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Biography
Mr Thomas Dehn
Tom
Dehn qualified in medicine in 1973 at St. Bartholomew's Hospital,
London. He undertook surgical training in Southampton, Barts, the
Royal Adelaide Hospital, Australia and Oxford before being appointed
as a Consultant Surgeon to the Royal Berkshire Hospital in Reading
in 1990. He was awarded a Mastership in surgery from the University
of London in 1984.
He has a particular interest in upper gastrointestinal and keyhole
(laparoscopic) surgery and has developed a national and international
reputation in these procedures.
He
introduced keyhole gall bladder surgery to the Royal Berkshire Hospital
in 1991, keyhole anti-reflux surgery in 1993 and keyhole groin hernia
surgery in 1994.
His
research work has led to many publications and presentations. Amongst
other positions he is secretary of the Oesophageal section of the
British Society of Gastroenterology, an elected Council member of
the Association of Laparoscopic Surgeons of Great Britain and a
member of the Editorial Board of the Annals of the Royal College
of Surgeons of England.
Most recently the UGI Unit and GI Physiology Laboratory at the Royal
Berkshire Hospital has been awarded the Chairman's Prize (2003)
for innovative working and excellence in their field.
In
2004 the NHS Peer Review Committee praised the Reading UGI cancer
unit as a model of patient focused care. The committee unanimously
recommended expansion of
the unit.
Profile
of Mr T C B Dehn MS FRCS
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Secretary, Oesophageal section of British Society of Gastroenterology
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Council
member, Association of Laparoscopic Surgeons of Great Britain
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Editorial
Board, Annals Royal College of Surgeons of England |
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Chairman , Programme Director Oxford Deanery, Higher Surgical
Training Programme (1996 -2001) |
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Examiner in General Surgery, Intercollegiate Board Examinations
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Royal
College of Surgeons, Surgical Tutor (1992-96) |
Most
Recent Publications
Leeder
P, Matthews, T, Krzeminska K, Dehn TCB. Day case laparoscopic cholecystectomy:
Standardised technique ensures high rate of patient satisfaction
and low readmission. Br J Surg 2004;91
Menon
K V, Dehn TCB. Multiport laparoscopic staging for oesophageal and
cardiac cancer. Dis Oes
2003; 16:295-300
Leeder
P, Smith G, Dehn TCB Laparoscopic management of giant paraoesophageal
hiatus hernia. Surg Endosc 2003 ;17:1372-1375
Booth
MI, Stratford J, Dehn TCB Preoperative oesophageal body motility
does not influence outcome of laparoscopic Nissen fundoplication.
Dis Oes 2002; 15:57-60
Menon,
KV, Dehn TCB. Laparoscopic Nissen fundoplication in mentally normal
children. Dis Oes 2003;16:295-300
Booth
MI, Jones L, Stratford J, Dehn TCB. Results of laparoscopic Nissen
fundoplication at 2-8 years after surgery. Br J Surg 2001; 89: 476-482
Booth
MI, Dehn TCB. 24 hr pH monitoring is required to confirm acid reflux
suppression in patients with Barrett's oesophagus undergoing anti-reflux
surgery. Eur J Gastroenterol Hep 2001; 13:1323-1326
Saha
S, Booth MI, Dehn TCB. The results of total mesorectal excision
for rectal carcinoma in a district general hospital before the era
of surgical specialisation. Colorectal Disease 2002; 4:36-40
Mainprize
KS, Dehn TCB. Laparoscopic management of pseudoachalasia, esophageal
diverticulum and benign oesophageal stromal tumour. Dis Oes 2001;
14:73-75
Saha
S, Dehn TCB. The ratio of invaded to removed lymph nodes as prognostic
factor in adenocarcinoma of the oesophagus and oesophagogastric
junction. Dis Oes. 2001; 14:32-36
Menon
KV, Dehn TCB. Can a DGH serving a population of 480,000 offer subspecialty
training? Ann Roy Coll Surg Engl 2001 Ann Roy Coll Surg Eng 2002;
84:57-61
Rai
VS, Williams RM , Dehn TCB. Rectovaginal fistula associated with
recurrent endometriosis. Gynecol Case Re; 2001; 320-1
Booth
MI, Stratford Jane, Dehn TCB. Patient self-assessment of test day
symptoms in 24 hour pH-metry for suspected gastro-oesophageal reflux
disease. Scand J Gastroenterol 2001; 8:795-799
Saha
S, Dehn TCB. A rare association of annular pancreas and abdominal
situs inversus presenting with duodenal obstruction in an adult.
Gastroenterol Today 2001; 10:98-100
Booth
MI, Stratford J, Thompson E, Dehn TCB. Laparoscopic anti-reflux
surgery in the treatment of the acid sensitive oesophagus. Br J
Surg 2001; 88:577-582.
Dehn
TCB. The do's and don'ts of writing a CV for a job application.
Ann Roy Coll Surg Engl 199; 81 (suppl): 303-305
Booth
MI, Dehn TCB, Mee A S. A case of ERCP - induced splenic injury treated
by spleen - conserving surgery. Gastroenterol Today 1997; 7:60
Ramesh
S, Dehn TCB, Galland, RB. A traumatic deterioration in general surgeons
access to emergency theatre. Ann R Coll Surg Engl 1997; 79(suppl):
66-67.
Cook
T, Dehn TCB. Port site metastases in patients undergoing laparoscopy
for gastrointestinal malignancy. Br J Surg 1996; 83:1419-1420
Cook
T, Dehn TCB. Use of covered expandable metal stents in the treatment
of oesophageal carcinoma and tracheo-oesophageal fistula. Br J Surg
1996; 83:1417 -1418.
Ramesh
S, Dehn TCB. Laparoscopic feeding jejunostomy. Br J Surg 1996; 83:
1090
Invited
Presentations
Association
of Surgeons annual meeting, Harrogate 2004. Master class session
- "Laparoscopic Upper GI Surgery."
British
Society of Gastroenterology, Annual meeting Birmingham 2003. Invited
debator;- "Where should upper GI cancers be treated?"
Whipps
Cross Masterclass , Royal College of Surgeons, London. Feb 2003.
Invited debator: - "Oesophagogastric cancer should be treated
in large centres"
Invited
Debator, Royal Society of Medicine Surgical and Open Sections debate.
"This house believes that within two year surgeons will be
practising from chambers" Nov 2002
Invited
Lecture, Univ. South California Foregut Group, USC. May 2002
Whipps
Cross Masterclass, Royal College of Surgeons, London. 31st Jan 2002.
Laparoscopic Toupet partial fundoplication
Ethicon
Endosurgery Course, Hamburg. Sept 2001 Methods and results of laparoscopic
fundoplication
Anglo-Hellenic
Gastroenterological Update Conference, Athens. March 2001.
| 1) |
Surgical management of GORD |
| 2) |
Management of Barretts oesophagus |
| 3) |
Oncological/surgical management of oesophageal carcinoma |
Laparoscopic
staging for oesophagogastric cancer. Association of Endoscopic Surgeons
Annual Meeting. Birmingham April 2001
Laparoscopic
antireflux surgery. BSG/AUGIS Millenium Masterclass. Royal College
of Surgeons of England, London. Nov 2000
Reflux
disease: past, present and future. Retirement academic day for Mr
M G W Kettlewell, Oxford. December 1999
Laparoscopic
surgery for gastro-oesophageal reflux and hiatus hernia. Oxford
Postgraduate Gastroenterology Course. September 1999
Assessment
and treatment of patients with GORD in the era of laparoscopic surgery.
Gastroenterolgoy Club, Royal London and St Bartholomew's Hospital.
June 1999
Laparoscopic
antireflux surgery - selection and results. Guest Lecture. Clinical
Measurements Group, British Society of Gastroenterology, Glasgow.
March 1999
"Who's
for laparoscopic fundoplication?" Chiltern Gut Club. Stevenage
Oct 1998
Most
Recent Presentations to Scientific Societies
Association
of surgery, annual meeting Harrogate 2004
UEGW
Nov 2003
Results of Bravo wireless pH metry compared to nasooesophageal probe.
Gilles R, Stratford J, Booth MI, Dehn TCB
(Plenary abstract and Travel award)
American
Gastroenterological Association Annual Meeting 2003
Do patients with Barretts oesophagus fare worse than those without
following laparoscopic antireflux surgery? Jones L, Stratford J,
Booth MI, Dehn TCB. (Poster of Distinction)
European
Endoscopic Week 2003
Laparoscopic resection of gastric GIST tumours in high risk patients.
Gilles R, Booth MI, Dehn TCB. (Nominated for best poster session)
Association
of Surgeons Annual Meeting 2003
Do patients with Barretts oesophagus fare worse than those without
following laparoscopic antireflux surgery? Jones L, Stratford J,
Dehn TCB
British
Society of Gastroenterology Annual Meeting 2003
Three modality staging for oesophageal cancer. Leeder PC, Dehn TCB
Day case laparoscopic cholecystectomy. Leeder PC, Matthews T, Dehn
TCB
American
Gastroenterological Association Annual Conference, San Francisco
2002
Initial results of a randomised trial of 360 versus 270 degree fundoplication
for treatment of GORD. Booth MI, Stratford J, Dehn TCB
Association
of Surgeons Annual Scientific Meeting, Dublin 2002
Initial results of a randomised trial of 360 versus 270 degree fundoplication
for treatment of GORD. Booth MI, Stratford J, Dehn TCB
Association
of Upper Gastrointestinal Surgeons, Edinburgh, 2001
| 1) |
Poor
response to proton pump inhibition is not a contraindication
to laparoscopic antireflux surgery for gastro-oesophageal reflux
disease. |
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| 2) |
Long-term follow up shows a gradual worsening in the symptomatic
outcome of laparoscopic anti-reflux surgery. Booth MI, Stratford
J, Jones L, Dehn TCB |
British
Society of Gastroenterology, Glasgow 2001 (Plenary session for posters)
Does laparoscopic cholecystectomy without operative cholangiography
lead to an unacceptably high rate of residual common bile duct stones?
Saha S, Booth MI, Dehn TCB
Oxford
Gut Club Nov 2000
| 1) |
Quality of life following laparoscopic anti-reflux surgery. |
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| 2) |
pH testing is necessary to assess the effectiveness of laparoscopic
anti-reflux surgery in patients with Barretts oesophagus. Booth
MI, Stratford J, Dehn TCB |
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| 3) |
The results of total mesorectal excision in rectal cancer before
the era of surgical sub-specialisation. Saha S, Dehn TCB |
Digestive
Disease Week. San Diego 2000
Association
of Upper Gastrointestinal Surgeons Annual Meeting, Newcastle, 2000
Reoperation following laparoscopic fundoplication. Dehn TCB, Stratford
Jane, Smith G
British
Society of Gastroenterology, Birmingham 2000
Oxford
Gut Club November 1999
Laparoscopic anti-reflux surgery for the acid sensitive oesophagus.
Booth MI, Stratford Jane, Dehn TCB
GIPA
Meeting, York, 1999
Repeat ambulatory 24hr pH tests: does a "good day" warrant
another try? Booth M, Stratford Jane, Thompson Eunice, Dehn TCB
Association
of Surgeons Annual meeting, Brighton 1999
Impact of training on laparoscopic cholecystectomy: a prospective
audit. Menon KV, Dehn TCB
Royal
Australasian College of Surgeons Annual Scientific Congress, Auckland
1999
| 1) |
Laparoscopic mesh repair of the hiatus - is it safe? Smith G,
Dehn TCB |
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| 2) |
Laparoscopic anti-reflux surgery - quantifying the learning
cures. Smith G, Stratford Jane, Dehn TCB |
QUALIFICATIONS
| 1973 |
MB, BS (London University)
LRCP, MRCS (Conjoint Board of Royal Colleges) |
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| 1974 |
D.Obs.RCOG |
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| 1979 |
FRCS (England) |
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| 1985 |
MS (London University) |
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GMC
Full registration 6th January, 1975 |
PRIZES,
AWARDS AND FELLOWSHIPS
| 1977 |
First place and Silver Medal,
Primary Examination for Fellowship.
(Royal College of Surgeons in Ireland) |
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| 1980 |
Corrie Prize in Surgical Anatomy
(St Bartholomew's Hospital Medical College) |
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| 1981 |
Luther Holden Scholarship in Surgery
(St Bartholomew's Hospital Medical College) |
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| 1982 |
Second Price, Audiovisual Awards
(Association of Surgeons) |
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| 1983 |
Poster prize
(Surgical Research Society) |
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| 1989 |
Poster prize
(Frontiers in Gastroenterology - Inflammatory bowel disease) |
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| 1989 |
Second prize
ATLS Provider Course
(Royal College of Surgeons/St Bartholomew's Hospital) |
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| 2003 |
Chairman's Award, Royal Berkshire Hospital to UGI Unit for innovative
work practices and excellence in field of work. |
PRIZES
WON BY TRAINEES;
| 1990 |
Norman Tanner Prize
(Section of Surgery, Royal Society of Medicine) |
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| 1993 |
Best paper
(Oxford Region Audit Meeting) |
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| 1997 |
Best paper
(Association of Endoscopic Surgeons) |
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| 2002 |
Registrar Prize: Best Research paper
(Oxford Regional Surgeons Meeting) |
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| 2003 |
Poster of Distinction
(American Gastroenterological Association) |
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| 2003 |
UEGW;Plenary session paper
Travel Award (1000Eu) for abstract quality |
AWARDS
AND FELLOWSHIPS:
| 1982-84 |
Surgical Research Award and Fellowship
(Wellcome Foundation) |
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| 1982-84 |
Research Fellowship
(British Heart Foundation) |
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| 1982-84 |
Research Fellowship
(Chest, Heart and Stroke Association) |
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| 1985 |
Research Grant
(Oxford Health Authority) |
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| 1988 |
Travel Fellowship
(Wellcome Foundation) |
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| 1988 |
Research and Travel Award
(Clive and Vera Ramaciotti Fund, Australia) |
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| 1988 |
Travel Award
(Ethicon Fund Foundation) |
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| 1989 |
Squibb Travelling Fellowship
(Section of Coloproctology, Royal Society of Medicine) |
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2001
B Merit award holder (NHS Exec) |
PAST
APPOINTMENTS
| Nov
1973 - May 1974 |
House Physician,
Addenbrooke's Hospital, Cambridge.
Professor I H Mills,
Professor F G J Hayhoe
Dr D Rubenstein |
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| June
1974 - Dec 1974 |
House Surgeon
Royal Berkshire Hospital, Reading
Mr H B Ross
Mr C Latto |
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| Jan
1975 - July 1975 |
Senior House Officer,
Obstetrics
Royal Berkshire Hospital, Reading,
Mr W K Frewen |
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| Aug
1975 - Feb, 1976 |
Senior House Officer
`Renal and Transplant Unit,
Addenbrooke's Hospital, Cambridge.
Professor R Y Calne,
Dr D B Evans |
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| March
1976 - Sept 1976 |
General Practice
Newfoundland, Canada
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| Oct
1976 - March 1977 |
Senior House Officer
Casualty Dept, Charing Cross Hospital, London.
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| April
1977 - June 1977 |
Demonstrator
in Anatomy
St Mary's Hospital Medical School, London
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| July
1977 |
Senior House Office (Locum)
General Surgery and Urology
Redhill General Hospital,
Mr M Jennings |
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| Aug
1977 |
Registrar in General Surgery (locum)
Addenbrooke's Hospital, Cambridge
Mr W G Everett
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| Sept
1977 - June 1978 |
Junior Registrar, General/Vascular Surgery
Guy's Hospital, London
Mr W R O'Flynn & Mr F G Ellis
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| July
1978 - Dec 1980 |
Rotating Registrar, General Surgery,
Southampton/Salisbury Hospitals |
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| July
1978 - Dec 1978 |
Registrar, General Surgery
Southampton General Hospital
Mr F P McGinn
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| Jan
1979 - June 1979 |
Registrar, Cardiothoracic Surgery
Wessex Regional Cardiothoracic Centre
Mr J Monroe
Mr R Lee
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| July
1979 - Jan 1980 |
Registrar, General Surgery, Salisbury Infirmary
Mr D B Mackie |
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| Feb
1980 - Feb 1982 |
Lecturer in Surgery
St Bartholomew's Hospital Medical College
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| Feb
1980 - Feb 1981 |
Lecturer in Surgery ( Hon Registrar)
Hackney Hospital
Sir L J Chalstrey
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| March
1982 - Feb 1984 |
Wellcome Trust Surgical Research Fellow
(Hon Reg)
Surgical Professional Unit
St Bartholomew's Hospital
Professor G W Taylor
Professor J S P Lumley |
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| Feb
1984 - Dec 1989 |
Oxford Higher Surgical Training Programme
Lecturer in Surgery (Hon Senior Registrar)
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| Feb
1984 - Nov 1984 |
General & Vascular Surgery
Nuffield Dept Surgery
Professor Sir P J Morris
Mr R F M Wood
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| Nov
1984 - Oct 1985 |
Gastrointestinal Surgery
Mr E C G Lee
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| Nov
1985 - Oct 1986 |
Hepatobiliary & pancreatic surgery
Mr B Britton
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| Nov
1986 - Oct 1987 |
Gastrointestinal & paediatric surgery
Mr M H Gough & Mr M G W Kettlewell |
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| Nov
1987 - Jan 1988 |
Gastrointestinal
& paediatric surgery
Mr N E Dudley
Mr N J McC Motensen
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| Feb
1988 - June 1988 |
Wellcome & Clive & Vera Ramaciotti Trusts
Travelling Surgical Fellowships
Oesophageal surgery, Royal Adelaide Hospital,
Adelaide
Professor G G Jamieson
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| July
1988 - Jan 1989 |
Gastrointestinal
& paediatric surgery
Mr N E Dudley
Mr N J Mc Mortensen
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| Feb
1989 - July 1989 |
Acting Clinical Reader (Hon Consultant)
Nuffield Dept of Surgery |
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| Aug
1989 - Nov 1989 |
Senior Registrar in Surgery
Professor Sir Peter Morris
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| Oct
1989 - Nov 1989 |
Locum Consultant Surgeon
John Radcliffe Hospital, Oxford
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| Dec
1989 |
Senior Registrar in Surgery
Professor Sir Peter Morris
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| Feb
1981 - Feb 1982 |
HONORARY
POST
Clinical Assistant, St Mark's Hospital Lond. Mr J P S Thompson |
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