Dr Rob Heuschkel

MBBS MRCPCH

Current appointment

Consultant Paediatric Gastroenterologist, Addenbrooke’s Hospital
Hills Road, Cambridge, CB2 0QQ
Tel: 01223 274827 Fax: 01223 586794

Profile

I trained at St Mary’s Hospital Medical School, London between 1985-1990.

I then trained in general paediatrics at Queen Elizabeth Hospital for Children in Hackney, East London and St Mary’s Hospital, Paddington. I then went back to train in paediatric gastroenterology at Queen Elizabeth’s in Hackney, St Bartholomew’s Hospital, as well as the Royal Free Hospital in Hampstead. To complete my specialist training I spent 14 months at Boston Children’s and Harvard Medical School training in paediatric gastroenterology in 1999-2000.

I became a Consultant Paediatric Gastroenterologist in 2000, when I was appointed at the Royal Free Hospital, Hampstead, London. Since then I have been practising in a full-time NHS consultant role in London, and since 2008, at Addenbrookes Hospital in Cambridge. At Addenbrookes I established a regional gastroenterology service for the East of England, where we now care for children with gut disease from birth through to the age of 16.

I now work as part of large team, which includes consultant colleagues, specialist nurses and therapists, all of whom deliver outstanding care to children with bowel, nutritional and liver problems from across the region. I have a particular interest in children with inflammatory bowel disease (IBD), continuing a research interest by supporting a growing research program in our unit. We remain active in laboratory and clinical research, working on trying to understand what is causing the ever-increasing incidence of IBD in children.

In addition to dedicated IBD clinics, I continue to see children in general gastroenterology clinics on a weekly basis at Addenbrookes, where they attend with the full range of gut problems – from colic, recurrent abdominal pain and food intolerances, through to reflux and Crohn’s and colitis.

I have a conservative approach to investigation and treatment, using investigations to support clinical and treatment decisions. I frequently involve appropriate colleagues, including dietitians, psychologists and therapists as necessary.

I carry out diagnostic upper and lower endoscopies, all of these currently taking place on our regular weekly paediatric endoscopy lists at Addenbrookes Hospital.

Symptoms & conditions managed:

  • Gastro-oesophageal reflux
  • Constipation
  • Loose stools
  • Malabsorption
  • Toddler’s diarrhoea
  • Food intolerances (e.g. wheat, dairy, lactose)
  • Rectal bleeding
  • Vomiting
  • Abdominal pain
  • Infant colic
  • Feeding & nutrition difficulties
  • Poor weight gain
  • Inflammatory Bowel Disease

Licensure and Certification

2001

CCST

Sub-speciality register for ‘Paediatric Gastroenterology’

2000

Full

Royal College of Paediatrics and Child Health

1994

Full

Royal College of Physicians (Paediatrics)

1992

Diploma

Royal College of Obstetricians and Gynaecologists

1990

Full

General Medical Council [3468689 (8/1990)]

Clinical Research Program

1. The GEM project – international multi centre research project on Crohn’s Disease. Ongoing.
2. PROCEDE Trial – Validation of ESPGHAN Coeliac Disease Guidelines. Completed 2015.
3. Prospective, multi-centre study of Prucalopride use in children with Constipation
Completed 2011.

Recent Research Funding

10/2015 – 03/2016

The Evelyn Trust, Project Grant (Co-applicant), Development of the Human Mini-Gut model to study Paediatric Inflammatory Bowel Disease Pathogenesis (Value: £45K)

05/2015 – 05/2018

Addenbrookes Charitable Trust ACT (Co-applicant), Improving Quality of Care for Children with Inflammatory Bowel Disease (IBD) at CUHFT– using Epic to join a US-based international quality improvement collaborative (ImproveCareNow).

01/2014 – 01/2016

Isaac Newton Trust / Wellcome Trust ISSF / University of Cambridge Joint Research Grants Scheme (Co-applicant); CD8+ T-cell gene expression and DNA methylation signatures as disease prognostic biomarker in Paediatric IBD (Value: £80K)

02/2014 – 02/2016

Crohn’s in Childhood Research Association (CICRA), Project Grant (Co-applicant), CD8+ T-cell gene expression signature as disease prognostic biomarker in Paediatric IBD (Value: £100K)

Additional Roles

2006-2012

Clinical Director, Crohn’s in Childhood Research Association (CICRA)

2005-7, 2010

Patron, Crohn’s and Colitis in Children (CCC)

2009-2013

Member, Gastroenterology Committee, European Society of Paediatric
Gastroenterology, Hepatology & Nutrition

2010-2013

Chair, Paediatric IBD Working Group
British Society of Paediatric Gastroenterology, Hepatology & Nutrition

Bibliography (recent publications 2013-2015)

1. Kraiczy J, Nayak K, Ross A, Raine T, Mak TN, Gasparetto M, Cario E, Rakyan V, Heuschkel R, Zilbauer M. Assessing DNA methylation in the developing human intestinal epithelium: potential link to inflammatory bowel disease. Mucosal Immunol 2015.
2. Heuschkel RB, Gottrand F, Devarajan K, Poole H, Callan J, Dias JA, Karkelis S, Papadopoulou A, Husby S, Ruemmele F, Schappi MG, Wilschanski M, Lionetti P, Orel R, Tovar J, Thapar N, Vandenplas Y, European Society for Pediatric Gastroenterology H, Nutrition. ESPGHAN position paper on management of percutaneous endoscopic gastrostomy in children and adolescents. J Pediatr Gastroenterol Nutr 2015;60:131-41.
3. McMullin CM, Morton J, Vickramarajah S, Cameron E, Parkes M, Torrente F, Heuschkel R, Carroll N, Davies RJ. A comparison of outcomes for adults and children undergoing resection for inflammatory bowel disease: is there a difference? ISRN Gastroenterol 2014;2014:410753.
4. Hensel KO, Boland V, Postberg J, Zilbauer M, Heuschkel R, Vogel S, Godde D, Wirth S, Jenke AC. Differential expression of mucosal trefoil factors and mucins in pediatric inflammatory bowel diseases. Sci Rep 2014;4:7343.
5. Atherton R, Ross A, Jessop F, Williams R, Heuschkel R, Zilbauer M. Coeliac disease in children with type 1 diabetes: are current guidelines proving difficult to implement in practice? J Pediatr Gastroenterol Nutr 2014;59:600-3.
6. Shahnaz A, Maguire G, Parker R, Heuschkel RB, Zilbauer M. Tissue transglutaminase antibody levels predict IgA deficiency. Arch Dis Child 2013;98:873-6.
7. Schappi MG, Staiano A, Milla PJ, Smith VV, Dias JA, Heuschkel R, Husby S, Mearin ML, Papadopoulou A, Ruemmele FM, Vandenplas Y, Koletzko S. A practical guide for the diagnosis of primary enteric nervous system disorders. J Pediatr Gastroenterol Nutr 2013;57:677-86.
8. Sanka S, Gomez A, Heuschkel R, Krishnamurthy K. Boerhaave’s syndrome: a differential diagnosis of acute chest pain following a vomiting illness. West Indian Med J 2013;62:152-3.
9. Ross A, Shelley H, Novell K, Ingham E, Callan J, Heuschkel R, Morris MA, Zilbauer M. Assessing quality outcome measures in children with coeliac disease–experience from two UK centres. Nutrients 2013;5:4605-13.