naveed Iqbal 09.45 – 09.52 Awareness and frequency of hepatitis B vaccination in high-risk

Health care workers at a Swabi district. Jawad khan, Muhammad Daud, Waheedullah, Noor-ul-Amin, Fakhre Alam DHQ, Swabi

09.52 – 10.00 Effectiveness of Entecavir/Tenofovir in eradicating chronic hepatitis B infection with superimposed acute hepatitis A.E virus infection Mohammad Humayun, Aliena Badshah, Iqbal Haider Department of Medicine, Khyber Teaching Hospital, Peshawar

10.00 – 10.07 An unusual case of Congenital hepatic fibrosis and Retinitis Pigmentosa Ali Akbar, Nazish Butt, Anoshia Saleem

Jinnah Postgraduate Medical Centre, Karachi 10.07 – 10.15 Very high CA 19-9 levels in a patient with choledocholithiasis. A case report

Raja Ikram Ul Haq, Arif A. Nawaz, Bushra Ali, Hina Khalid Fatima Memorial Hospital, Lahore

10.15 – 10.22 Efficacy of sofosbuvir and ribavirin therapy in hepatitis C virus infection among treatment naïve cases of south Punjab Anum Khakwani, Waseem Sarwar Malghani, Shehryar Kanju, Farooq Mohyud Din Nishtar Medical University & Hospital, Multan

10.22 – 10.30 Frequency of Genotypes in CHC

Arbab Kashif Hayatabad Medical Complex, Peshawar

10.30 – 10.37 Assessment of Quality of life (QOL) in patients with chronic liver disease Jalwa Javed Farooqi1, Kanza Javed Farooqi2

1Fourth year MBBS student of Peshawar Medical College 2Second year MBBS student of Peshawar Medical College

10.37 – 10.45 Single-center experience using Sofosbuvir & Daclatasvir with or without Ribavirin to treat hepatitis C patients of adult age group: RESiP Study Javed Iqbal Farooqi, Mr. Qasim Jan Al-Hayat Clinic and Research Center/Department of Medicine, Lady Reading Hospital, Peshawar

10.45 – 10.52 Frequency of HDV infection in chronic hepatitis B patients: our Experience Adnan Shah, Muhammad Naeem, Muhammad Fahad, Suliman Khan, Azmat Ali, Atta Muhammad Khan, Musharraf Kamal, Javed Iqbal Farooqi Al-Hayat Clinic and Research Center/Department of Medicine, Lady Reading Hospital, Peshawar

10.52 – 11.00 Frequency of hepatitis B and C in Tehsil Gadezai, Bunair Aysha Durrani, Mehmooda Ahmad, Javed Iqbal Farooqi Department of Medicine, Lady Reading Hospital, Peshawar

11.00 – 11.07 Frequency of fungal urinary tract infection among patient with chronic liver disease Hamid Ali, Lubna kamani, Masood Tareen Liaquat National Hospital & Medical College, Karachi, Pakistan

11.15 – 11.30 Tea Break

09.45 – 11.15 Parallel Session – 4 Free Papers Hall B Chairman Dr. Habib Jadoon Co-Chairs Prof. Hashim Uddin Azam Khan

Dr. Wazir Muhammad Khan Moderator Dr. Ihsan Ullah 09.45 – 09.52 Complications Profile of Liver Cirrhosis

Asim Khan, Usama Javaid, Muhammad Naeem, Shiraz Iqbal, Kashif Shehzad, Atta Muhammad Khan, Musharaf Kamal, Javed Iqbal Farooqi Al-Hayat Clinic and Research Center/Department of Medicine, Lady Reading Hospital, Peshawar

09.52 – 10.00 Transient Elastography by FibroScan for the Noninvasive Assessment of Liver Fibrosis: First study From Pakistan Ayesha Durrani, Abid Iqbal Farooqi, Qasim Jan, Rukhsana javed, Farooqi, Javed Iqbal Farooqi Al-Hayat Clinic and Research Center/Department of Medicine, Lady Reading Hospital, Peshawar

10.00 – 10.07 Rifaximin in the Treatment of Early Hepatic Encephalopathy Muhammad Naeem, Kashif shehzad, Aysha Durrani, Naveed Imran, Imran Ullah, Muhammad Fahad, Inamullah, Biladul Islam, Musharraf Kamal, Atta Muhammad Khan, Javed Iqbal Farooqi Al-Hayat Clinic and Research Center/Department of Medicine, Lady Reading Hospital, Peshawar

10.07 – 10.15 Clinical Practices of Regional Gastroenterologist & Internist for Management of Hepatitis C Javed Iqbal Farooqi1, Jaffer Bin Baqar2, Hina Aziz3

1Lady Reading Hospital, Peshawar 2Manager Medical Affairs, Clinical Research & MSL, Getz Pharma, Karachi 3Post Graduate Student, Department of Community Health Sciences, Aga Khan University Hospital, Karachi

10.15 – 10.22 Correlation of Virological and Clinical Profile of Patients with chronic hepatitis

B & C Co-infection

Inam Ullah, Muhammad Naeem, Kashif Shehzad, Atta Muhammad Khan, Musharaf Kamal, Javed Iqbal Farooqi Al-Hayat Clinic and Research Center/Department of Medicine, Lady Reading Hospital, Peshawar

10.22 – 10.30 Frequency of Severity of Liver Involvement In Dengue Infection Among Adults At Tertiary Care Hospital Masood Tareen, Lubna Kamani, Hamid Ali Liaquat National Hospital Karachi

10.30 – 10.37 To determine the frequency of gastric variceal bleeding in CLD patients undergoing EGD Adeel Afzal, Muhammad Mansoor Ul Haq Liaquat National Hospital & Medical College, Karachi, Pakistan

10.37 – 10.45 Histoacryl® therapy of bleeding gastric fundal varices: The Experience of Tertiary Care Hospital Farhan Haleem1, Nazish Butt1, Sehrish Butt2, Sehrish Reema1, Muhammad Ali Khan1, Qurban Hussain Sheikh1 1Jinnah Postgraduate and Medical Centre, Karachi 2Aga Khan University Hospital, Karachi, Pakistan

10.45 – 10.52 Endoscopic cyanoacrylate injection for the treatment of gastric varices in children: a tertiary care experience Lubna Kamani, Baseer Sultan, Muhammad Arshad Liaquat National Hospital & Medical College, Karachi, Pakistan

10.52 – 11.00 Prognostic value of MELD score in acute variceal hemorrhage Baseer Sultan, Mansoor Ul Haq, Pervez Ashraf Liaquat National Hospital, Karachi

11.00 – 11.07 Safety of conscious sedation in patients undergoing ERCP with Hepatobiliary disease Lubna Kamani, Abdul Latif, Riaz Hussain, Kailash Raj Makhejani Liaquat National Hospital & Medical College, Karachi, Pakistan

11.7 0 11.15 Efficacy of Sofosbuvir and Ribavirin in chronic hepatitis C genotype 2 and 3 patients Jawad khan, Muhammad Daud, Waheedullah, Noor-ul-Amin, Fakhre Alam DHQ, Swabi

11.15 – 11.30 Tea Break

11.30 – 01.30 Plenary Session – 7 Chairman Prof. Zaigham Abbas Co-Chairs Prof. Nasir Hussain Luck

Dr. Sher Rehman Moderator Dr. Muhammad Salih 11.30 – 11.50 Treatment of DAAs Failure: Upcoming Options

Prof. Zaigham abbas 11.50 – 12.10 Challenges in Liver Transplant: Pakistan Perspective

Dr. Faisal Saud Dar 12.10 – 12.30 Immediate challenges Post Liver Transplant

Dr. Tariq Bangash 12.30 – 12.50 Endoscopic management of Billiary Complications after Liver transplantation

Dr. Akif Dilshad 12.50 – 01.10 Long-term Care of a post Liver Transplant Recepient

Dr. Muhammad Salih 01.10 – 01.30 Panel Discussion 01.30 – 02.00 Closing Ceremony 02.00 – 03.00 Good Bye Lunch