2007 - 2010. National Institute of Health Research Academic Clinical Fellow in Gastroenterology, Nottingham Digestive Diseases Centre
2010 - current. Higher Specialty Trainee in Gastroenterology and General Internal Medicine
2011-2012. Senior Clinical Fellow in Nutrition, Intestinal Failure and Intestinal Transplantation, St Mark's Hospital, Harrow/ Addenbrookes Hospital, Cambridge
2012 - 2015. National Institute of Health Research Clinical Research Fellow in Gastroenterology, Nottingham Digestive Diseases Biomedical Research Unit
2015 - current. Clinical Assistant Professor in Gastroenterology, Nottingham Digestive Diseases Centre
I am interested in the interaction between diet and digestion. Clinically this encompasses maldigestion and malabsorption, the consequences of which include distressing gastrointestinal symptoms but also malnutrition. My work so far has focused on the effects of maldigested carbohydrates, including fibres. As part of the Gastrointestinal MRI group I use non-invasive imaging to quantify intra-luminal content such as water and gas. We also develop new parameters to characterise physiological changes in the gut. Collaborations with microbiology allow the effects of dietary intervention on the microbiome to be interpret in light of upstream physiology.
Future projects will investigate fat malabsorption and water balance in the context of high stoma output. I also plan collaboration with nutritional and metabolic physiology so that altered digestion and its nutritional effects can be studied in concert.
I am interested in the interaction between diet, the gut microbiota and intestinal physiology, and how these interactions affect digestive symptoms and disease. I am part of the University of… read more
SPILLER R and MAJOR G, 2016. IBS and IBD - separate entities or on a spectrum? Nature reviews. Gastroenterology & hepatology. 13(10), 613-21 MARCIANI L, COX EF, PRITCHARD SE, MAJOR G, HOAD CL, MELLOWS M, HUSSEIN MO, COSTIGAN C, FOX M, GOWLAND PA and SPILLER RC, 2015. Additive effects of gastric volumes and macronutrient composition on the sensation of postprandial fullness in humans. European journal of clinical nutrition. 69(3), 380-4
MAJOR, GILES A., PRITCHARD, SUSAN E., MURRAY, KATHRYN, PAUL, JAN A., HOAD, CAROLINE L., MARCIANI, LUCA, GOWLAND, PENNY A. and SPILLER, ROBIN C., 2015. A Double-Blind Crossover Study Using Magnetic Resonance Imaging Shows That Fructose and Inulin Mediate Symptoms in IBS Patients Through Different Mechanisms: Early Increase in Small Bowel Water Versus Late Increase in Colonic Gas GASTROENTEROLOGY. 148(4), S55-S56
I am interested in the interaction between diet, the gut microbiota and intestinal physiology, and how these interactions affect digestive symptoms and disease. I am part of the University of Nottingham GI MRI research group. We use novel magnetic resonance imaging techniques and applications to investigate gut physiology without disturbing the underlying symptoms.
I also collaborate with microbiologist in the university and the NHS services to study the effect of diet and infection on the microbiota. The aim of this work is to design strategies to prevent pathogenic depletion of the microbiota and promote rapid recovery after any insult. I am currently Joint Chief Investigator on the RAPID trial, an RfPB funded multi-centre RCT of the efficacy of rifaximin, a non-absorbable antibiotic, in preventing recurrnce of r C.difficile associated diarrhoea.