Colorectal Medicine and Genetics is focused on clinical care and research.
We provide the following services:
- Screening and early detection of bowel cancer
- Familial bowel cancer
- Familial adenomatous polyposis (FAP)
- Hereditary non polyposis colorectal cancer (HNPCC or Lynch Syndrome)
- Ulcerative colitis
- Crohn's disease
- Coeliac disease
- Irritable bowel syndrome
Research activities and projects
Opportunities for Research (Masters, Honours, PhD) are available in:
- Colorectal cancer genetics (including FAP and Lynch Syndome and Polyposis Syndromes)
- Surveillance monitoring and application in familial bowel cancer
- Human Variome Project
- Focus in specific databasing in hereditary gastrointestinal cancer
- Capsule endoscopy and capsule colonoscopy
- New endoscopic technologies including confocal endomicroscopy and HALO radiofrequency ablation
- Randomised controlled trials of chemoprevention
- Gene expression studies
- Aetology and therapeutic trials in IBD including the microbiome
- Enzyme therapy in coeliac disease
Consultancies for Government and Industry or venture capital proposals are invited.
Education and training
Training opportunities include research in Colorectal Medicine and Genetics, Colonoscopy and Clinical Care.
The service is closely involved with the Federal Government's Bowel Cancer Screening Pilot Project, and in professional and community education in bowel cancer genetics, screening and prevention.
We work closely with Gastroenterology and Colorectal Surgery to provide high level colonoscopy and therapeutic colonoscopy including polypectomy, argon plasma coagulation, confocal endomicroscopy and endosconic mucosal resection.
Wireless Capsule Endoscopy is available for established Clinical indications.
Complementing the risk service in the Familial Cancer Centre, the bowel surveillance service offers assessment of risk for bowel cancer based on an analysis of the family history.
The service has a computerised reminder facility which administers (by post) annual faecal occult blood testing and coordinates colonoscopy and flexible sigmoidoscopy bookings. Bookings for these procedures can be made at the RMH or at the patient's private hospital of choice. The service works closely with the Familial Cancer Centre, particularly when an inheritable cancer predisposing gene is suspected.
Clinico-pathology and radiology review service
- "One stop shop" management of familial adenomatous polyposis (genetic counselling, surveillance and clinical consultation)
- External consultancies
- Clinical trial recruitment site /organisation for chemoprevention, IBD, coeliac and other studies
- Educational services
We accept GP and specialist referrals for this service.
Referrals are triaged depending on priority. Emergency cases can present to the Emergency & Trauma Service at any time.
To refer a patient, complete and send your referral to Outpatients by fax to (03) 9342 4234.
You can use the following form or a template from your own system:
Referrals should include:
- relevant clinical history for the patient
- the reason for referral
- patient details including address, date of birth and contact phone numbers
- your details and provider number
- the name of the consultant (for Medicare clinics)
- if your patient requires ongoing management, please identify the referral as being "indefinite"
Special referral instructions
Referrals are recommended where families / individuals meet Amsterdam (the 3:2:1 rule) or Bethesda Criteria. The service is also closely linked with the development of FamBIS, the Cancer Council's central software which supports Victorian Familial Cancer centres, including some aspects of surveillance. Individuals in the moderate risk categories can be advised by phone or consultation through (03) 9342 8423. The service can support regional screening initiative as per the Federal Government's Bowel Cancer Pilot Screening Program.
Inflammatory bowel disease service
This service provides tertiary consultation for patients with IBD as inpatients and through an outpatients clinic. It is supported by our full time nurse PR actioner who is available for patients and doctors to consult. The services integrates professional services of gastroenterologists, colorectal surgeon, nurse practitioners, clinical psychology, patient support services, pathology, radiology and endoscopy.
Referrals for genetic advice relating to a family history of bowel cancer should be directed to the Familial Cancer Service.