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Peter

Peter De Cruz

Year of Award: 2012 Award State: Victoria Health And Medicine > General
Health And Medicine > Organ And Tissue
The Jack Brockhoff Foundation Churchill Fellowship to study the assessment and optimal management of intestinal failure - UK, Belgium, Spain
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The Jack Brockhoff Churchill Fellowship has given me the opportunity to travel to centres that are world renown for the management of intestinal failure, intestinal transplantation and complex inflammatory bowel disease.

Engaging with and working along side international leaders in the field has enabled me to build on my expertise as a gastroenterologist and inflammatory bowel disease specialist and operative management of patients with intestinal failure.

Visits to the national intestinal failure units at St Mark's hospital in London and the Hope Hospital in Salford, Manchester as well as the intestinal failure service at Addenbrooke's Cambridge formed an integral part of my fellowship experience in relation to learning how to optimally manage patients with intestinal failure. The practical nutrition support course in Southampton was also instrumental in teaching me some fundamental aspects of intestinal failure management. Other highlights of the fellowship were the National Adult Small Intestine Transplantation (NASIT) meetings in the UK where all patients with intestinal failure in the UK who might require intestinal transplantation are discussed and listed for transplant if deemed appropriate.

My Churchill fellowship experience has allowed me to explore different models of multidisciplinary management of intestinal failure. The teamwork of the staff that I met at all centres was inspirational. Optimal multidisciplinary care of patients with intestinal failure requires collaborative input from highly trained and skilled physicians, surgeons, dieticians, nutrition nurses, pharmacists, psychology and vascular access (radiology/anaesthetics) staff.

Intestinal failure management is therefore resource intensive and requires adequate infrastructure in place to be managed effectively.

My aim on returning to Australia is to enhance the clinical care of patients by integrating my knowledge of nutrition support into my clinical practice of managing patients with complex inflammatory bowel disease. I intend to contribute the knowledge and expertise that I have gained towards helping set up Australia’s National Intestinal Failure and Transplantation service. I also aim to share my knowledge, skills and expertise with patients and other health professionals via clinical updates and conferences of Australia’s national gastroenterology and nutrition societies and via Crohn’s and Colitis Australia.

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