Advanced Diagnostic Technologies

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Advanced Diagnostic Technologies

Technology That Sees Beyond Symptoms

At the Sindh Institute of Advanced Endoscopy and Gastroenterology (SIAG), our mission goes beyond treatment — we’re setting a new standard for public-sector healthcare in Pakistan. Through the integration of cutting-edge imaging and motility diagnostic tools, we ensure that patients receive international-standard evaluations without delay, without compromise — and without cost.

Our diagnostic unit is equipped with globally recognized technologies such as FibroScan 530, High-Resolution Manometry systems, and Canon Aplio ultrasound, tools commonly found in leading international gastroenterology centers. These allow our specialists to detect disease early, understand it deeply, and tailor treatments individually — all while reducing the need for invasive testing.

By combining expert interpretation with these powerful machines, SIAG becomes one of the few public institutions in the region offering such advanced, high-fidelity diagnostics—completely free of charge.

  1. FibroScan® 530 with XL Probe

For non-invasive liver assessment
The FibroScan® 530 by Echosense is a globally trusted tool used in liver centers worldwide. It performs transient elastography, a painless scan that evaluates liver stiffness (for fibrosis/cirrhosis) and fat content (for fatty liver).

Its XL probe is specially designed to accommodate obese or overweight patients, making assessments more accurate across a wider range of body types. With results generated in minutes, this tool helps guide long-term care for liver diseases without biopsy or hospitalization.

  1. High-Resolution Manometry (HRM)

G.I. Solar MMS System with Esophageal and Anorectal Catheters


Our HRM unit is equipped with:

  • 36-channel solid-state esophageal catheter
  • 12-channel high-resolution anorectal manometry catheter

These advanced tools create detailed pressure maps of the esophagus and anorectal canal, essential in diagnosing:

  • Achalasia and other swallowing disorders
  • Diffuse esophageal spasm
  • Incontinence or pelvic floor dysfunction
  • Outlet obstruction-type constipation

SIAG is one of the few centers in Pakistan offering HRAM (High Resolution Anorectal Manometry) in a public setting, helping patients who have long suffered in silence due to limited access.

  1. 24-Hour Ambulatory Impedance-pH Monitoring

For detecting acid and non-acid reflux
This diagnostic test involves a soft catheter with 6 impedance sensors and 1 pH sensor, placed through the nose for a 24-hour period. It helps evaluate:

  • Persistent GERD symptoms
  • Chronic cough, hoarseness, or chest pain
  • Poor response to PPIs (acid-suppressing medication)
  • Pre-operative reflux evaluation

The test captures real-time episodes of reflux, even those not caused by acid — giving a complete picture of the patient’s esophageal function.

  1. Canon Aplio a Ultrasound System

High-definition abdominal imaging
The Canon Aplio a is a world-class ultrasound system, known for its clarity, depth penetration, and Doppler functionality. With a curvilinear probe, our team can assess:

  • Liver size, texture, and lesions
  • Gallstones and biliary dilation
  • Pancreatic abnormalities and ascites
  • Kidneys and urinary tract pathology

It also guides safe procedural interventions like paracentesis, improving care without exposing patients to radiation or contrast.

Why It Matters

At SIAG, these technologies represent more than machines — they represent a commitment to excellence, equity, and innovation. Here’s why they matter:

  • ✅ Early & Accurate Diagnosis: Advanced diagnostics enable early detection of GI, liver, and motility disorders — often before symptoms become severe.
  • ✅ Minimally Invasive: Many of our tests, such as FibroScan and HRM, replace the need for painful or invasive diagnostic procedures.
  • ✅ Global Standard, Local Access: These are the same machines used at top hospitals worldwide — now made accessible to everyone, right here in Karachi.
  • ✅ Empowering Personalized Care: Every patient receives a tailored treatment plan, informed by precise, data-backed diagnostics.
  • ✅ Training & Research: These technologies serve not just patients, but future doctors. They are integral to SIAG’s training programs and academic collaborations, ensuring continuous improvement in healthcare delivery.

But perhaps most importantly:

All of this is provided completely free of cost.

Through public-private collaboration, SIAG is removing financial barriers to world-class gastroenterological diagnostics. No patient is turned away, and no compromise is made in quality. This is the SIAG promise — to serve with dignity, lead with knowledge, and heal with integrity.