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Dr. Leon Fisher

MBBS, FRACP

Consultant Gastroenterologist & Interventional Endoscopist

Adjunct Senior Lecturer, Monash University

Dr. Leon Fisher is a consultant gastroenterologist with a special interest in interventional endoscopy including ERCP and diseases of the pancreas and biliary tree. Dr. Fisher holds the appointment of Head of Endoscopy at Peninsula Health and provides diagnostic and therapeutic gastroenterology services to the South Eastern and Bayside communities of Melbourne. Having completed two dedicated post-graduate fellowships in Interventional Endoscopy Dr. Fisher has extensive training and performs hundreds of advanced therapeutic endoscopy procedures every year. Dr. Fisher is also actively involved in clinical research, under- and post-graduate training and regularly participates in national and international meetings.

Qualifications

  • 1998 Bachelor of Medicine/Bachelor of Surgery, The Flinders University of South Australia, Adelaide
    • Distinction and high distinction grades in 16 subjects
    • Emergency Medicine studentship, Mayo Clinic, Rochester, USA (1998)
    • Summer research studentship in the Neurobiology Laboratory, Howard Florey Institute of Experimental Physiology and Medicine, University of Melbourne
    • Gastroenterology studentship, North York General Hospital, Toronto, Canada
  • 2005 Fellowship of The Royal Australasian College of Physicians
  • 2006 Advanced Endoscopy Fellowship, Sir Charles Gairdner Hospital, Perth
  • 2007 Therapeutic Endoscopy Fellowship at world-renowned St. Michael’s Hospital Toronto, Canada

Current Appointments

Public Appointments

  • Head of Endoscopy, Frankston Hospital, Peninsula Health
  • Visiting Gastroenterologist, The Royal Melbourne Hospital

Private Practice

  • Cabrini Hospital, Malvern
  • Cabrini Hospital, Brighton
  • Frankston Private Day Surgery
  • The Bays Hospital

Previous Professional Experience

  • 2007-2008: Therapeutic Endoscopy Fellow, St. Michael’s Hospital, Toronto, Canada
  • 2007: Consultant Gastroenterologist, Frankston Hospital, Peninsula Health
  • 2007: Consultant Physician, Calvary Health Care, Canberra
  • 2006: Advanced Endoscopy Fellow, Sir Charles Gairdner Hospital, Perth
  • 2004-2005: Advanced Trainee in Gastroenterology, The Canberra Hospital, Canberra
  • 2003: Advanced Trainee in General Medicine, St.Vincent’s Hospital, Melbourne
  • 2001-2002: Senior Medical Resident and Registrar at St.Vincent’s Hospital, Melbourne
  • 1999-2000: Intern and Resident at The Austin & Repatriation Medical Centre, Melbourne

Procedural experience and accreditation

Accreditation: Dr. Fisher has full accreditation with Conjoint Committee for Recognition of Training in Gastrointestinal Endoscopy to perform gastroscopy, colonoscopy, ERCP and EUS.

Colonoscopy: Extensive experience with caecal intubation rate of 99%. Dr. Fisher’s adenoma detection rate is 32%. Dr. Fisher is very competent in polypectomy, including removal of large polyps, colonic endoscopic mucosal resection (EMR), stenting and treatment of colonic bleeding.

Gastroscopy: Dr. Fisher has broad experience in treating acute bleeding, dilatation, including achalasia, and stenting. Additionally, Dr. Fisher has specialized skills in treatment of Barrett’s dysplasia such as EMR, Barrx radiofrequency ablation.

ERCP: Dr. Fisher has acquired extensive skills in therapeutic ERCP including advanced techniques such as lithotripsy, ERCP in post-surgical anatomy, choledochoscopy and pancreatic duct interventions. Dr. Fisher performs around 250 ERCPs each year.

EUS: Dr. Fisher is fully trained in radial and linear echoendoscopy, including therapeutic applications such as cystgastrostomies and fine needle aspiration (FNA).

Instructor: NETI (National Endoscopy Training Initiative) colonoscopy course

Other: Dr. Fisher also has experience in balloon enteroscopy and capsule endoscopy.

Registration and Membership

  • Medical Practitioners Board of Australia
  • Royal Australasian College of Physicians
  • Gastroenterological Society of Australia
  • American Society for Gastrointestinal Endoscopy
  • American Gastroenterological Association

Distinctions, Awards, Prizes

Tertiary

Dr. Fisher was awarded distinction and high distinction grades in 16 subjects

  • Elective in Emergency Medicine, Mayo Clinic, Rochester, USA (1998)
  • Elective in Gastroenterology, North York General Hospital, Toronto, Canada (1998)
  • Research Elective in Endocrinology, Flinders Medical Centre, Adelaide (1996)
  • Summer Studentship in the Neurobiology Laboratory, Howard Florey Institute of Experimental Physiology and Medicine, University of Melbourne (1994)

Postgraduate

  • Pfizer Advanced Trainee Prize for Australian Capital Territory Awarded for the best original abstract submitted Presented at The RACP Congress, Wellington, New Zealand (2004)
  • Internal Medicine Society Traveling Scholarship Only one of two Australian trainees to be selected for the VIIIth European School of Internal Medicine, Alicante, Spain (2005)
  • IMSANZ Roche Advanced Trainee Award For best presentation at The RACP Congress, Cairns, Australia (2006)
  • Sir Charles Gairdner Hospital Research Grant For study of Vitamin K and Vitamin D status in patients with biliary and pancreatic disorders (2007)

Biography published in Who’s Who in Medicine and Healthcare

Publications

  • Kong LM, Fok KC, Tsui A, Qian C, Fisher L. Peripheral T-cell lymphoma mimicking 5-aminosalicylate hypersensitivity in ulcerative colitis. Intern Med J. 2013; Vol43(10):1137-40.
  • Fisher M, Fisher L, Waxman B, Fisher A Changing trends in colorectal cancer: possible cause and clinical implications Health 2010;Vol. 2(8):842-848.
  • Fisher L, Ormonde D, Riley R, Laurence B Endoscopic Skills Training in a Simulated Clinical Setting Simulation in Healthcare 2010; Vol.5(4):232-237.
  • Fisher L, Byrnes E, Fisher A Prevalence of vitamin K and vitamin D deficiency in patients with hepatobiliary and pancreatic disorders Nutrition Research 2009;Vol. 29(9):676-83.
  • Fisher L, Segarajasingam D, Stewart C, Deboer W, Yusoff I Endoscopic ultrasound guided fine needle aspiration of solid pancreatic lesions: performance and outcomes Journal of Gastroenterology and Hepatology 2008; Vol. 24 (1):90-96.
  • Fisher L, Fisher A, Thomson A Cardiopulmonary complications of ERCP in older patients Gastrointestinal Endoscopy 2006; Vol. 63(7):948-955.
  • Fisher L, Fisher A. Vitamin D and parathyroid hormone in outpatients with non-cholestatic chronic liver disease Clinical Gastroenterology and Hepatology 2007; Vol. 5 (4):513-520.
  • Fisher L, Fisher A, Pavli P, Davis M Perioperative acute upper gastrointestinal haemorrhage in older patients with hip fracture: incidence, risk factors and prevention Alim Pharm Ther 2007; Vol.25 (3):297-308.

Published Abstracts

  • Lee S, Cheah J, Tie S, Fisher L, Noack K, Herrmann R, Badov D, Efthymiou M. ERCP in an outer metropolitan hospital: indications, interventions and complications. Journal of Gastroenterology and Hepatology 2010; 25 supp.3: A61.
  • Fisher L, Fisher A. Vitamin K, Vitamin D and PTH Status in Patients Undergoing Endoscopic Retrograde Cholangiopancreatography (ERCP). Gastroenterology 2008 ; 134 (4): A-270.
  • Fisher L, Segarajasingam D, Ee H et al. Endoscopic ultrasound guided FNA of solid pancreatic lesions: performance and outcomes in a newly established service. Journal of Gastroenterology and Hepatology 2007; 22 supp.3:A331.
  • Fisher L, Fisher A. Vitamin D and parathyroid hormone (PTH) status in adults with non-cholestatic chronic liver disease. Gastroenterology 2006; 130(4) supp.2:A22.
  • Fisher L, Ormonde DG, Riley RH, Laurence BH. Endoscopic skills training in a simulated clinical setting. Journal of Gastroenterology and Hepatology 2006; 21 supp.4:A291.
  • Fisher L, Pavli P, Fisher A. Prophylactic proton-pump inhibitor (PPI) reduces risk of perioperative gastrointestinal haemorrhage (GIH) in older patients with hip fracture (HF). Internal Medicine Journal 2006: Vol. 36 (10): A193.
  • Fisher L, Fisher A. Inadequate serum vitamin D (VD) concentration in patients with non-cholestatic chronic liver disease (CLD): prevalence, lack of diagnosis and relationships. Journal of Gastroenterology and Hepatology 2006; Vol. 21 supp.2:A221.
  • Fisher L, Ormonde DG, Riley RH, Laurence BH. Endoscopic skills training in a simulated clinical setting. Journal of Gastroenterology and Hepatology 2006; Vol. 21 supp.4: A291.
  • Fisher L, Thomson A. Cardiopulmonary responses to endoscopic retrograde cholangiopancreatography (ERCP): 100 consecutive cases. Gastrointestinal Endoscopy 2005; Vol. 61(5): AB205.
  • Fisher L, Kaye G, Fisher A. Calcium-vitamin D-parathyroid (PTH) axis in non-cholestatic chronic liver disease. Journal of Gastroenterology and Hepatology 2005; Vol. 20 supp.: A63.
  • Fisher L, Pavli P, Fisher A. Perioperative gastrointestinal haemorrhage (GIH) in older patients with hip fracture: prospective incidence and risk factor assessment. Internal Medicine Journal 2005: Vol. 35 (9): A63.
  • Fisher L, Pavli P, Fisher A. Gastrointestinal haemorrhage in older patients with hip fracture. Journal of Gastroenterology and Hepatology 2004; Vol. 19 supp.:A282.
  • Fisher L, Thomson A. Cardiopulmonary complications of ERCP. Journal of Gastroenterology and Hepatology 2004; Vol. 19 supp.:A227.

Presentations

  • Oral Presentations

  • Digestive Disease Week 2006, Los Angeles, USA

    Fisher L, Fisher A. Vitamin D and parathyroid hormone (PTH) status in adults with non-cholestatic chronic liver disease.

  • Australian Gastroenterology Week 2006, Brisbane, Australia

    Fisher L, Ormonde DG, Riley RH, Laurence BH. Endoscopic skills training in a simulated clinical setting.

  • Royal Australasian College of Physicians Congress 2006, Cairns, Australia

    Fisher L, Pavli P, Fisher A. Prophylactic Proton-Pump Inhibitor (PPI) Reduces Risk of Perioperative Gastrointestinal Haemorrhage (GIH) in Older Patients with Hip Fracture (HF).

  • Australian Gastroenterology Week 2005, Brisbane, Australia

    Fisher L, Kaye G, Fisher A. Calcium-vitamin D-parathyroid (PTH) axis in non-cholestatic chronic liver disease.

  • Health & Medical Research in the Canberra Region 2005, Annual Research Conference, Canberra, Australia

    Fisher L, Thomson A. Myocardial Injury Associated with ERCP in Older Patients.

  • Royal Australasian College of Physicians Annual Scientific Meeting 2005, Wellington, New Zealand

    Fisher L, Pavli P, Fisher A. Perioperative Gastrointestinal Haemorrhage (GIH) in Older Patients with Hip Fracture: Prospective Incidence and Risk Factor Assessment.

  • Poster presentations

  • Australian Gastroenterology Week 2010

    S. Lee, J. Cheah, S. Tie, L. Fisher, K. Noack, R. Herrmann, D. Badov, M. Efthymiou ERCP in an outer metropolitan hospital: Indications, Interventions and Complications

  • Digestive Disease Week 2008, San Diego, USA

    Fisher L, Byrnes E, Fisher A. Vitamin K, vitamin D and PTH status in patients undergoing endoscopic retrograde cholangiopancreatography (ERCP)

  • Australian Gastroenterology Week 2007, Perth, Australia

    Fisher L, DS Segarajasingam D, Ee H et al. Endoscopic ultrasound guided FNA of solid pancreatic lesions: performance and outcomes in a newly established service.

  • Shanghai-Hong Kong International Liver Congress 2006

    Fisher L, Kaye G, Fisher A. Inadequate serum vitamin D (VD) concentration in patients with non-cholestatic chronic liver disease (CLD): prevalence, lack of diagnosis and relationships.

  • Digestive Disease Week 2005, Chicago, USA

    Fisher L, Thomson A. Cardiopulmonary responses to endoscopic retrograde cholangiopancreatography (ERCP): 100 consecutive cases.

  • Australian gastroenterology Week 2004, Brisbane, Australia

    Fisher L, Pavli P, Fisher A. Gastrointestinal haemorrhage in older patients with hip fracture.

  • Australian gastroenterology Week 2004, Brisbane, Australia.

    Fisher L, Thomson A. Cardiopulmonary complications of ERCP. Journal of Gastroenterology and Hepatology 2004; 19 supp.:A227

  • Health & Medical Research in the Canberra Region 2004, 10th Annual Meeting, Canberra, Australia

    Fisher L, Taupin D. Malignant ascites: a diagnostic challenge. Case report and review of current literature.

  • Royal Australasian College of Physicians Annual Scientific Meeting 2003, Hobart, Australia

    Fisher L, Beswick W. Thoracobylia: case report and review of the literature.

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