Associate Professor Stuart Kostalas

Associate Professor Stuart Kostalas

Conjoint Associate Professor

MB(Hons1), MM(Clin Epi), MSc(Oxon), MBiostatistics, GStat, FRACP

Medicine & Health
School of Clinical Medicine

Professor Stuart Kostalas is a specialist gastroenterologist and interventional endoscopist based in Port Macquarie, NSW, and a Conjoint Professor of Medicine at UNSW. He practises at Port Macquarie Gastroenterology and Endoscopy and serves as Director of Endoscopy and Chair of the Medical Advisory Committee at Port Macquarie Private Hospital, where he has built the clinical governance framework for endoscopy and established benchmarks for sessile serrated lesion (SSL) detection rates.

He is completing a DPhil from the University of Oxford, where his doctoral research examined the epidemiology, detection, and surveillance of colonic serrated lesions, including the anatomical distribution of SSLs, benchmarking detection rates, acetic acid chromoendoscopy to improve lesion detection, and polyp burden and surveillance intervals in serrated polyposis syndrome. He also holds an Oxford MSc in Evidence-Based Health Care (Medical Statistics), a Master of Medicine in Clinical Epidemiology (University of Sydney), and a Master of Biostatistics (University of Queensland). He is an accredited Graduate Statistician and a Fellow of the Royal Australasian College of Physicians.

Professor Kostalas leads the Port Macquarie Gastroenterology Research Group, whose research program spans serrated lesion epidemiology, detection, and surveillance; serrated polyposis syndrome; endoscopic submucosal dissection (ESD); anal high-grade squamous intraepithelial lesions; coeliac disease; fatigue in inflammatory bowel disease; and microscopic colitis. Current work includes ACID-SSL, a randomised controlled trial of chromoendoscopy for SSL detection. He has presented widely on SSL detection and serrated polyposis, including at Digestive Disease Week 2026. He convenes the annual Port Macquarie ESD Masterclass, which has brought international expert faculty, including Professors Takashi Toyonaga, Noriya Uedo, and Hiromitsu Ban, to regional NSW and helped establish Port Macquarie as a recognised ESD centre. He sits on ANZELF and the Gastroenterological Society of Australia's Regional, Remote and Indigenous group. He teaches medical students extensively, including biostatistics and clinical reasoning, and has developed online interactive workshops to support this.

Location
Port Macquarie Gastroenterology 22/15 Chancellors Drive, Thrumster NSW 2444
  • Journal articles | 2026
    Dierick N; Lee C; Kostalas SN, 2026, 'Benchmarking sessile serrated lesion detection in colonoscopy: individual endoscopist performance has greater impact than specialty training - a retrospective analysis of 12,064 procedures', BMC Gastroenterology, 26, http://dx.doi.org/10.1186/s12876-025-04523-5
    Journal articles | 2026
    Dierick N; Wu M; Lee C; Palfreeman S; Butler B; Kostalas S, 2026, 'Anatomical Distribution and Prevalence of Dysplasia in Sessile Serrated Lesions: A Cohort Study Over Seven Years', Gastro Hep Advances, pp. 101079, http://dx.doi.org/10.1016/j.gastha.2026.101079
    Journal articles | 2025
    Dierick N; Kostalas S, 2025, 'Many Years of Severe Recurrent Abdominal Pain', Gastro Hep Advances, 4, http://dx.doi.org/10.1016/j.gastha.2025.100682
    Journal articles | 2025
    Lee C; Awad N; Kostalas S, 2025, 'Metastatic Urothelial Carcinoma Presenting as Rectal Linitis Plastica: A Rare Case Report', Gastro Hep Advances, 4, http://dx.doi.org/10.1016/j.gastha.2025.100707
    Journal articles | 2025
    Thompson A; Dierick NR; Heiniger L; Kostalas SN, 2025, 'Health anxiety and work loss in patients diagnosed with serrated polyposis syndrome: A cross sectional study', World Journal of Clinical Oncology, 16, pp. 97107, http://dx.doi.org/10.5306/wjco.v16.i2.97107
    Journal articles | 2025
    Williams H; Dierick NR; Lee C; Sundaralingam P; Kostalas SN, 2025, 'Determinants of high sessile serrated lesion detection: Role of faecal occult blood test and colonoscopy quality indicators', World Journal of Gastrointestinal Endoscopy, 17, pp. 109176, http://dx.doi.org/10.4253/wjge.v17.i8.109176
    Journal articles | 2025
    Wu MY; Martin O; Sundaralingam P; Kostalas S, 2025, 'Endoscopic freehand full-thickness resection of a gastric leiomyosarcoma initially diagnosed as gastric leiomyoma on endoscopic ultrasound—guided fine-needle biopsy', Videogie, 10, pp. 631 - 635, http://dx.doi.org/10.1016/j.vgie.2025.07.008
    Journal articles | 2024
    Dierick NR; Nicholson BD; Fanshawe TR; Sundaralingam P; Kostalas SN, 2024, 'Serrated polyposis syndrome: defining the epidemiology and predicting the risk of dysplasia', BMC Gastroenterology, 24, http://dx.doi.org/10.1186/s12876-024-03247-2
    Journal articles | 2022
    Ikezawa N; Toyonaga T; Tanaka S; Yoshizaki T; Takao T; Abe H; Sakaguchi H; Tsuda K; Urakami S; Nakai T; Harada T; Miura K; Yamasaki T; Kostalas S; Morita Y; Kodama Y, 2022, 'Feasibility and safety of endoscopic submucosal dissection for lesions in proximity to a colonic diverticulum', Clinical Endoscopy, 55, pp. 417 - 425, http://dx.doi.org/10.5946/ce.2021.245
    Journal articles | 2021
    Zhang LY; Tikhe D; Ermerak GG; Lee H; Letisia Sin HC; Hourigan LF; Kostalas S; Bassan MS, 2021, 'ID: 3522357 FULLY COVERED METAL BILIARY STENTS ARE ASSOCIATED WITH INCREASED RATES OF POST-ERCP PANCREATITIS', Gastrointestinal Endoscopy, 93, pp. AB152 - AB152, http://dx.doi.org/10.1016/j.gie.2021.03.309
    Journal articles | 2019
    Casu S; Blau J; Schempf B; Häske D, 2019, 'If you don’t take a temperature, you can’t find a fever', Notfall + Rettungsmedizin, 22, pp. 509 - 513, http://dx.doi.org/10.1007/s10049-018-0526-4
    Journal articles | 2016
    Koh YX; Longfield G; Kostalas S, 2016, 'Gastrointestinal: Obscure overt gastrointestinal bleed from jejunal diverticula, a diagnostic challenge', Journal of Gastroenterology and Hepatology Australia, 31, pp. 521, http://dx.doi.org/10.1111/jgh.13211
    Journal articles | 2014
    Kostalas S, 2014, 'Re: Accuracy of visual prediction of pathology of colorectal polyps: How accurate are we?', ANZ Journal of Surgery, 84, pp. 697 - 697, http://dx.doi.org/10.1111/ans.12758
    Journal articles | 2007
    Chauhan S; D'Cruz R; D'Cruz S; Singh R; Sachdev A, 2007, 'Clinical paradigms revisited.', Med J Aust, 186, pp. 382 - 383, http://dx.doi.org/10.5694/j.1326-5377.2007.tb00952.x
    Journal articles | 2007
    Kostalas S, 2007, 'Clinical paradigms revisited.', Medical Journal of Australia, 186, pp. 383, http://dx.doi.org/10.5694/j.1326-5377.2007.tb00953.x
    Journal articles | 2007
    Kostalas S, 2007, 'To the editor: [8]', Medical Journal of Australia, 186, pp. 383
  • Conference Papers | 2026
    Zhang LY; Tikhe D; Shrigiriwar A; Ermerak G; Lee HH; Sin L; Turner I; Edwards P; Abi-Hanna D; Hourigan L; Kostalas S; Bassan M, 2026, 'Fully covered metal biliary stents confer a higher risk of post-endoscopic retrograde cholangiopancreatography pancreatitis', in World Journal of Gastrointestinal Pharmacology and Therapeutics, Baishideng Publishing Group, pp. 112872, http://dx.doi.org/10.4292/wjgpt.v17.i1.112872
    Conference Abstracts | 2010
    Gifford AJ; Jones PS; Khasraw M; Kostalas S; Gill AJ, 2010, '16. Primary choriocarcinoma of the colon – a case report', in Pathology, Elsevier BV, Vol. 42, pp. S85 - S86, http://dx.doi.org/10.1097/01268031-201042001-00187

UNSW Rural Clinical Campus (Port Macquarie) “Contribution towards teaching award” - 2025

Royal Australasian College of Physicians, Wiley Blackwell Publishing Award for “Clinical Excellence in Adult Medicine” - 2012

I have clinical research interests in

1. Endoscopic resection of early gastrointestional neoplasia / Full thickness resection of gastrointestional tract lesions / Advanced interventional Endoscopy

2. Quality in Endoscopy

3. Serrated Polyps / Serrated Polyposis Syndrome (SPS)

Serrated polyps, their epidemiology, detection, optimal resection and risk prediction modelling for dysplastic SSLs forms a large part of my research focus.