Roy Gastro & Liver Center

Roy Gastro and Liver Centre is a modern and spacious gastroenterology medical centre. Our focus is on the digestive system including the oesophagus, stomach, intestines, liver, gallbladder and pancreas. Our consultant physician gastroenterologist offers the full scope of gastroenterology care.

We perform upper endoscopy, colonoscopy, capsule endoscopy and other procedures at our large and modern endoscopy suites.

Dr. Debasis Misra; DM [gastroenterology]

Dr.Debasis Misra is a name in Gastroenterology which you can trust.

Dr.Misra is an alumnus of Sriram Chandra Bhanja Medical College, Cuttack – the oldest and biggest medical college in Odisha. He pursued his degrees in MBBS, MD (Medicine) and DM (Gastroenterology) from SCB medical college. Post MD, Dr.Misra fulfilled his senior residency in Medicine at VSS Medical College, Burla, Sambalpur. On completion of DM degree, Dr.Misra worked as Associate Professor in Gastroenterology at IMS & SUM Hospital & Medical College for a period of two years. For last two years he has been working in Care Hospitals.

Dr.Misra is a professionally committed individual. He believes in working in harmony with his staff, administration, patient and their family members to ensure high quality medical care which meets standard operating procedures.

He has various publications to his credit. He has co-authored a chapter in a textbook on ‘COLONIC POLYPS’. He has participated in various national seminars and workshops. Few of his publications are:  Read More...

Diseases of GI System :

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GERD

Gastroesophageal reflux disease (GERD) is a chronic digestive disease. GERD occurs when stomach acid or, occasionally, stomach content, flows back into your food pipe (esophagus). The backwash (reflux) irritates the lining of your esophagus and causes GERD.

Most people can manage the discomfort of GERD with lifestyle changes and over-the-counter medications. But some people with GERD may need stronger medications, or even surgery, to reduce symptoms.

GERD signs and symptoms include:

A burning sensation in your chest (heartburn), sometimes spreading to your throat, along with a sour taste in your mouth

Chest pain

Difficulty swallowing (dysphagia)

Dry cough

Hoarseness or sore throat

Regurgitation of food or sour liquid (acid reflux)

Sensation of a lump in your throat


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Peptic Ulcers/ Ulcers Of Esophagus, Stomach & Duodenum

Proton pump inhibitors (PPI) may reduce mortality in those with severe disease as well as the risk of re-bleeding and the need for surgery among this group. Endoscopic therapy can be broadly categorized into injection therapy, thermal coagulation, and mechanical hemostasis. Newer recommendations favor combined therapy, in which the injection of diluted epinephrine precedes a second hemostatic technique such as thermal coagulation; APC; Hemoclips.


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IBS

Irritable bowel syndrome (IBS) is a group of symptoms—including abdominal pain and changes in the pattern of bowel movements without any evidence of underlying damage. Onset may be triggered by an intestinal infection, or stressful life event. Red flag signs include onset at greater than 50 years of age, weight loss, blood in the stool, or a family history of inflammatory bowel disease or colon carcinoma.

Usually, with a few basic changes in diet and activities, IBS will improve over time. Here are some tips to help reduce symptoms:

Avoid caffeine (in coffee, teas, and sodas).

Add more fiber to your diet with foods like fruits, vegetables, whole grains, and nuts.

Drink at least three to four glasses of water per day.

Don’t smoke.

Learn to relax, either by getting more exercise or by reducing stress in your life.

Limit milk or cheese.

Eat smaller meals more often instead of big meals.

Keep a record of the foods you eat so you can figure out which foods bring on bouts of IBS.


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Inflammatory Bowel Disease (IBD)

Inflammatory Bowel Disease (IBD) is a group of ulcerated conditions of the large and small intestine. Crohn’s disease and ulcerative colitis are the principal types of inflammatory bowel disease. They are present with abdominal pain, vomiting, diarrhea, rectal bleeding, severe internal cramps/muscle spasms in the region of the pelvis and weight loss.

Anemia is the most prevalent extraintestinal complication of inflammatory bowel disease. Associated complaints or diseases include arthritis. The diagnosis is usually confirmed by biopsies on colonoscopy.


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Abdominal Tuberculosis

GI TB is a major health problem in many underdeveloped countries. A recent significant increase has occurred in developed countries, especially in association with HIV infection.. Any part of the GI system may be infected, although the ileum and colon are common sites.

The ulcerative form of TB is seen in approximately 60% of patients. Multiple superficial ulcers are largely confined to the epithelial surface.

The hypertrophic form is seen in approximately 10% of patients and consists of thickening of the bowel wall with scarring; fibrosis; and a rigid, masslike appearance that mimics that of a carcinoma.

The ulcerohypertrophic form is a subtype seen in 30% of patients.


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Ca Colon

Colorectal cancer (CRC), also known as bowel cancer and colon cancer, is the development of cancer from the colon or rectum (parts of the large intestine). Some risk factors include diet, obesity, smoking, and lack of physical activity. Dietary factors that increase the risk include red and processed meat as well as alcohol. Another risk factor is inflammatory bowel disease, which includes Crohn’s disease and ulcerative colitis.

Signs and symptoms of colon cancer include:

A change in your bowel habits, including diarrhea or constipation or a change in the consistency of your stool, that lasts longer than four weeks

Rectal bleeding or blood in your stool

Persistent abdominal discomfort, such as cramps, gas or pain

A feeling that your bowel doesn’t empty completely

Weakness or fatigue

Unexplained weight loss


Diseases of Pancreas :

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Pancreatitis

Pancreatitis is inflammation of the pancreas. The pancreas produces digestive enzymes, insulin and a number of hormones. There are two main types, acute pancreatitis and chronic pancreatitis. Signs and symptoms of pancreatitis include pain in the upper abdomen, nausea and vomiting. The pain often goes into the back and is usually severe. Common causes of acute pancreatitis are gallstones and heavy alcohol use.

In chronic pancreatitis weight loss, fatty stool, and diarrhea may occur. Complications may include infection, bleeding, diabetes mellitus, or problems with other organs. Chronic pancreatitis may develop as a result of acute pancreatitis. It is most commonly due to many years of heavy alcohol use.


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Pancreatic cancer

Cancer of pancreas is very debilitating. It should be rulled out in all cases of elderly diabetes of recent onset. A good usg abd and blood for CA 19 9 can be helpful in symptomatic patients


Diseases of Liver :

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Jaundice

Jaundice, also known as icterus, is a yellowish pigmentation of the skin and whites of the eyes due to high bilirubin levels. It is commonly associated with itchiness if it is due to cholestasis or obstruction . Common causes are Viral hepatitis; drug induced hepatitis; alcohol related; cholestatic hepatitis and due to obstruction of CBD due to calculi; malignancy or stricture/ worms.

Obstructive causes usually require surgery or ERCP. Hepatitis A & E are due to contaminated food and water. Hepatitis B & C are due to contaminated blood and body fluids. Hepatitis B is preventable by vaccination. Both B & C can cause liver cirrhosis and cancer [ hepatocellular cancer]. Most can remain asymptomatic hence the importance of screening.


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Cirrhosis

Cirrhosis is a condition in which the liver does not function properly due to long-term damage. This damage is characterized by the replacement of normal liver tissue by scar tissue. Cirrhosis is most commonly caused by alcohol, hepatitis B, hepatitis C, and non-alcoholic fatty liver disease. Non-alcoholic fatty liver disease has a number of causes, including being overweight, diabetes, high blood fats, and high blood pressure.

In patients with previously stable cirrhosis, decompensation may occur due to various causes, such as constipation, infection (of any source), increased alcohol intake, medication, bleeding from esophageal varices or dehydration. Complications include ascites; gi bleeding; encephalopathy and infection. Regular follow up with USG is needed as they can develop cancer.


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ALD

Alcoholic liver disease is a term that encompasses the liver manifestations of alcohol overconsumption, including fatty liver, alcoholic hepatitis, and chronic hepatitis with liver fibrosis or cirrhosis. Of all chronic heavy drinkers,15–20% develop hepatitis or cirrhosis, which can occur concomitantly or in succession and becomes irreversible. Alcoholic liver cirrhosis can cause serious complications– decompensated cirrhosis.

Complications include:

Ascites, or fluid in the abdomen

Encephalopathy, or mental confusion

Gastrointestinal bleeding, known as bleeding varices

Jaundice, which makes the skin and eyes have a yellow tint

Those with the more severe form of cirrhosis often require a liver transplant to survive.


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HCC

Hepatocellular carcinoma (HCC) is the most common type of primary liver cancer in adults, and is the most common cause of death in people with cirrhosis. It occurs in the setting of chronic liver disease– most commonly chronic viral hepatitis infection (hepatitis B or C) or exposure to toxins such as alcohol or aflatoxin.

Due to the fact that HCC most commonly occurs in the setting of chronic liver disease and cirrhosis screening by ultrasound (US) is commonly advocated in this population.

Resection may benefit certain patients, depending on size of tumor and presence of portal hypertension. Many patients are not candidates given the advanced stage of their cancer at diagnosis or their degree of liver disease and, ideally, could be cured by liver transplantation. In other patients, local ablative therapies, including radio frequency ablation (RFA), chemoembolization, and potentially novel chemotherapeutic agents, may extend life and provide palliation.


Services through the Specialty Care Pharmacy, the Sample Pharmacy, and with our pharmacist clinician are not traditional pharmacy services and are only available to patients who qualify. You can still fill or refill your regular prescriptions at your local pharmacy or drugstore.

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diagnostic upper gi endoscopy & colonoscopy

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Polypectomy

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Stenting/ Luminal Gi Stenting

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Narrow-Band Imaging

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Esophageal Achalasia

Our Timings :

Monday 7 – 9 am 7 -10 pm
Tuesday 7 – 9 am 7 -10 pm
Wednesday 7 – 9 am 7 -10 pm
Thursday 7 – 9 am 7 -10 pm
Friday 7 – 9 am 7 -10 pm
Saturday 7 – 9 am 7 -10 pm

2nd Saturday closed, 2nd & 3rd Sunday morning 8am to 1pm open

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  • Address

    2nd Floor, Debaki Tower, Bomikhal, Bhubaneswar-10, Odisha.

  • Mobile number

    +91 9938588180

  • Email address

    care@roygastroliver.com
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