Central Gastro

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Get a Trusted Second Opinion from Of
Dr. Johny Cyriac

Get clarity and confidence in your healthcare decisions. At Central Gastro, our Second Opinion service connects you directly with Dr. Johny Cyriac for expert medical reviews, personalized online consultations, and guidance on complex digestive, liver, pancreatic, and cancer conditions—anytime, anywhere.
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1. Visit the Expert Consultation Page
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2. Create/Register an Account
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3. Choose Your Service
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4. Upload Medical Records
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5. Select a Time Slot
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6. Review Pricing & Packages
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7. Make Secure Payment
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8. Get Confirmation & Instructions
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9. Attend Consultation & Access Follow-up

Why a Second Opinion Matters - Digestive and liver conditions can often be complex, and treatment choices may feel overwhelming. A second opinion ensures that your diagnosis is accurate and that you understand all available treatment options—whether medical, endoscopic, or surgical. With Dr. Johny Cyriac’s global expertise, you receive a clear, evidence-based review tailored to your unique case.

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Accessible, Ethical, and Patient-Centered Our Second Opinion service is designed for patients both in India and internationally. From secure medical record uploads to personalized video consultations, every step is handled with transparency and compassion. Whether you are seeking reassurance, exploring alternatives, or planning advanced care, Central Gastro provides trusted guidance at every stage of your health journey.

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    International Online Consultation & Medicine Delivery from India

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    World-Class Gastroenterology Consultation & Affordable Medicine Access – Exclusively for Dr. Johny Cyriac’s Patients

    At Central Gastro, we provide specialized online consultation and masterly medical review and authentic second-opinion services for international patients seeking expert medical advice for gastrointestinal, liver, and pancreatic disorders. Our goal is to ensure that patients worldwide receive accurate diagnoses, best possible treatment recommendations, and access to affordable medications from India, all under the direct supervision of Dr. Johny Cyriac. In cases where it has been determined that a patient requires long-term medication, Central Gastro facilitates international medicine delivery, ensuring safe, affordable, and compliant access to high-quality medications from certified and leading pharmaceutical companies in India.

     

    Important Notice

    • Medicine delivery is exclusively available for patients who have undergone a Second Opinion or Tele-Video Consultation with Dr. Johny Cyriac.
    • Only Dr. Johny Cyriac prescribes and gives guidance to procure medicines from pharmaceutical companies in India.
    • Every shipment complies with international pharmaceutical regulations and documentation.

    Expert Opinion – Meticulous Medical Review

    Dr. Johny Cyriac provides masterful guidance and opinion for a wide range of complex medical conditions, ensuring patients receive the most precise diagnosis and the correct  treatment recommendations suitable for  the given clinical scenario.

    📌 Conditions & Scenarios for Expert Opinion

    Gastrointestinal (GI) Disorders

    • Unexplained chronic abdominal pain, bloating, indigestion and food intolerance..
    • Severe or recurrent gastritis, ulcers, and gastroesophageal reflux disease (GERD).
    • Irritable Bowel Syndrome (IBS) and functional bowel disorders.
    • Functional Abdominal Pain
    • Chronic Constipation and related disorders
    • Chronic Diarrhoea
    • Motility Disorders
    • Achalasia Cardia and POEM treatment
    • Gastroparesis
    • Unexplained anorexia (loss of appetite) and weight loss.
    • Gastrointestinal  (GI) bleeding and anemia
    • IBD-Ulcerative Colitis and its compilations.
    • IBD-Crohn’s Disease and its varied manifestations and complications.
    • IBD-Biologic Therapy
    • Surgery in IBD
    • Eosinophilic and Autoimmune disorders
    • Food maldigestion including lactose and fructose intolerance
    • Food allergies and hypersensitivity including Celiac disease
    • Gastrointestinal (GI) polyps, growths and similar lesions found in endoscopy.
    • Tumors including GISTs found in various locations of GI tract.
    • Abdominal and IntestinalTuberculosis.
    • Perianal disorders like piles (hemorrhoids), fissure and fistula

    Pancreatic Diseases

      • Acute Pancreatitis and its complications
      • Alcoholic Pancreatitis
    • Gall-stone Pancreatitis
    • Pancreatic Fluid Collections
    • Pancreatic Necrosis
    • Pancreatic Injury and Ductal Disruption
    • Pancreatic Stones
    • Chronic Pancreatitis
    • Autoimmune Pancreatitis
      • Pancreatic cysts
      • Pancreatic Tumors
      • Pancreas Divisum and other Congenital Anomalies
      • Pancreatic Cancer
    • Ablative Therapies of pancreatic tumours
    • EUS guided biopsy and procedures related to pancreas
    • Pancreatic Lithotripsy
    • ERCP and Pancreatic Stent Placements
    • Pancreatic Surgeries

    ✅ Liver Diseases (Hepatology)

      • Fatty liver disease (NAFLD/MASLD)Steatohepatitis (NASH/MASH)
    • Abnormal LFT values
    • Jaundice of different types or as yet unexplained
    • Abnormal Values in Fibroscan/Elastography
    • Chronic Liver Diseases of various causes
    • Cirrhosis of Liver-alcoholic and non-alcoholic
    • Portal Hypertension and related complications
    • Recurrent Variceal Bleeding
    • Hepatic Encephalopathy-altered sensorium of different types and grades
    • Ascites-fluid collection/edema within abdomen
    • Chronic Hepatitis B-evaluation and management
    • Chronic Hepatitis C-evaluation and management
    • Autoimmune Liver Diseases
    • Infective Hepatitis
    • Parasitic Liver Diseases
    • Liver Abscesses
    • Granulomatous Hepatitis including Tuberculosis
    • Infiltrative Liver dIseases 
    • SOLs found in Liver Scans
    • Liver Cysts
      • Liver Tumours
    • Liver Cancer-Hepatocellular Carcinoma (HCC)
    • Interventional Radiology Procedures in Liver Diseases
    • TIPSS Procedure
    • Liver Cancer Ablation, TACE and TARE
    • Liver Surgeries
      • Liver transplant assessment
    • Post Liver Transplant Follow-Up

     

    Biliary Disorders

    • Gallbladder Stones
    • Gallbladder Polyps
    • Gallbladder Cancer
    • Gallbladder Surgeries 
    • Bile Duct Stones
    • Cholangitis
    • ERCP and Biliary Stone Removal
    • Biliary Strictures
    • Cholangiocarcinoma-Biliary Cancers
    • ERCP and Biliary Stent Placements
    • Biopsies from Bile Ducts
    • Spyglass Cholangioscopy
    • Laser Lithotripsy for Large and Complicated Stones
    • Biliary Surgeries
    • Autoimmune Biliary Disorders
    • Obstructive Jaundice
    • Primary Sclerosing Cholangitis
    • EUS guided Drainage of Bile Ducts
    • EUS guided Interventions of Gallbladder

     

    Cancer & Tumor Management

    • Esophageal Cancers
    • Stomach Cancer
    • Colorectal Cancers
    • GI Lymphomas
    • Small Bowel Tumors and Cancers
    • GIST in various sites of GITract
    • Neuroendocrine Tumours Carcinomas of GI Tract
    • Pancreatic Tumours and Cancers
    • Liver Tumours and Cancers
    • Pre-surgical assessment
    • Minimally Invasive Treatments of Tumours
    • Endoscopic removal of precancerous polyps or tumors
    • Endoscopic removal of Early-Stage Cancers
    • Various Cancer Surgeries
    • Interventional Radiology Treatments of Tumours and Cancers
    • EUS guided ablations of tumours
    • Endoscopic Palliation in Terminal Stage Cancers
    • Stent Placement for Obstructions 
    • Endoscopic Drainage Procedures 
    • EUS Guided Palliation for Pain Management

    Complications from Previous Surgeries or Procedures

      • Management of Post-surgical complications in GI surgeries.
      • Endoscopic treatment options for failed or incomplete procedures
    • Medical Management of Complications
    • Pain Management
    • Palliative Treatment Options

     

    Regarding Advanced Endoscopy & Minimally Invasive Treatment Options

    • Capsule Endoscopy
    • Percutaneous Endoscopic Gastrostomy (PEG) 
    • Endoscopic Submucosal Dissection (ESD)-for removal of large polyps, tumours and early stage cancers 
    • POEM for Achalasia Cardia
    • SpyGlass cholangioscopy for Bile Duct Diseases 
    • ERCP Therapeutics
    • EUS-guided Interventions
    • SEMS Placements
    • Drainage Procedures
    • Radiofrequency Ablations
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