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Gastroentrology

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Gastroenterology and Hepatology,KIMS

Department of Gastroenterology and Hepatology (Division of Digestive Sciences) , KIMS is headed by Prof. Anil C Anand (MD, DM, FICP, FRCP, FACP, FACG, FAMS). The mission of the department is to provide comprehensive high end clinical care as well as emergency services for patients suffering from disorders of digestive tract and liver through a team of highly experienced Gastroenterologists supported by state of art technology.

It provides routine OPD as well as round the clock emergency services for all disorders of digestive system, liver and pancreato-biliary system including both basic and advanced endoscopic diagnostic and therapeutic procedures.

The department has been instrumental in starting the following therapeutic modalities in the state of Odisha which were lacking earlier and patients used to travel out of the state for the same.

A. Transjugular liver biopsy
B. Percutaneous transhepatic biliary drainage (PTBD)
C. Trans-arterial chemo-embolization (TACE) for liver cancer
D. Pancreatic ERCP for chronic pancreatitis and pancreatic duct disruption
E. Fibroscan

Services Provided :

  • Diagnostic Upper G.I. endoscopy & Colonoscopy.
  • Very thin endoscope (paediatric endoscopy) for small children
  • Therapeutic endoscopy like sclerotherapy, variceal banding, coagulation, hemoclip application to stop ongoing Gl bleeding
  • Dilatation (widening) of narrowed food passage.
  • Removal of small tumour by endoscope without surgery (polypectomy).
  • Liver biopsy. [Both USG guided percutaneous liver biopsy & trans-jugular liver biopsy (TJLB)]
  • Fibroscan [for noninvasive (painless) assessment of liver fibrosis]
  • Breath tests for small intestinal bacterial overgrowth and H pylori infection
  • Enteroscopy (endoscopy of small intestine) to find out the cause of unexplained anemia, obscure GI bleeding, diarrhoea
  • Pneumatic balloon dilatation of Achalasia Cardia
  • Per-Oral Endoscopy Myotomy (POEM)
  • Percutaneous endoscopic gastrostomy (PEG)
  • ERCP with removal of bile duct stone, dilatation & plastic stent placement for benign biliary stricture.
  • Pancreatic ERCP for removal pancreatic duct stones and plastic stent placement for pancreatic stricture
  • Metallic biliary, esophageal, pyloric, enteral & colonic stenting
  • Diagnostic & Therapeutic Endoscopic ultrasound
  • Endoscopic cystogastrostomy (for pancreatic pseudocyst) & endoscopic necrosectomy (for walled of pancreatic necrosis (WOPN)
  • Capsule endoscopy
  • Radiologic angioembolization of bleeding vessel for uncontrolled gastro-intestinal bleeding
  • Percutaneous transhepatic biliary drainage for patients with obstructive jaundice due to bilio-pancreatic tumours
  • Transjugular intrahepatic portosystemic shunt (TIPS) for hepatic venous outflow tract obstruction, refractory variceal bleeding and refractory ascites in cirrhosis of liver
  • Loco-regional treatments for liver cancer such as trans-arterial chemo-embolization (TACE)

Equipment Available :

  • Olympus endoscopy processors (150, 170 & 190 series)
  • Olympus diagnostic video gastroscopes (150,170, 190 series)
  • Olympus diagnostic ultrathin pediatric video gastroscopes (150, 170series)
  • Olympus therapeutic video gastroscope (190 series)
  • Olympus video colonoscopes (150,170, 190 series)
  • Olympus thin video pediatric colonoscope (170 series)
  • Olympus therapeutic video duodenoscopes (150 & 180 series)
  • Olympus Echoendoscope (ME2 prime)
  • Olympus Single balloon enteroscope
  • Automatic Endoscopy reprocessors (for automatic washing of endoscopes by machine)
  • Fibroscan (Echosens 502 touch)
  • Bedside trans-abdominal Ultrasound machine for indoor patients
  • Breath analyzers (for hydrogen and ammonia)

The department is at present conducting several single center and multi-center projects on key areas of Gastroenterology & Hepatology such as

  1.   ICON D study for NAFLD
  2.   Impact of NAFLD on COVID 19 outcomes
  3.   Acute on chronic liver failure (ACLF)
  4.   Chronic pancreatitis
  5.   Cirrhotic ascites
  6.   Sepsis in Cirrhosis of liver
  7.   Terminal ileal ulcers
  8.   Awards/Achievement

Research :

The department has been crucial in research and publications. It has hosted the consensus meetings for Acute Liver Failure in April and July 2019 which were attended by liver experts across the country for formulating guideline for management of acute liver failure (ALF).

The faculties of the department have published their research in peer review international and national journals.

Publications / Projects :

i. Publications (For The Year 2019-2020) :

Sl.No Name of the Faculty / Dept. Title of the Article Name of the Journal
1.
  • AC Anand (First author)
  • SC Panigrahi (Co-author)
  • P Nath (Co-author)
  • B Mallick (Co-author)
  • D Praharaj (Co-author)
INASL Consensus Statement on Acute Liver Failure (Part-1) : Epidemiology, Pathogenesis, Presentation and Prognosis" J Clin Exp Hepatology 2020; 10 (4): 339-376.
2.
  • AC Anand (First author)
  • SC Panigrahi (Co-author)
  • P Nath (Co-author)
  • B Mallick (Co-author)
  • D Praharaj (Co-author)
INASL Consensus Statement on Acute Liver Failure (Part-2) : Management of Acute Liver Failure" J Clin Exp Hepatology 2020; 10(5); 477-517
3.
  • AC Anand (First author)
  • B Mallick (First author)
  • SC Panigrahi (Co-author)
  • P Nath (Co-author)
  • D Praharaj (Co-author )
  • AC Anand (Co-author)
Unusual Cause of Recurrent Cholangitis: Gossypiboma. Cureus April 2020; 12(4): e7774. doi:10.7759/ cureus.7774
4.
  • AC Anand (First author)
Unusual Cause of Recurrent Cholangitis: Gossypiboma. Progress in Liver Disease 2020 published by Indian Society of Gastroenterology
5.
  • A C Anand (Coauthor)
Update of Indian National Association for Study of the Liver Consensus on Prevention, Diagnosis, and Management of Hepatocellular Carcinoma in India: The Puri II Recommendations. J Clin Exp Hepatol. 2020 Jan-Feb;10(1):43-80.
6.
  • B Mallick (First author)
  • SC Panigrahi (Co-author)
  • P Nath (Co-author)
  • D Praharaj (Co-author)
  • AC Anand (Co-author)
Streptococcus agalectiae-realed splenic abscess in uncontrolled diabetes mellitus Cureus (01 August 2020) 12(8): e9513. DOI 10.7759/cureus.9513
7.
  • A C Anand
Prof R K Tandon Current Medicine Research and Practice 2020 (Accepted for publication)
8.
  • A C Anand (Coauthor)
INASL-ISN Joint Position Statements on Management of Patients with Simultaneous Liver and Kidney Disease J Clin Exp Hepatology 2020; (Preprint on web) https://doi.org/10.1016/j.jceh.2020.09.005
9.
  • B Mallick (First author)
  • SC Panigrahi (Co-author)
  • P Nath (Co-author)
  • D Praharaj (Co-author)
  • AC Anand (Co-author)
Anticoagulant-induced intramural duodenal hematoma presenting as gastric outlet obstruction. J Gastroenterol Hepatol. 2020 Jun 29. doi: 10.1111/jgh.15147. Epub ahead of print. PMID: 32602179.
10.
  • D Praharaj (First Author)
  • A C Anand (Coauthor)
Sickle Hepatopathy J Clin Exp Hepatology 2020; https://doi.org/10.1016/j.jceh.2020.08.003
11.
  • A C Anand (Coauthor)
Nutrition in Chronic Liver Disease: Consensus statement of the Indian National Association for Study of the Liver (INASL) J Clin Exp Hepatology 2020;
12.
  • A C Anand (Coauthor)
NIndian National Association for the study of the liver-Federation of obstetrics and Gynecology societies of India position statement on management of liver disease in pregnancy J Clin Exp Hepatology 2019; 9(3): 383-406
13.
  • A C Anand (Coauthor)
‘Watermelon stomach’ as a presenting manifestation of systemic sclerosis Rheumatology 2019;58:2152
14.
  • A C Anand
Indian Healthcare at Crossroads-1: Deteriorating Doctor-Pateint Relationship Natl Med J India 2019; 32(1): 41-45
15.
  • P Nath (First Author)
  • A C Anand (Coauthor)
Abdominal Tuberculosis (Book Chapter) Tropical Gastroenterology 2019 Eds Rajiv Mehta (Paras Publicarions)
16.
  • A C Anand
Clinical Approach to Gastrointestinal Disorders (Book Chapter) API Textbook of Medicine 2019 Eds Y P Munjal pp1038-1042.
17.
  • A C Anand
Indian Healthcare at crossroads-3: Quo Vadis. Natl Med J India 2019; 32(3): 175-180.
18.
  • A C Anand
Indian Healthcare at crossroads-2: Social and environmental influences. Natl Med J India 2019; 32(2): 109-112.
19.
  • B Mallick (First author)
  • SC Panigrahi (Co-author)
  • P Nath (Co-author)
  • D Praharaj (Co-author)
  • AC Anand (Co-author)
An unusual case of lower gastrointestinal bleed: ileal carcinoid tumour J Hepatolo Gastroenterol 2019;
20.
  • A C Anand (First author)
Neurological Recovery After Recovery From Acute Liver Failure: Is it Complete? J Clin Exp Hepatol. 2019 Jan-Feb;9(1):99-108. doi: 10.1016/j.jceh.2018.06.005. Epub 2018 Jun 22. PMID: 30765942; PMCID: PMC6363962.
21.
  • B Mallick (First author)
  • D Praharaj (Co-author
  • P Nath (Co-author)
  • SC Panigrahi (Co-author)
Ascariasis Causing Biliary Colic. ACG Case Rep J. 2019 Aug 27;6(9):e00181
22.
  • B Mallick (First author)
Impact of timing of presentation of acute pancreatitis to a tertiary care centre on the outcome. Pancreatology. 2019 Jan;19(1):143-148. doi: 10.1016/j.pan.2018.10.005. Epub 2018 Oct 17.PMID: 30366676
23.
  • P Nath (Corresponding author)
  • B Mallick (Co-author)
  • SC Panigrahi (Co-author)
Strongyloides Infection Presenting as Proximal Small Intestinal Obstruction ACG Case Rep J. 2019 Jun; 6(6): e00124.
24.
  • D Praharaj (First author)
  • B Mallick (Co-author)
  • P Nath (Co-author)
  • SC Panigrahi (Co-author)
Unusual Presentation of Systemic Lupus Erythematosus in a Young Male: A Case Report J Clin Exp Hepatol 2020 (Article in press: https://doi.org/10.1016/j.jceh.2020.05.009)
25.
  • P Nath (First author)
Effect of Exercise on NAFLD and Its Risk Factors: Comparison of Moderate versus Low Intensity Exercise Effect of Exercise on NAFLD and Its Risk Factors: Comparison of Moderate versus Low Intensity Exercise Journal of Clinical and Translational Hepatology. 2020 Apr 25;8(2):1-7.
26.
  • P Nath (Co author)
A prospective study on incidence, risk factors, and validation of a risk score for post-infection irritable bowel syndrome in coastal eastern India J Indian Journal of Gastroenterology. 2019 Apr 1;38(2):134-42.
27.
  • P Nath (Co author)
Endothelial Dysfunction, a Marker of Atherosclerosis, Is Independent of Metabolic Syndrome in NAFLD Patients International Journal of Hepatology. 2020 Jul 17;2020.
28.
  • D Praharaj (First author)
Gastric Tuberculosis Masquerading as Advanced Malignancy in a Young Male International Journal of Mycobacteriology, Accepted,2020
29.
  • B Mallick (First author)
  • P Nath (Co-author)
  • D Praharaj (Co-author)
Image Diagnosis: An Unusual Cause of Upper Gastrointestinal Bleed-Isolated Duodenal Varices. Perm J. 2019;23:19-004. doi: 10.7812/TPP/19.004. Epub 2019 Aug 22.
30.
  • B Mallick (Co-author)
Outcomes of Endoscopic Dilation in Patients with Esophageal Anastomotic Strictures: Comparison Between Different Etiologies. Dysphagia. 2020 Feb;35(1):73-83. doi: 10.1007/s00455-019-10004-1. Epub 2019 Mar 30.PMID: 30929058
31.
  • B Mallick (First author)
Hepatitis A infection related haemophagocytic syndrome: a case report and systematic review. Trop Doct. 2019 Jul;49(3):234-238. doi: 10.1177/0049475519834804. Epub 2019 Mar 14.PMID: 30871416
32.
  • B Mallick (Co-author)
Endoscopic balloon dilatation is an effective management strategy for caustic induced gastric outlet obstruction: a 15-year single center experience. Endosc Int Open. 2019 Jan;7(1):E53-E61. doi: 10.1055/a-0655-2057. Epub 2019 Jan 4.PMID: 30648140
33.
  • B Mallick (First author)
Change in serum levels of inflammatory markers reflects response of percutaneous catheter drainage in symptomatic fluid collections in patients with acute pancreatitis. JGH Open. 2019 Mar 12;3(4):295-301. doi: 10.1002/jgh3.12158. eCollection 2019 Aug.PMID: 31406922
34.
  • B Mallick (First author)
  • P Nath (Co-author)
  • D Praharaj (Co-author)
  • SC Panigrahi (Co-author)
Successful treatment of severely cholestatic acute hepatitis b with oral corticosteroid. Arq Bras Cir Dig. 2020;33(2):e1511. doi: 10.1590/0102-672020190001e1511. Epub 2020 Aug 24.PMID: 32844881

Faculty List :

Sl.No Photo Name of The Doctor Designation Qualifications Number of Publications
1. Prof. Anil C Anand Professor (HOD) MBBS, MD, DM, FICP, FSGEI, FRCP (London), FRCP (Edinburg), FACP, FACG, FAMS 352
2. Prof. Subrat Kumar Acharya Professor MBBS, MD, DM, FNA, FnASc, FASc 377
3. Prof. Yogesh Kumar Chawla Professor MBBS, MD, DM 616
4. Dr. Sarat Chandra Panigrahi Associate Professor MBBS, MD, DM, DNB 12
5. Dr. Preetam Nath Associate Professor MBBS, MD, DM 31
6. Dr. Bipadabhanjan Mallick Associate Professor MBBS, MD, DM 29
7. Dr. Dibyalochan Praharaj Associate Professor MBBS, MD, DM 15

Courses Offered :

DM (Gastroenterology): The department of Gastroenterology & Hepatology, KIMS has been offering DM (Gastroenterology) course from the year 3 year with an annual


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