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Mr Adrian Fox

FRACS, MBBS

Mr Adrian Fox is a hepatobiliary surgeon at St Vincent’s Hospital, Melbourne.  He studied at the University of Melbourne, completing a Bachelor of Medicine and Bachelor of Surgery in 1998. He then completed advanced training in general surgery at St Vincent's Hospital, Melbourne in 2007.

After attaining his general surgical fellowship, Adrian commenced sub-speciality training in upper gastrointestinal and hepatobiliary surgery at both Box Hill and St Vincent's Hospitals.  This also included training and full accreditation in ERCP.  

Between 2009 and 2011, Adrian then completed a surgical clinical fellowship at the Toronto general hospital, Canada in hepatobiliary surgical oncology and multiorgan transplantation.  Adrian offers specialist HPB support to the Bendigo region.

 Education and Experience

  • Hepatobiliary Surgical Fellow — Toronto General Hospital, University Health Network, Toronto, Ontario, Canada (2009-2011)

  • Upper GI/Hepatobiliary Fellow — St Vincent’s Hospital (2008)

  • Upper GI/Hepatobiliary Fellow — Box Hill Hospital (2007)

  • Fellow of the Royal Australasian College of Surgeons (2007)

  • MBBS (Hons) — University of Melbourne (1998)

 

Current Research Interests

  • Liver, biliary and pancreatic surgery including ERCP

  • Upper gastrointestinal surgery

  • Cancer surgery

  • Advanced laparoscopic surgery including laparoscopic liver and pancreas surgery

  • Hernia surgery

  • Therapeutic and diagnostic upper GI endoscopy and stenting

  • General Surgery

 

Publications

  • Bradshaw, L., Lau, L., Knowles, B., Fox, A. and Banting, S. W 2020, 'The incidence of symptomatic remnant gall bladder: a population study,' ANZ Journal of Surgery, doi:10.1111/ans.15986

  • Rodrigues, B. T., Mei, S. L., Fox, A., Lubel, J. S. and Nicoll, A. J 2020, 'A systematic review on the complications and management of hepatic adenomas: a call for a new approach.,' European Journal of Gastroenterology & Hepatology, pp. 923-930. doi:10.1097/MEG.0000000000001766

  • Chai, V., Fox, A., Chong, L., House, E. and Sutherland, T 2020, 'Contrast-enhanced sonographic appearances of two primary hepatic epithelioid angiomyolipomas,' Journal of Clinical Ultrasound, vol.48, no.5, pp. 283-286. doi:10.1002/jcu.22819

  • Goonawardena, J., Ratnayake, C., Cheung, K. and Fox, A 2020, 'Should bariatric surgery be offered for hepatocellular adenomas in obese patients?,' Surgery for Obesity and Related Diseases, doi:10.1016/j.soard.2020.06.043

  • Loveday, B. P., Zilbert, N., Serrano, P. E., Tomiyama, K., Tremblay, A., Fox, A. M., Segedi, M., O'Malley, M., Borgida, A., Bianco, T. and Creighton, S, et al. 2019, 'Neoadjuvant therapy and major arterial resection for potentially reconstructable arterial involvement by stage 3 adenocarcinoma of the pancreas,' HPB, vol.21, no.6, pp. 643-652. doi:10.1016/j.hpb.2018.10.004

  • Freckelton, J., Croagh, D., Holt, D. Q., Fox, A., Wong, R., Lee, M. and Moore, G. T 2019, 'Body Composition Adjusted Dosing of Gemcitabine-Nab-Paclitaxel in Pancreatic Cancer Does Not Predict Toxicity Compared to Body Surface Area Dosing,' Nutrition and Cancer, vol.71, no.4, pp. 624-628. doi:10.1080/01635581.2018.1542011

  • Marley, L., Navadgi, S., Banting, S., Fox, A., Hii, M. and Knowles, B 2019, 'Safety, efficacy and compliance of extended thromboprophylaxis in hepatobiliary and upper gastrointestinal surgery,' ANZ Journal of Surgery, vol.89, no.4, pp. 357-361. doi:10.1111/ans.14287

  • Lau, L. F., Knowles, B., Fox, A. and Banting, S 2018, 'Management of gallstone pancreatitis in the vagrant liver,' ANZ Journal of Surgery, vol.88, no.10, pp. E741-E742. doi:10.1111/ans.13715

  • Loveday, B., Tomiyama, K., Zilbert, N., St-Germain, A. T., Aybar, P. E., Fox, A., Segedi, M., Scholtz, P., O'Malley, M., Borgida, A. and Bianco, T, et al. 2018, 'Major arterial resection for stage 3 --adenocarcinoma of the pancreas.,' Journal of Clinical Oncology, vol.36, no.4, pp. 362-362. doi:10.1200/JCO.2018.36.4_suppl.362 – supplementary

  • Keong, B., Wilkie, B., Sutherland, T. and Fox, A 2018, 'Hepatic cystic echinococcosis in Australia: an update on diagnosis and management,' ANZ Journal of Surgery, vol.88, no.1-2, pp. 26-31. doi:10.1111/ans.14117

  • Ho, S., Rayzan, D., Fox, A., Kalogeropoulos, G., Mackay, S., Hassen, S., Banting, S. and Cade, R 2017, 'Endoscopic sphincterotomy with sphincteroplasty for the management of choledocholithiasis: a single-centre experience,' ANZ Journal of Surgery, vol.87, no.9, pp. 695-699. doi:10.1111/ans.13058

  • Toppi, J. T., Johnson, M. A., Page, P. and Fox, A 2016, 'Magnetic resonance cholangiopancreatography: utilization and usefulness in suspected choledocholithiasis,' ANZ Journal of Surgery, vol.86, no.12, pp. 1028-1032. doi:10.1111/ans.12867

  • Fahy, E., Hardikar, R., Fox, A. and Mackay, S 2014, 'Quality of patient health information on the internet: Reviewing a complex and evolving landscape,' Australasian Medical Journal, vol.7, no.1, pp. 24-28. doi:10.4066/AMJ.2014.1900

  • Cade, R., Fox, A., Fahy, E. and Hii, M 2013, 'Prevention of Barrett's metaplasia in a human model of duodenogastro-oesophageal reflux,' Gastroenterology Insights, vol.5, no.1, pp. 12-15. doi:10.4081/gi.2013.e4

  • Sandhu, L., Fox, A., Cindy, N., Barnett, H., McLeod, R. S., Gallinger, S. and Moulton, C 2012, 'Assessing the management of hepatic colorectal cancer metastases: is treatment consistent in Ontario?,' HPB: the official journal of the IHPBA, vol.14, no.6, pp. 409-413. doi:10.1111/j.1477-2574.2012.00467.x

  • Fox, A. M., Pitzul, K., Bhojani, F., Kaplan, M., Moulton, C., Wei, A. C., McGilvray, I., Cleary, S. and Okrainec, A 2012, 'Comparison of outcomes and costs between laparoscopic distal pancreatectomy and open resection at a single center,' Surgical Endoscopy, vol.26, no.5, pp. 1220-1230. doi:10.1007/s00464-011-2061-y

  • Bhojani, F. D., Fox, A., Pitzul, K., Gallinger, S., Wei, A., Moulton, C., Okrainec, A. and Cleary, S. P 2012, 'Clinical and Economic Comparison of Laparoscopic to Open Liver Resections Using a 2-to-1 Matched Pair Analysis: An Institutional Experience,' Journal of the American College of Surgeons, vol.214, no.2, pp. 184-195. doi:10.1016/j.jamcollsurg.2011.10.020

  • Fox, A. M., Gallinger, S. and Moulton, C 2011. 'Colorectal Carcinoma Liver Metastasis: Surgical Clinical Perspective,' in Brodt, P (ed.), LIVER METASTASIS: BIOLOGY AND CLINICAL MANAGEMENT, SPRINGER. pp. 353-380. doi:10.1007/978-94-007-0292-9_12

  • Reichman, T., Fox, A., Adcock, L., Wright, L., Abbey, S., Levy, G. and Grant, D 2010, 'Anonymous Living Liver Donation: Donor Profiles and Outcomes,' American Journal of Transplantation, vol.10, no.9, pp. 2099-2104. doi:10.1111/j.1600-6143.2010.03244.x

  • Hii, M. W., Fox, A. M. and Cade, R. J 2008, 'Laparoscopy-assisted percutaneous-endoscopic gastrostomy tube insertion,' ANZ Journal of Surgery, vol.78, no.11, pp. 1047-1047. doi:10.1111/j.1445-2197.2008.04740.x

  • Miller, F. J., Miller, C. A., Fox, A. M., Craig, G. L. and Watters, D. A 2006, 'Influence of training on the family,' ANZ Journal of Surgery, vol.76, no.10, pp. 907-911. doi:10.1111/j.1445-2197.2006.03829.x

  • Sandhu L, Fox A, Nhan C, et al. Assessing the management of hepatic colorectal cancer metastases: is treatment consistent in Ontario?. HPB (Oxford). 2012;14(6):409-413. doi:10.1111/j.1477-2574.2012.00467.x

 

Local Presentations

3rd Biennial Congress of the Asian Pacific Hepato Pancreato Biliary Association, held at the Melbourne Convention and Exhibition Centre September 2011.

Paper title:

  • Multimodality therapy for pancreatic adenocarcinoma with arterial involvement. ARCAP : Arterial Resection for Cancer of the Pancreas

  • Clinical outcomes in distal pancreatectomy. Association of drain usage and fistula formation.

ASC Melbourne 2004

  • “CARDS – A rectal cancer web-based database”

Sir Edward Hughes Memorial Clinical Research Prize in Surgery held at Cabrini Hospital Melbourne, October 2004

  • “Loop ileostomy closure? A safe procedure”

Federation of GI Societies Meeting, Oct 2013 AGW Melbourne

  • Curative treatment of HCC Pushing the surgical boundaries - real world practice for resection

 

International Presentations

SAGES meeting San Antonio Texas 2011

  • Comparison of outcomes and costs between laparoscopic distal pancreatectomy and open resection at a single center.

Memorial Sloan Kettering Cancer Centre 2011

  • Initial single center experience with arterial resection for cancer of the pancreas – the role of multimodality therapy

ASC Hong Kong 2008

  • “What Help is available” Preparing for the Part II surgical exam

 

Public Hospital Appointments

General Surgeon:

  • St Vincent’s Hospital Melbourne 

  • Eastern Health, Box Hill Hospital 

 

Professional Associations

  • FRACS Fellow of the Royal Australasian College of Surgeons

  • ANZHPBA – Australia and New Zealand Hepato-Pancreato-Biliary Association 

  • IHPBA International Hepato, Pancreatic and Biliary Association. 

  • ANZGOSA – Australia and New Zealand Gastro-Oesophageal Surgery Association

  • AMA – Australian Medical Association 

 

Qualifications

FRACS, MBBS