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Clin Assoc Prof Adrian Chiow Kah Heng

Clin Assoc Prof Adrian Chiow Kah Heng

MBBS (Melb), M.Med (Surg) ,FAMS, FRCS (Ed)

Head ＆ Senior Consultant

Changi General Hospital

Specialty: General Surgery

Conditions Treated by this Doctor:
Abnormal Blood Tests, Bile Duct Stone, Cholecystectomy, Colonoscopy, Dyspepsia (Peptic Ulcer Disease), Gallstones, Gastrointestinal Tract: Functions and Investigations, Gastroscopy, Jaundice, Liver Cancer, Liver Cyst, Liver Tumours, Minimally Invasive Surgery (MIS) Procedures in General Surgery, Pancreas Cancer, Pancreatic Endocrine Tumours, Pancreatic Tumours, Polyps of the Colon and Rectum, Stones in the Bile Duct.

Clinical Appointments

  • Chief Surgery Changi General HospitalChangi General Hospital
  • Head ＆ Senior Consultant Surgery Changi General HospitalChangi General Hospital
  • Senior Consultant Hepato-Pancreato-Biliary Surgery Changi General HospitalChangi General Hospital
  • Visiting Consultant Hepato-pancreato-biliary and Transplant Surgery Singapore General HospitalSingapore General Hospital

Academic Appointments

  • Clinical Associate Professor, Duke NUS Medical School
  • Adjunct Assistant Professor, National University of Singapore (NUS) Yong Loo Lin School of Medicine
  • Adjunct Assistant Professor, Nanyang Technological University (NTU) Lee Kong Chian School of Medicine

Profile

Clin Assoc Prof Adrian Chiow is the current Chief of Surgery and a Senior Consultant of Hepatobiliary and Pancreatic (HPB) Surgery with the Department of Surgery at Changi General Hospital (CGH). He is also a Visiting Consultant with the Department of Hepatopancreatobiliary and Transplantation at Singapore General Hospital (SGH). His sub-specialty interest is in minimally invasive (laparoscopic and robotic) HPB Surgery.

Clin Assoc Prof Chiow graduated with a Bachelor of Medicine, Bachelor of Surgery (MBBS) from the University of Melbourne (Australia)(Hons) in 2003 and completed his training in General Surgery at SingHealth and the Eastern Health Alliance (EHA) with Specialist Accreditation Board certification in 2012. He subsequently commenced his specialist HPB surgery training at CGH before undergoing further sub-specialty clinical training under the Human Manpower Development Programme (HMDP) award in 2013 for advanced and minimally invasive (laparoscopic/robotic) HPB Surgery at the Royal Brisbane Hospital in Brisbane, Australia. Since returning from fellowship, he started the Advanced Laparoscopic HPB service in 2014 and the Robotic HPB program in 2016 in CGH.

Clin Assoc Prof Chiow is actively involved in undergraduate teaching as a Clinical Associate Professor at the Duke-NUS Medical School, and holds concurrent appointments as an Adjunct Assistant Professor with the Yong Loo Lin School of Medicine, National University of Singapore (NUS) and Lee Kong Chian School of Medicine, Nanyang Technological University (NTU).

Clin Assoc Prof Chiow's research interests are in improving clinical outcomes and quality of life for patients undergoing minimally invasive (laparoscopic and robotic) HPB surgery (MIS). He holds grants investigating technical aspects of MIS HPB surgery and has published articles in peer reviewed journals in this area. He also serves as a reviewer and is on the editorial board of local and international journals. He has been invited as faculty for regional and international meetings to share his experience with MIS HPB surgery, and as a proctor for local and regional workshops in MIS HPB surgery.

Nationally, Clin Assoc Prof Chiow serves as the secretary of the Hepato-Pancreato-Biliary Association (HPBA) Singapore, and is currently a member of the outreach committee of the International Hepato-Pancreato-Biliary Association (IHPBA).

Education

  • FRCSEd (Gen Surg)
  • FAMS
  • M.Med (Surg)
  • MBBS (Melb)

Professional Appointments and Committee Memberships

  • Chief, Department of Surgery, Changi General Hospital
  • Senior Consultant, Department of Surgery, Changi General Hospital
  • Visiting Consultant, Department of Hepatopancreatobiliary (HPB) and Transplant Surgery, SGH
  • Fellow, Royal College of Surgeons, Edinburgh
  • Fellow, Academy of Medicine Singapore
  • Chairman, Laparoscopic surgery credentialing committee
  • Secretary, Hepato-Pancreato-Biliary Association, Singapore
  • Member, Outreach committee, International Hepato-Pancreato-Biliary Association (IHPBA)
  • Member, International Association of Surgeons, Gastroenterologist, Oncologist (IASGO)
  • Member, Campus development Committee, OT remodelling workgroup
  • Member, National Robotic assisted Surgery (RAS) sub-workgroup for Assessment of Pancreatectomy
  • Member, National Wellness Sub-committee for Junior Doctor (Stream 1) MOH
  • Founding member, Robotic Surgery Society of Singapore
  • Examiner, MBBS, Yong Loo Lin School of Medicine, NUS, Lee Kong Chian School of Medicine, NTU,  Duke-NUS
  • Physician Faculty, Transitional year Programme (General Surgery), SingHealth
  • Physician Faculty, General Surgery Residency, SingHealth

Awards

  • Outstanding Faculty Award, SingHealth RISE Award 2021
  • Faculty Appreciation Award, SingHealth RISE Award 2021
  • Special Recognition Award, NUS Yong Loo Lin School Of Medicine, 2019
  • MedSoc Outstanding Tutor Award 2017/2018
  • Outstanding Faculty Award, SingHealth RISE Award 2018, SingHealth Residency
  • Dean's Award for Teaching Excellence, National University of Singapore (NUS), 2017
  • Certificate of Reviewing with Distinction - Singapore Medical Journal 2016
  • Best Educator Award for Medical - Outstanding Educator Award, Changi General Hospital, Nov 2016
  • Outstanding Faculty Award, RISE Award 2015, SingHealth Residency
  • International Laparoscopic HPB Fellowship, Royal Brisbane Hospital, Queensland, Australia, 22 Oct 2013 - 21 Oct 2014
  • Best Educator Award for Medical (Postgraduate) Changi General Hospital, 2013
  • Outstanding Faculty Award, RISE Award 2013, SingHealth Residency
  • Best Teacher Award (Surgery), AY2012-13, NUS Yong Loo Lin School of Medicine
  • Best Surgical Teacher Award (Undergraduate) Changi General Hospital, 2012
  • Dean's Award for Teaching Excellence, National University of Singapore (NUS), 2012
  • Best Clinical Teacher Award (NUS), Changi General Hospital,  2012
  • SingHealth Best Registrar Award 2011
  • Gold award – LEAN project for 'Ensure Definitive & Continued Care of All Patients At Observation Ward
  • Singapore Health Quality Service Award: Silver 2011. For outstanding and commendable service April 2009 – March 2010
  • Best Poster: Clinical research 3rd prize. Changi General Hospital Annual Scientific Meeting, 2009
  • SingHealth Best Medical Officer Award, 2007
  • Best House Officer, Department of Orthopaedics, Changi General Hospital, 2005

Research Interests

  • Improving clinical outcomes in minimally invasive HPB surgery
  • Technical advances in MIS HPB Surgery

Publications

  1. Chiow Adrian Kah Heng, Ibrahim Salleh, Tan Siong San, Feng Ying and Tan Su-Ming. Pancreatic fistulae post distal pancreatectomy: Risk factors and Management. ANZ J Surg 2010 Sep;80(9):619-23. doi.org/10.1111/j.1445-2197.2010.05337. x. PMID:20840405.
  2. Ye Xin Koh, Adrian Kah Heng Chiow, Aik Yong Chok, Lip Seng Lee, Siong San Tan and Salleh Ibrahim. Clinical Study - Recurrent Pyogenic Cholangitis: Disease Characteristics and Patterns of Recurrence ISRN Surgery, vol. 2013, Article ID 536081, 9 pages, 2013.doi: 10.1155/2013/536081. PMID: 23762626
  3. Daniel James Kilburn, Adrian Kah Heng Chiow, Joel Lewin, Nicholas Kienzle, David Joseph Cavallucci, Richard Bryant, Nicholas O'Rourke. Laparoscopic approach to a planned two-stage hepatectomy for bilobar colorectal liver metastases. ANZ J Surg 2014 Jul 2. Doi: 10.1111/ans.12748 PMID: 24990234
  4. Chiow AK, Lewin J, Manoharan B, Cavallucci D, Bryant R, O'Rourke N. Intercostal and transthoracic trocars enable easier laparoscopic resection of dome liver lesions. HPB (Oxford) 2014 Apr; 17(4):299-303. doi: 10.1111/hpb.12336 PMID: 25250870
  5. Adrian Kah Heng Chiow, Ser Yee Lee, Chung Yip Chan, Siong San Tan. Learning curve in laparoscopic liver surgery: a fellow's perspective. Hepatobiliary Surg Nutr 2015. doi: 10.3978/j.issn.2304-3881.2015.06.07. PMID: 26734626.
  6. J Lewin, N O'Rourke, AKH Chiow, R Bryant, I Martin, L.K Nathanson, DJ Cavallucci. Long-term survival in laparoscopic vs open resection for colorectal liver metastases: inverse probability of treatment weighting using propensity scores. HPB (Oxford) 2016 Feb; 18(2):183-91. doi: 10.1016/j.hpb.2015.08.001. Epub 2015 Dec 10. PMID: 26902138.
  7. Kilburn DJ, Chiow AK, Leung U, SIriwardhane M, Cavallucci DJ, Bryant R, O'Rourke NA. Early Experience with Laparoscopic Frey Procedure for Chronic Pancreatitis: a Case Series and Review of Literature. J Gastrointest Surg 2017 May;21(5):904-909. doi: 10.1007/s11605-016-3343-4. Epub 2016 Dec 26. PMID: 28025771
  8. Ye Xin Koh, Ser Yee Lee, Adrian K.H.Chiow, Juinn Huar Kam, Brian K.P Goh, Chung Yip Chan. Laparoscopic caudate lobe resection: navigating the technical challenge. Ann Laparosc Endosc Surg 2017; 2:39. doi: 10.21037/ales.2017.03.04.
  9. Tan HL, Koh YX, Lye WK, Lee SY, Goh BKP, Tan SS, Chiow AKH, Chan CY. Surgical management decreases disease recurrence risk in recurrent pyogenic cholangitis. ANZ J Surg. 2017 2018 Sep;88(9): E659-E663. doi: 10.1111/ans.14319. Epub 2017 Dec 11. PMID: 29228512
  10. Chiow AKH, Sim KR, Lee LS, Tan SS. Robotic distal pancreatectomy – current status and learning curve. Ann Laparosc Endosc Surg 2017; 2:172. doi: 10.21037/ales.2017.11.05
  11. Chua D, Chiow AKH, Ang TL, Wang LM. Malignant Transformation Arising Within Unusual and Rare Hepatic Lesions: Fibropolycystic Disease Form of Ductal Plate Malformation and Biliary Adenofibroma. Int J Surg Pathol. 2018 Sep;26(6):542-550.doi: 10.1177/1066896918758172. Epub 2018 Feb 21. PMID: 29464972
  12. Koh YX, Tan HL, Lye WK, Kam JH, Chiow KH, Tan SS, Choo SP, Chung AYF, Goh BKP. Systematic review of the outcomes of surgical resection for intermediate and advanced Barcelona Clinic Liver Cancer stage hepatocellular carcinoma: A critical appraisal of the evidence. World J Hepatol. 2018 Jun 27;10(6):433-447. doi: 10.4254/wjh.v10.i6.433. PMID: 29988922
  13. Goh BKP, Lee LS, Lee SY, Chow PKH, Chan CY, Chiow AKH. Initial experience with robotic hepatectomy in Singapore: analysis of 48 resections in 43 consecutive patients. ANZ J Surg. 2019 Mar;89(3):201-205.  doi: 10.1111/ans.14417. Epub 2018 Mar 7. PMID: 29512261
  14. Lee SY, Chiow KH, Goh BK, Chan CY. The challenge in determining difficulty of laparoscopic liver resection: are we there yet? Laparosc Surg 2018; 2:23. doi: 10.21037/ls.2018.04.11.
  15. Eu EW, Ngu JC, Chiow AKH. How to do a combined robotic anterior resection and liver resection: da Vinci Xi. ANZ J Surg 2018 Oct;88(10):1076-1077. doi: 10.1111/ans.14550. Epub 2018 May 14. PMID: 29756674
  16. Ho JTL, Tan HL, Tan CS, Chiow AKH. The odd gallbladder- a rare case of gallbladder and lymph node sarcoidosis: a case report and review of the literature. J Gastrointest Cancer. 2019 Sep;50(3):699-702. doi: 10.1007/s12029-018-0125-0. PMID: 2985873
  17. Lee LS, Wong JS, Chiow AK, Lee SY, Chan CY, Tan SS, Teo JY, Goh BK. The development of robotic hepatopancreatobiliary surgery in Singapore: a multi-institutional experience. Ann Laparosc Endosc Surg 2018; 3:59. doi: 10.21037/ales.2018.07.03
  18. Chun Han Nigel Tan, Kah Hwee Jarrod Tan, Chin Li Lee, Lip Seng Lee, Kah Heng Adrian Chiow, Brian K.P. Goh, Ser Yee Lee, Chung yip Chan, Iyer Shridhar Ganpathi, Wei Chieh Alfred Kow. Observing an upward trajectory in minimally invasive hepatectomies in Singapore – a nationwide analysis. Ann Laparosc Endosc Surg 2018, 3:78. doi: 10.21037/ales.2018.08.05
  19. Lim HJ, Chiow AKH, Lee LS, Tan SS, Goh BK, Koh YX, Chan CY, Lee SY. Novel method of intraoperative liver tumour localisation with indocyanine green and near infrared imaging. Singapore Med J. 2019 Nov 4. doi: 10.11622/smedj.2019137. [Epub ahead of print] PMID:31680180
  20. Wee IJY, Syn N, Lee LS, Tan SS, Chiow AKH. A systematic review and meta-analysis on the quality of life after hepatic resection. HPB (Oxford). 2020 Feb;22(2):177-186. doi: 10.1016/j.hpb.2019.11.016. Epub 2020 Jan 31.PMID: 32008917
  21. Nita Thiruchelvam, David Cavallucci, Adrian Kah Heng Chiow. Does the laparoscopic approach for liver resections for colorectal liver metastasis truly confer improved survival outcomes? Hepatobiliary Surg Nutr. 2020 Dec;9(6):805-808. doi: 10.21037/hbsn-20-464.PMID: 33299841 JIF 5.296.
  22. Adrian Kah Heng Chiow, Seoung Yoon Rho, Ian Wee, Lip Seng Lee, Gi Hong Choi. Robotic ICG guided anatomical liver resection in a multi-centre cohort: An evolution from "positive staining" into "negative staining" method. HPB (Oxford). 2021 Mar;23(3):475-482. doi: 10.1016/j.hpb.2020.08.005. Epub 2020 Aug 27. PMID: 32863114 JIF 3.047.
  23. Marino MV, Kah Heng AC, Gomez Ruiz M, Gomez Fleitas M. Robot-assisted resection of liver segment vii: A technique demonstration video. Cir Esp (Engl Ed). 2020 Aug-Sep;98(7):411. English, Spanish. doi: 10.1016/j.ciresp.2020.02.010. Epub 2020 Mar 24. PMID: 32220417
  24. COVIDSurg Collaborative, GlobalSurg Collaborative. SARS-CoV-2 vaccination modelling for safe surgery to save lives: data from an international prospective cohort study. Br J Surg. 2021 Mar 24:znab101. doi: 10.1093/bjs/znab101. Epub ahead of print. PMID: 33761533; PMCID: PMC7995808
  25. COVIDSurg Collaborative; GlobalSurg Collaborative. Timing of surgery following SARS-CoV-2 infection: an international prospective cohort study. Anaesthesia. 2021 Jun;76(6):748-758. doi: 10.1111/anae.15458. Epub 2021 Mar 9. PMID: 33690889; PMCID: PMC8206995.
  26. Marino MV, Heng AK, Mirabella A, Potapov O, Vaccarella G, Latteri MA, Komorowski AL. Safety and Feasibility of Robotic-Assisted Drainage of Symptomatic Pancreatic Pseudocysts: A Case-Series Analysis (with video). Chirurgia (Bucur). 2021 May-Jun;116(3):261-270. doi: 10.21614/chirurgia.116.3.261. PMID: 34191707.
  27. Nita Thiruchelvam, Ser Yee Lee, Adrian Kah Heng Chiow. Patient and Port positioning in laparoscopic liver resections. Hepatoma Res 2021; 7:22. doi: 10.20517/2394-5079.2020.144
  28. Marino MV, Heng Chiow AK, Mirabella A, Vaccarella G, Komorowski AL. Rate of Post-operative Pancreatic Fistula after Robotic Assisted Pancreaticoduodenectomy with Pancreato-Jejunostomy versus Pancreato-gastrostomy: A Retrospective Case Matched Comparative Study. J Clin Med 2021 May 18;10(10):2181. Doi:10.3390/jcm10102181. PMID: 34070025; PMCID: PMC8158101.
  29. Nita Thiruchelvam, Adrian K.H. Chiow, Lee Lip Seng, Olexii Potapov, Marco V Marino. Robotic assisted Laparoscopic Liver resections – Technical considerations for Da Vinci Xi. Chirurgia (Bucur). 2021 Aug; 116(4):431-437. Doi:10.21614/chirurgia.116.4.431. PMID:34498569.
  30. COVIDSurg Collaborative; GlobalSurg Collaborative. Effects of pre-operative isolation on postoperative pulmonary complications after elective surgery: an international prospective cohort study. Anaesthesia. 2021 Aug 9. Doi: 10.1111/anae.15560. PMID:34371522.
  31. Marino MV, Kah AC, Potapov O, Komorowski AL. Robotic assisted left hepatectomy: A Video technique. Chirurgia (Bucur). 2021; 116(4); 499-500. doi:10.21614/chirurgia.116.4.499. PMID: 34498572
  32. Cheung TT, Wang X, Efanov M, Liu R, Fuks D, Choi GH, Syn NL, Chong CC, Sucandy I, Chiow AKH, Marino MV, Gastaca M, Lee JH, Kingham TP, D'Hondt M, Choi SH, Sutcliffe RP, Han HS, Tang CN, Pratschke J, Troisi RI, Goh BK.  Minimally invasive liver resection for huge (≥10 cm) tumors: an international multicenter matched cohort study with regression discontinuity analyses. Hepatobiliary Surg Nutr. 2021;10(5):587-597. doi:10.21037/hbsn-21-327. PMID: 34760963
  33. Chiow AKH, Fuks D, Choi GH, Syn N, Sucandy I, Marino MV, Prieto M, Chong CC, Lee JH, Efanov M, Kingham TP, Choi SH, Sutcliffe RP, Troisi RI, Pratschke J, Cheung TT, Wang X, Liu R, D'Hondt M, Chan CY, Tang CN, Han HS, Goh BKP. International multicentre propensity score-matched analysis comparing robotic versus laparoscopic right posterior sectionectomy. Br J Surg. 2021 Dec 1;108(12):1513-1520. doi: 10.1093/bjs/znab321.PMID: 34750608
  34. COVIDSurg Collaborative; GlobalSurg Collaborative. SARS-CoV-2 infection and venous thromboembolism after surgery: an international prospective cohort study [published online ahead of print, 2021 Aug 24]. Anaesthesia. 2021;10.1111/anae.15563. doi:10.1111/anae.15563 PMID: 34428858
  35. Yang HY, Choi GH, Chin KM, Choi SH, Syn NL, Cheung TT, Chiow AKH, Sucandy !, Marino MV, Prieto M, Chong CC, Lee JH, Efanov M, Kingham TP, Sutcliffe RP, Troisi RI, Pratschke J, Wang X, D'Hondt M, Tang CN, Liu R, Park JO, Rotellar F, Scatton O, Sugioka A, Long TCD, Chan CY, Fuk D, Han HS, Goh BKP, and the  International Robotic and Laparoscopic Liver Resection Study Group Investigators. Robotic and Laparoscopic right anterior sectionectomy and central hepatectomy: multicentre propensity score –matched analysis. Br J Surg. 2022 Feb 9:xnab463. Doi:10.1093/bjs/znab463. Epub ahead of print. PMID: 35139157.
  36. Chong CC, Fuks D, Lee KF, Zhao JJ, Choi GH, Sucandy I, Chiow AKH, Marino MV, Gastaca M, Wang X, Lee JH, Efanov M, Kingham TP, D'Hondt M, Troisi RI, Choi SH, Sutcliffe RP, Chan CY, Lai ECH, Park JO, Di Benedetto F, Rotellar F, Sugioka A, Coelho FF, Ferrero A, Long TCD, Lim C, Scatton O, Liu Q, Schmelzle M, Pratschke J, Cheung TT, Liu R, Han HS, Tan CN, Goh BKP; International robotic and laparoscopic liver resection study group investigators. Propensity score-matched analysis comparing robotic and laparoscopic right and extended right hepatectomy. JAMA Surg 2022 May 1; 157(5):436-444. doi:10.1001/jamasurg.2022.0161. Online ahead of print. PMID: 35262660
  37. Wang HP, Yong CC, Wu AGR, Cherqui D, Troisi RI, Cipriani F, Aghayan D, Marino MV, Belli A, Chiow AKH, Sucandy I, Ivanecz A, Vivarelli M, Di Benedetto F, Choi SH, Lee JH, Park JO, Gastaca M, Fondevila C, Efanov M, Rotellar F, Choi GH, Campos RR, Wang X, Sutcliffe RP, Pratschke J, Tang CN, Chong CC, D'Hondt M, Ruzzenente A, Herman P, Kingham TP, Scatton O, Liu R, Ferrero A, Levi Sandri GB, Soubrane O, Mejia A, Lopez-Ben S, Sijberden J, Monden K, Wakabayashi G, Sugioka A, Cheung TT, Long TCD, Edwin B, Han HS, Fuks D, Aldrighetti L, Abu Hilal M, Goh BKP; International Robotic and Laparoscopic Liver Resection Study Group Investigators. Factors associated with and impact of open conversion on the outcomes of minimally invasive left lateral sectionectomies: An international multi center study [published online ahead of print, 2022 Jun 7]. Surgery. 2022;S0039-6060(22)00221-5. doi:10.1016/j.surg.2022.03.037
  38. Kadam P, Sutcliffe RP, Scatton O, Sucandy I, Kingham TP, Liu R, Choi GH, Syn NL, Gastaca M, Choi SH, Chiow AKH, Marino MV, Efanov M, Lee JH, Chong CC, Tang CN, Cheung TT, Pratschke J, Wang X, Campos RR, Ivanecz A, Park JO, Rotellar F, Fuks D, D'Hondt M, Han HS, Troisi RI, Goh BKP; International Robotic and Laparoscopic Liver Resection Study Group Investigators. An international multicenter propensity-score matched and coarsened-exact matched analysis comparing robotic versus laparoscopic partial liver resections of the anterolateral segments. J Hepatobiliary Pancreat Sci. 2022 Apr 7. doi: 10.1002/jhbp.1149. Epub ahead of print. PMID: 35393759.
  39. Efanov M, Salimgereeva D, Alikhanov R, Wu AGR, Geller D, Cipriani F, Aghayan DL, Fretland AA, Sijberden J, Belli A, Marino MV, Mazzaferro V, Chiow AKH, Sucandy I, Ivanecz A, Choi SH, Lee JH, Prieto M, Vivarelli M, Giuliante F, Ruzzenente A, Yong CC, Fondevila C, Rotellar F, Choi GH, Robless Campos R, Wang X, Sutcliffe RP, Pratschke J, Lai E, Chong CC, D'Hondt M, Monden K, Lopez-Ben S, Herman P, Di Benedetto F, Kingham TP, Liu R, Long TCD, Ferrero A, Levi Sandri GB, Cherqui D, Scatton O, Wakabayashi G, Troisi RI, Cheung TT, Sugioka A, Han HS, Abu Hilal M, Soubrane O, Fuks D, Aldrighetti L, Edwin B, Goh BKP; International robotic and laparoscopic liver resection study group investigators. Comparison between the difficulty of laparoscopic limited liver resections of tumors located in Segment 7 vs. Segment 8: an international multicenter propensity-score matched study. J Hepatobiliary Pancreat Sci. 2022 Jun 27. doi: 10.1002/jhbp.1210. Epub ahead of print. PMID: 35758911.
  40. Adrian Kah Heng Chiow, Chee Keong Chong, Su-Ming Tan. Inguinal hernias: A current review of an old problem. Review Article: Proceedings in Singapore Healthcare 2010; 19 (3): 202-11. doi:10.1177/201010581001900306
  41. Poh Benjamin Ruimin, Tan Siong San, Lee Lip Seng, Chiow Adrian Kah Heng. A Review of the Techniques, Current status and Learning Curves of Laparoscopic Bile Duct Exploration. Journal of Digestive Cancer Reports 5(1):36-42, 2017
  42. Adrian Kah Heng Chiow, Salleh Ibrahim, Khoon-Hean Tay. Torsion of Gallbladder: A rare entity.  Annals Academy of Medicine Singapore 2007 Aug; 36(8). PMID: 17767346
  43. Chew Min Hoe, Adrian Chiow, Tang Choon Leong. Keloid formation after stapled haemorrhoidectomy causing anal stenosis: a rare complication. Tech Coloproctology 2008 Dec;12(4):351-2. doi: 10.1007/s10151-008-0447-1. PMID: 19018463
  44. Siew Fung Lim, Song Liang Lee, Adrian Kah Heng Chiow, Chek Siang Foo, Andrew Siang Yih Wong, Su-Ming Tan. Rare cause of acute surgical abdomen with free intra-peritoneal air. Spontaneous perforated pyometra. A report of 2 cases. Am J Case Rep 2012;13:55-7.doi: 10.12659/AJCR.882629. Epub 2012 Mar 29. PMID: 23569488
  45. Seow En Isaac, Chiow Adrian Kah Heng, Tan Siong San, Poh Wee Teng Eosinophilic cholangiopathy: The diagnostic dilemma of a recurrent biliary stricture. Should surgery be offered to all? BMJ Case reports 2014 Jan 3;2014: bcr2013202225. doi: 10.1136/bcr-2013-202225. PMID: 24390967
  46. Ramesh Wijaya, Chee Hoe Koo, Adrian Kah Heng Chiow, Siong San Tan, Su-Ming Tan. Isolated tuberculosis of the pancreas mimicking a pancreatic tumor with concomitant choledocholithiasis.  Int J Hepatobiliary Pancreat Dis 2014; 4:26–31. doi:10.5348/ijhpd-2014-17-CR-4
  47. Matthew Honore, Adrian Kah Heng Chiow, Richard Bryant. Retrograde intussusception post Roux-en-Y gastric bypass. ANZ J Surg 2017 Jun;87(6):518-520. doi: 10.1111/ans.12947. Epub 2014 Dec 30. PMID: 25641321
  48. Ng DW, Chiow AK, Poh WT. Tan SS. Metachronous cholangiocarcinoma 13 years post resection of choledochal cyst- is long term follow-up useful? A case study and review of the literature.  Surg Case Rep. 2016 Dec;2(1): 60.doi: 10.1186/s40792-016-0187-9. Epub 2016 Jun 16. PMID: 27307284
  49. Lee SY, Chiow AK, Chan CY. The current status of laparoscopic hepatopancreatobiliary surgery in Southeast Asia. Ann Laparosc Endosc Surg 2018; 3:62. doi: 10.21037/ales.2018.07.06
  50. Hiang Jin Tan, Adrian Kah Heng Chiow, Nita Thiruchelvam, Siong San Tan, Lip Seng Lee. Laparoscopic approach for pancreato-splenic abscess from disseminated melioidosis: Surgical outcome and review of literature. International Journal of Case Reports, 2021, 5:241. DOI: 10.28933/ijcr-2021-08-1505

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