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What is endometriosis? The endometrium is a tissue that lines the cavity of the uterus that potentially houses an embryo and that is evacuated during menstruation. It sometimes happens that tissue resembling the endometrium grows outside the cavity of the uterus, into the ovaries,  the rectovaginal space, bladder or intestines, etc. This is the condition known as endometriosis.    While some patients show no symptoms, most experience pain, sometimes very severe pain, in the area of the (lower) abdomen or back, either during or between periods, during sexual relations or when urinating etc. Endometriosis can be the source of fertility problems, chronic fatigue, addiction to painkillers, absenteeism from school or work, etc. It can also cause major psychological stress, especially when patients consult and suffer discomfort for several years without being correctly diagnosed and treated.     Treatment The H.U.B Endometriosis Clinic offers global and multidisciplinary care.   The first consultation: You and the gynaecologist first note your symptoms, your antecedents and any medication you may be taking (including contraceptives). The doctor then undertakes a meticulous gynaecological medical examination, followed by an endovaginal ultrasound.   Additional examinations: The gynaecologist can also prescribe a pelvic MRI (magnetic resonance imaging) scan. However, neither the MRI nor the endovaginal ultrasound always show everything. In some cases a laparoscopy is needed. This surgical intervention, used for both diagnosis and treatment, involves inserting a tiny camera and surgical instruments through an incision in the abdomen of just 1 cm. Identified endometriosis lesions   are removed or destroyed. Medical treatment is generally the first treatment option. The menstrual cycle is rested using a hormonal contraceptive, chosen according to your profile and preferences.   Surgical treatment involves “burning” or removing the endometriosis lesions by means of a conventional (laparoscopy) or robotic (see Focus) technique that is minimally invasive.   Other treatment: The clinic also proposes consultations in psychology and sexology to help you manage the potential impact of the endometriosis on your mental health and/or intimacy.   Shiatsu (therapeutic massage technique) sessions are also proposed.    The Endometriosis Clinic collaborates with  the Fertility Clinic, the Medical Imaging Department and H.U.B’s Multidisciplinary Centre for Pain Evaluation and Treatment.  Advice Certain lifestyle changes can improve endometriosis symptoms. It is therefore recommended to:      take regular exercise ; adopt an anti-inflammatory diet that limits foods likely to increase endometriosis pain (typically fermented foods);   make an intelligent use of painkillers, in appropriate doses at the right time.    Focus The H.U.B Endometriosis Clinic has a Da Vinci® robot with a dual console. This makes it possible not only to reach lesions where access is difficult but also to operate with four hands. Depending on the location of the endometriosis lesions, the gynaecologist operates with the urologist or specialist in digestive surgery.  Research The H.U.B Endometriosis Clinic participates in clinic trials  to find new treatment and in fundamental research projects to arrive at a better understanding of the causes  – in particular environmental – of the disease.    Our specialists Gynaecology - ObstetricsEndometriosis specialists : M Fastrez, K Crener, L Imperiale, C Vanneste, C Soria, M ZingarelliImaging specialists : R Lejeune, G GarofaloFertility specialists : I Demeestere, A Delbaere, C HoubaUrology : T QuackelsMedical imaging : A Massez, M SyNuclear medicine : I VierasuAnatomopathology : JC NoëlAlgology : N Van Cutsem, T TunaParamedicalAdministrative coordination : S HecqPsychologist : A CailleauxSexotherapist : G Van BraekelPhysiotherapist : R GarnirShiatsu practitioner : P HaassNurses :Surgical area : F DelsaHospitalisation : A DosseConsultation : E Chasseriaud, P GosselinResearch nurse : F Henry Associated services

Image Are you a physician and wish to obtain your patients’ medical results?Contact our medical secretariat by email to Cons [dot] gyn-obs [dot] erasme [at] hubruxelles [dot] be (Cons[dot]gyn-obs[dot]erasme[at]hubruxelles[dot]be) or by phone at +32 (0)2 555 35 08. Image A multidisciplinary clinic for personalized care The team is made up of experts in obstetric gynecology (endometriosis surgery specialists, fertility specialists), medical-surgical gastroenterology, urology, anatomopathology, pain medicine, medical imaging and nuclear medicine, as well as specialized paramedical staff: nurses, psychologists, sex therapists, physiotherapists and complementary therapy experts…The multidisciplinary work of the Endometriosis Clinic offers an individualized and tailored care pathway that takes into account the patient’s priorities and her relatives. Regular multidisciplinary consultation meetings are held, after which a personalized care program is proposed to each patient. Prof. Maxime Fastrez, Director of the Endometriosis Clinic Associate Director of the Gynecology-Obstetrics Department at the Brussels University Hospital (HUB).Gynecologist-Obstetrician — SurgeonEndometriosis SpecialistExpertise in gynecologic oncologyProf. Fastrez conducts extensive clinical research on minimally invasive surgery applied to the treatment of pelvic gynecological cancers and endometriosis. He opened the first Endometriosis Clinic within an academic hospital in the Brussels Region. Image A dedicated team of specialists DoctorsProf. Maxime FASTREZDr. Ludovica IMPERIALEDr. Kurt CRENERDr. Camille VANNESTEDr. Carlos SORIA GALVARRODr. Morgana ZINGARELLIDr. Agathe RABATTU (spécialiste en fertilité et endométriose)Dr. Rosine LEJEUNE (échographie)Dr. Giulia GAROFALO (échographie) Make an appointment Dr Alexis Buggenhout The Endometriosis Clinic of Brussels University Hospital mourns the loss of Dr. Alexis Buggenhout, whose expertise, skill and inspiring enthusiasm will be deeply missed. […] We are shocked by his sudden passing and extend our deepest condolences to his family, partner, and friends. We will rise stronger tomorrow to honor his memory by doing what we do best — caring for our patients. Other specialists we collaborate with Digestive SurgeryDr Nicolas Claeys et Dr Najla BachirUrologyDr Thierry QuackelsGastro-EnterologyPr Hubert LouisNutritionGabrielle Bronne & Amandine SzalaiMedical ImagingDr Marieme Sy et Dr Anne MassezSexologyGéraldine Van Braekel PsychologyAline CuvelierShiatsuPascal HaassPhysiotherapyRoxane GarnirLaura MoulinOsteopathsMarie Luce Latil Pauline MetzmackerAnatomopathologyPr Jean- Christophe NoëlMultidisciplinary Center for Pain Evaluation & TreatmentDr Nathalie Van Cutsem They will welcome and follow your hospitalization Your coordinating midwifeClarisse ANDRE PORTELANurse — ConsultationBarbara VANDERMEERENNurses — HospitalizationAriane DOSSEReceptionSara ARIUTyan BUKSHCéline LEROYPre-admissionAsma AISSA  Resources and useful links on Endometriosis Whether you are already diagnosed or suspect you may have endometriosis, we are here to support and inform you step by step. […](Fact Sheet, Website, Articles, Videos, Brochure, etc.) FACT SHEET – Symptoms and Management of Endometriosis WEBSITE - Toi Mon Endo - The Belgian association specializing in endometriosis REPORT - How can we improve endometriosis care in Belgium? Image FAQ 1. What is endometriosis? Endometriosis is a chronic and progressive gynecological condition characterized by the growth of uterine lining tissue (endometrium) outside the uterine cavity. This growth can occur on any abdominal organs but is most commonly found on pelvic organs, particularly the ovaries, the ligaments supporting the uterus, and the peritoneum. In the most severe, though rare, cases, endometriosis can affect the intestines (especially the rectum), the bladder, the ureter (the tube connecting the kidney to the bladder), or the vagina. 2. What are the symptoms of endometriosis? Endometriosis mainly presents with chronic pelvic pain, especially during menstruation (dysmenorrhea) or sexual intercourse (dyspareunia). It can also cause digestive and urinary problems, as well as fatigue. Difficulties in conceiving (infertility) are common in some affected women. 3. What causes endometriosis? The exact causes of endometriosis are not yet fully understood, but several theories exist. One of them is retrograde menstruation, where menstrual blood flows back through the fallopian tubes and deposits endometrial cells outside the uterus. Genetic, hormonal, and immune factors may also play a role, as well as disruptions during embryonic development. 4. At what age can endometriosis occur? Endometriosis can appear from the onset of the first menstrual periods, often during adolescence, typically between 15 and 20 yearsold. However, it is often underdiagnosed at this age due to the normalization of menstrual pain. It can also develop later, particularly in women of reproductive age. 5. How is endometriosis diagnosed? The diagnosis of endometriosis involves several steps, including a clinical examination and evaluation of symptoms. Imaging tests, such as pelvic ultrasound or MRI, are used to assess lesions. If no lesions are detectable through imaging, a laparoscopy may be necessary. This is a surgical procedure that allows direct visualization of the affected tissues. A non-invasive saliva test is currently under development and is not yet reimbursed. It is intended for use in cases of typical endometriosis symptoms when imaging is inconclusive, in order to confirm the diagnosis while avoiding a laparoscopy. 6. Is there a treatment for endometriosis? There is no curative treatment for endometriosis, but several options can help relieve symptoms. Treatments include anti-inflammatory medications for pain, hormonal therapies to reduce lesions, and in some cases, surgery to remove affected tissue. Personalized care for each patient is essential to improve quality of life 7. Can endometriosis be fatal? Endometriosis is not a life-threatening disease in itself, but it can severely affect quality of life by causing chronic pain and complications such as infertility. Although endometriosis does not directly cause death, its physical and psychological consequences can be significant without adequate treatment. Medical monitoring and care are essential to prevent these impacts. 8. Can you have a child if you have endometriosis? Yes, it is possible to have a child with endometriosis, although this condition can make conception more difficult for some women due to the lesions and inflammation it causes. Approximately 30 to 50% of women with endometriosis may experience difficulties conceiving. However, fertility treatments, such as medically assisted reproduction (MAR/IVF), can help overcome these obstacles. 9. Is endometriosis linked to cancer? Endometriosis is not cancer, and the majority of women with the condition will not develop cancer. However, some studies suggest a slightly increased risk of certain types of cancer, such as ovarian cancer, in women with endometriosis after menopause. This risk remains generally low, but regular medical monitoring is recommended for affected women, even after menopause. 10. Can endometriosis be detected with a Pap smear? No, endometriosis cannot be detected with a cervical Pap smear. The Pap smear is used to screen for cellular abnormalities in the cervix, particularly those related to human papillomavirus (HPV) infection. To diagnose endometriosis, examinations such as ultrasound, MRI, or laparoscopy are required. Endometriosis Unfiltered March is Endometriosis Awareness Month. On this occasion, the H.U.B. is launching a new campaign and offering a variety of activities aimed at informing and engaging the public and healthcare professionals in the diagnosis and management of this condition. Discover the program in 2026!

March is Endometriosis Awareness Month. On this occasion, the H.U.B is launching a new campaign offering numerous activities to inform and involve the public and health professionals in the diagnosis and management of this disease. Endometriosis Unfiltered: What People Believe, What We Know, What We Prove Endometriosis is a chronic disease that affects 1 in 10 women of reproductive age. Yet it remains widely misunderstood and often diagnosed too late, because its symptoms are sometimes poorly understood or minimized.The “Endometriosis Unfiltered” campaign helps disentangle myths, knowledge, and scientific evidence to better understand this disease and its impacts on women’s lives. What you will discover with the teams of the H.U.B Endometriosis Clinic:What People Believe: common misconceptions and false beliefs about endometriosisWhat We Know: reliable facts and data to better inform the public and health professionalsWhat We Prove: research and scientific advances that allow better diagnosis and effective supportH.U.B Program in 2026Thursday 26 March 2026Information and Awareness StandInteractive “true-false” gamesInformation about endometriosis and its management at H.U.BQuestionnaires to identify your risk factorsMeetings and exchanges with members of the Endometriosis Clinic teamWhere? Main Hall, Hôpital Erasme – BrusselsWhen? 26 March 2026, 10:00am to 04:00pmFree and open to all.Meet the Toi Mon Endo association at the stand on 26 March.Thursday 15 October 2026Patients & Caregivers Workshop3 mini-lectures3 thematic workshops on hormonal treatmentsExpert panel and Q&AWalking dinerWhere? Jules Bordet Institute – BrusselsWhen? 15 October 2026, from 06:00pm to 08:30pmFree, limited seats, reserved for patients.Thursday 10 December 2026Symposium “Endometriosis at the Heart of Multidisciplinary Care”Relevant diagnosis approaches, the role of MRI, effective care pathwaysWhen? 10 December 2026, 09:30am to 03:30pmCampus Erasme – Mukwege AuditoriumFree event, registration required (Lunch included)

To ensure you are fully informed about this procedure, we invite you to read this information carefully. Your doctor is available to provide any additional details you may require. What is endoscopic cholangio-pancreatography? Endoscopic cholangio-pancreatography (ECP) is an endoscopic procedure used to treat various problems of the bile ducts or pancreas. Why undergo endoscopic cholangio-pancreatography? Your doctor recommended this procedure due to symptoms or findings that require treatment via ECP. This procedure allows for confirming a diagnosis, taking samples (biopsies for microscopic examination), removing stones, draining the bile ducts or pancreatic duct, and placing stents in these organs. How to prepare for endoscopic cholangio-pancreatography? Inform your doctor about your medical history and all medications you regularly take (especially those affecting blood clotting: aspirin, Plavix, Sintrom, Xarelto, Eliquis, Pradaxa, etc.).If you have known allergies, provide details to your doctor. Women must inform their doctor if they are pregnant.You must fast (no food, drink, or smoking) for 6 hours prior to the procedure. Remove any dentures or glasses. How is endoscopic cholangio-pancreatography performed? A duodenoscope (flexible instrument) is inserted through the mouth to examine the upper digestive tract up to the duodenum. Air is insufflated to smooth the walls of the digestive tract. The opening where the bile and pancreatic ducts drain is called the “papilla.” It is intubated using a catheter (small plastic tube through the endoscope) and under X-ray guidance, the required treatment is performed (cutting the sphincter of the bile or pancreatic duct, “sphincterotomy,” stone extraction, stent placement for drainage, etc.). Sedation or general anesthesia is provided for your comfort.Upon waking, you may experience a sore throat, bloating, and gas, which usually subside within 12 hours. A nasal drain may sometimes be necessary for one or two days.The duration of the procedure varies depending on technical difficulty (20 minutes to 2 hours). Post-anesthesia, hospital monitoring is required.Between patients, the endoscope is disinfected and accessories are sterilized or disposed of (single-use materials) according to regulations. Possible complications of endoscopic cholangio-pancreatography All medical procedures, even when performed under expert and safe conditions, carry a risk of complications.Complications of therapeutic ECP are rare (around 1%) (digestive wall perforation, bile duct or gallbladder infection, cardiovascular problems, acute pancreatitis, bleeding). They may require prolonged hospitalization, extended fasting, transfusion, or even surgical intervention. Your medical history or certain medications may increase these risks. Complications may occur on the day of the procedure or in the following days.If you experience abnormal symptoms (abdominal or chest pain, bleeding, chills, fever, jaundice…), contact the treating physician during office hours, Monday to Friday, 8:00 AM to 4:30 PM, at the Endoscopy Clinic, +32 (0)2 555.32.92.You can also:Call the physician in case of an emergency: +32 (0)2 555.58.39Contact the secretariat to schedule an appointment by phone at +32 (0)2 555.32.92 or by email at Cons [dot] Gastromed [dot] Erasme [at] hubruxelles [dot] beIf you cannot reach the doctor, promptly contact your general practitioner, on-call physician, or the emergency department.

Obesity is a chronic disease that can lead to numerous metabolic and cardiovascular complications. When conventional approaches such as diet and physical activity are not sufficient, endoscopic solutions may be considered. These minimally invasive techniques allow effective management while limiting the risks associated with bariatric surgery. Obesity: what medical management at H.U.B.? The Gastroenterology Department of Erasmus Hospital offers a multidisciplinary management of obesity with innovative endoscopic options. Among these, the placement of a gastric balloon helps reduce the feeling of hunger and promotes weight loss. Another alternative is endoscopic sleeve gastroplasty, which reduces the size of the stomach without major surgical intervention.Our teams combine these techniques with personalized nutritional and behavioral follow-up in order to optimize results. Close collaboration between gastroenterologists, endocrinologists, dietitians and psychologists ensures a comprehensive approach tailored to each patient.It is essential to adopt a healthy lifestyle before and after an endoscopic procedure for obesity. A balanced diet rich in fiber and protein, as well as regular physical activity, are recommended to maximize results. Endoscopic management is combined with multidisciplinary appointments with the gastroenterologist, the dietitian and the psychologist in order to reinforce lifestyle changes. Discover the H.U.B. Endoscopy Clinic

Digestive Tract and Adjacent Organ Diseases: When Is an Endoscopic Ultrasound Needed? What is an endoscopic ultrasound? Endoscopic ultrasound (EUS) is a specialized procedure that combines endoscopy and ultrasound to precisely examine the digestive tract and certain nearby organs, such as the pancreas, bile ducts, and lymph nodes.EUS is recommended when imaging tests (CT scan, MRI, ultrasound) reveal an abnormality that requires further investigation, particularly for:Evaluation of a digestive tract lesion (esophagus, stomach, rectum), especially for tumor staging.Suspicious masses in the pancreas, bile ducts, or adrenal glands.Pancreatic cysts that require specialized monitoring.Abnormal lymph nodes (adenopathies), which may need biopsy.In addition to diagnosis, endoscopic ultrasound allows for minimally invasive treatments, such as radiofrequency ablation (EUS-RFA), for certain types of tumors.This procedure is always performed under medical prescription. Endoscopic Ultrasound: Care at the H.U.B Endoscopy Clinic At the Endoscopy Clinic, we provide specialized care for patients requiring diagnostic or therapeutic endoscopic ultrasound.Depending on the indication, several procedures may be performed, including:Targeted biopsies (EUS-FNA/B) to analyze digestive, pancreatic, biliary, or lymph node lesions in detail.Radiofrequency ablation (EUS-RFA), a minimally invasive technique that serves as an alternative and/or complement to treatment for certain tumors. This innovative procedure destroys tumors in situ using thermo-ablation with echo-guided needles connected to a generator (radiofrequency principle). It primarily targets well-selected pancreatic tumors after radiological and pathological evaluation. Initially, we focus on neuroendocrine tumors, cystic tumors, and selected metastases (kidney, breast, and skin cancers). Later, it may be applied to unresectable tumors accessible via EUS.Multidisciplinary management is essential in digestive tract and adjacent organ diseases, particularly pancreatic tumors. At Erasme Hospital, cases are reviewed in multidisciplinary meetings with gastroenterologists, radiologists, oncologists, and surgeons to ensure the best therapeutic strategy for each patient.Furthermore, implementing EUS-RFA aims to expand therapeutic options and strengthen our expertise and visibility within the hospital network and the future ULB Cancer Center. Your doctor recommended an endoscopic ultrasound? If your doctor has recommended an EUS, it is usually because an imaging test revealed an abnormality requiring a more detailed evaluation.If this procedure has been prescribed, it is important to carefully follow the instructions provided before the exam.You can contact the H.U.B Endoscopy Clinic by phone at +32 (0)2.555.35.04 or by email via the link below. Contact the H.U.B Endoscopy Clinic Your Reference Center for Endoscopic Ultrasound Erasmus Hospital is a reference center for EUS, incorporating the latest innovations in diagnostics and minimally invasive treatments.We participate in international studies on diagnostic and therapeutic EUS to improve the technique’s efficacy and safety.Thanks to these advances, we provide more precise patient care, reduce the need for more invasive surgical procedures, and enhance treatment effectiveness.

Contact the H.U.B Endoscopy Clinic You would like to:Make an appointment for an endoscopy at Erasmus Hospital: rendez-vous [dot] Endoscopie [dot] erasme [at] hubruxelles [dot] beMake an appointment for an endoscopy at the Jules Bordet Institute: accueil [dot] endoscopie [at] bordet [dot] beObtain the results of your endoscopy or your patient’s endoscopy at Erasmus Hospital: SecMed [dot] endoscopie [dot] erasme [at] hubruxelles [dot] beObtain the results of your endoscopy or your patient’s endoscopy at the Jules Bordet Institute: micheline [dot] vion [at] hubruxelles [dot] beMake an appointment for a consultation at Erasmus Hospital: ConsGastroMed [dot] erasme [at] hubruxelles [dot] be Endoscopy A minimally invasive technique for your digestive health Endoscopy is a procedure used to make a diagnosis and, if necessary, provide treatment through a minimally invasive approach, using instruments that allow visualization of the inside of the body (an endoscope). It enables examination of the esophagus, stomach, duodenum, small intestine, and colon. Image Image Image The Multiple Uses of Endoscopy It is possible to take tissue samples (biopsies), remove polyps or superficial tumors, treat bleeding, dilate narrowings (strictures), insert stents, treat conditions such as achalasia or diverticula, eradicate precancerous lesions (e.g., Barrett’s esophagus), and treat or prevent complications of cirrhosis (treatment of varices). Some procedures are combined with radiology or ultrasound, making it possible to see beyond the digestive tract and to treat biliary and pancreatic diseases. To Detect or Treat the Problem The H.U.B Endoscopy Clinic brings together all disciplines related to gastroenterology, hepatology, pancreatology, and digestive oncology, and works in close collaboration with the digestive surgery department. Its mission is to offer each patient the best minimally invasive diagnostic and therapeutic option according to their individual condition. Our Healthcare Services The Endoscopy Clinic offers patients a wide range of examinations at Erasmus Hospital (main site and day hospital) as well as at the Jules Bordet Institute.Depending on the type of examination, sedation or even anesthesia may be offered. A consultation with one of the team’s physicians is always possible before scheduling these procedures.Below is a non-exhaustive list of the main procedures available:Gastroscopy (esophagogastroduodenoscopy): examination of the upper digestive tract.Colonoscopy: examination of the lower digestive tract.Endoscopic retrograde cholangiopancreatography (ERCP or CPRE or CWR ): procedure on the bile ducts or pancreas.Endoscopic ultrasound (EUS): abdominal and/or thoracic exploration using an ultrasound probe brought close to the organs by means of an endoscope.Small bowel video capsule: exploration of the small intestine using a swallowed mini-camera.Enteroscopy: exploration of the small intestine for therapeutic purposes.Functional investigations of the esophagus: esophageal manometry and pH-impedance monitoring.Liver biopsyProctology consultationTo schedule an appointment with our proctology specialists, please contact us by phone at +32 (0)2 555 32 92 or by email at rendez-vous [dot] Endoscopie [dot] erasme [at] hurbuxelles [dot] beA number of other procedures are available and will be discussed on a case-by-case basis after consultation with a member of the gastroenterology team:Endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD): removal of superficial tumors (esophagus, stomach, duodenum, colon, and rectum).Cholangioscopy (retrograde or percutaneous): visualization of the inside of the bile ducts: biopsy of a stricture / destruction of stones.Percutaneous cholangiography (CTH): access to and treatment of biliary diseases through the skin when ERCP is not possible.Cystogastrostomy: drainage of a fluid collection/abscess under endoscopic ultrasound.Hepatico-gastrostomy / cholecysto-bulbostomy: drainage of the bile ducts between the left liver and the stomach when ERCP is not possible / drainage of the gallbladder (cholecystitis) under endoscopic ultrasound.Gastrojejunostomy: creation of a connection between the stomach and the jejunum using a stent under endoscopic ultrasound when the duodenum is obstructed.Extracorporeal lithotripsy (ESWL): fragmentation of pancreatic stones by shock waves (treatment of chronic pancreatitis).Treatment of Zenker’s diverticulumPOEM (peroral endoscopic myotomy) for the treatment of achalasia.G-POEM: endoscopic myotomy for the treatment of gastroparesis.Radiofrequency ablation: thermal destruction of dysplasia (Barrett’s esophagus), or under endoscopic ultrasound for small pancreatic tumors.TIPS (Transjugular Intrahepatic Portosystemic Shunt): vascular stent placed to relieve problems related to portal hypertension.Treatment of digestive tract strictures by endoscopic dilation.Placement of prostheses or stents (esophageal, esophagogastric, duodenal, colonic) for the treatment of narrowings or fistulas.Obesity treatments: intragastric balloon, endoscopic gastroplasty.Treatment of surgical complications Our Team of Specialists Prof. Arnaud LEMMERS, Head of the Endoscopy ClinicHead of the Digestive Endoscopy Clinic at the Brussels University Hospital (H.U.B)Gastroenterologist, specialized in interventional endoscopyDepartment of Gastroenterology, Erasmus HospitalProf. Arnaud Lemmers specializes in interventional endoscopy (hepato-bilio-pancreatic endotherapy, endoscopic resection of tumors and polyps, treatment of dysplasia and Barrett’s esophagus, management of strictures, fistulas, achalasia, and Zenker’s diverticula).After clinical and endoscopic training with Prof. Jacques Devière’s team at Erasmus Hospital, he spent time in Tokyo in 2015 learning the technique of endoscopic submucosal dissection from Prof. Yahagi. His research, as well as that of his team, covers many aspects of endoscopy, with the aim of further developing minimally invasive patient care. He served as President of the Belgian Society of Digestive Endoscopy (BSGIE) from 2021 to 2024.View Prof. Lemmers’ publications Make an appointment Image Member of the medical team of the Endoscopy Clinic Department members:Prof. Arnaud LemmersProf. Sara Teles de CamposProf. Marianna ArvanitakisDr Michael FernandezConsultants:Prof. Jacques DevièreProf. Pierre EisendrathProf. Vincent HubertyDr Sohaib OuazzaniDr Mariana Figueiredo FerreiraAll these physicians specialize in diagnostic and therapeutic endoscopy. Members of the H.U.B Department of Gastroenterology Heads of DepartmentProf. Christophe MorenoProf. Jean-Luc Van LaethemClinic of Pancreatology and Nutritional SupportProf. Marianna ArvanitakisDr. Michael Fernandez Y ViescaDr. Alia HadefiClinic of Intestinal DiseasesProf. Denis FranchimontProf. Leila AmininejadProf. Anneline CremerProf. Claire LiefferinckxDr. Clémence VuckovicClinic of Functional Digestive DisordersProf. Hubert LouisDr. Cagla GulkilicClinic of Hepatology and Liver TransplantationProf. Christophe MorenoProf. Thierry GustotDr. Nathalie BoonProf. Delphine DegréDr. Laura Weichselbaum ConsultantsDr. Vincent BouillonDr. Mélanie BrognetProf. Myriam DelhayeProf. Pierre DeltenreProf. Jacques DevièreDr. Leo DuezProf. Pierre EisendrathDr. Mariana Figueiredo FerreiraProf. Philippe GolsteinDr. Sohaib OuazzaniDr. Thomas SerstéProf. Eric TrepoDr. Haydeh Vafa ZanjaniDepartment of Digestive OncologyProf. Jean-Luc Van LaethemProf. Anne DemolsProf. Francesco SclafaniDr. Ana Maria BucalauDr. France GayDr. Laura MansDr. Rita Saude CondeDr. Gontran VersetAll our physicians specialize in diagnostic endoscopy. The departments we collaborate with Digestive Oncology Lien vers Digestive Oncology Digestive surgery Lien vers Digestive surgery Radiology - Medical Imaging Lien vers Radiology - Medical Imaging Anatomopathology Lien vers Anatomopathology Interventional Radiology Lien vers Interventional Radiology Nuclear Medicine Lien vers Nuclear Medicine Intensive care Lien vers Intensive care Anaesthesiology Lien vers Anaesthesiology Emergencies Lien vers Emergencies Resources & useful links FICHE INFO - Préadmission - Informations de préparation à la colonoscopie - Hôp… FAQ about endoscopy 1. How is an endoscopy performed? Our explanatory sheets for the different procedures are available in the Resources and Useful Links section. 2. Do I need sedation or anesthesia for my endoscopy? Some procedures require sedation or anesthesia depending on the type of intervention, to ensure your comfort, avoid potential pain, or allow more complex procedures. It is best to discuss this with your doctor or schedule a consultation to determine the best option for you (tel: +32 (0)2 555.35.04). 3. How can I get the results of the examination? Please provide the secretariat with the contact details of your treating or referring physician so a copy of the report can be sent to them. A copy is also accessible via the health network. The physician performing your endoscopy will give you immediate information right after the procedure. If biopsies are taken, a follow-up consultation may be offered to review the results. 4. How can I make an appointment for an endoscopy? Your treating physician can write a request for the examination, which allows you to schedule an appointment directly through the secretariat (without anesthesia, Erasmus Hospital +32 (0)2 555.32.92; with anesthesia at the day hospital, Erasmus/Bordet +32 (0)2 555.85.85; without anesthesia at Bordet +32 (0)2 541.37.20). You can also discuss the procedure in consultation with a gastroenterologist beforehand (+32 (0)2 555.35.04). 5. How should I prepare for an endoscopy? For a colonoscopy, the inside of the colon must be clean. Details of colon preparation are available in the Resources and Useful Links section. 6. I take anticoagulants: should I stop them before the endoscopy? The rules for stopping anticoagulants depend on why you take them and the type of endoscopic procedure planned. Discuss this with your doctor. Some information is available in the Resources and Useful Links section. 7. Can I drive after my endoscopy? If sedation or anesthesia is used, you are not allowed to drive afterwards. Please arrange for someone to accompany you home. 8. For a procedure under anesthesia, do I need to see an anesthesiologist? If your endoscopy is scheduled under anesthesia, a prior anesthesia consultation will be proposed. If you have had anesthesia in the past 6 months without new medical issues, a new consultation is not required. Discuss this with your doctor and make sure your previous anesthesia record is available. 9. During the procedure, can I see the inside of my digestive tract? Photos are taken during the endoscopy. At your follow-up gastroenterology consultation, you can request to see these photos and receive explanations from the doctor. 10. How often should I repeat endoscopic exams? The recommended intervals depend on the health issue for which the examination was done. For example, there is usually no reason to repeat a gastroscopy for mild esophagitis for several years. For follow-up after removal of colonic polyps, intervals are also well standardized. Discuss your personal follow-up schedule with your gastroenterologist. Health Issues Managed by the Endoscopy Clinic Colorectal cancer Slow digestion Bile duct diseases (strictures, stones, and leaks) Esophageal dysplasia

To ensure that you are clearly informed about this procedure, we invite you to read this information carefully. Your doctor is available to provide any additional explanations you may require. What is an enteroscopy? Enteroscopy is a visual examination of the small intestine that can reveal lesions, allowing your doctor to determine the cause of your symptoms or abnormal blood tests (anemia). If necessary, tissue samples (biopsies) can be taken for microscopic analysis or lesions can be treated. Why have an enteroscopy? Your doctor recommended this procedure due to symptoms suggesting a problem in the digestive tract (small intestine). Enteroscopy is performed using an endoscope (a flexible tube with a camera and light at the tip) to detect internal lesions and take biopsies if needed. It helps diagnose various conditions (diarrhea, abdominal pain, bowel transit disorders, bleeding, anemia, weight loss, tumor detection, etc.). Polyp removal or coagulation of bleeding lesions is also possible. How to prepare for an enteroscopy? Inform your doctor about your medical history and current medications (especially blood-thinning drugs: aspirin, Plavix, Sintrom, Xarelto, Eliquis, Pradaxa…). Also report any known allergies.For lower enteroscopy, the intestine must be completely clean to allow accurate examination and therapeutic procedures. Follow the preparation instructions carefully (low-residue diet in the days before the exam and bowel-clearing drink the day before). See the colonoscopy preparation instructions. For upper enteroscopy, no preparation the day before is needed.You must be fasting (no food, drink, or smoking) for at least 6 hours before the procedure. Remove any dental prostheses and glasses. How is an enteroscopy performed? A long flexible endoscope is inserted through the mouth (upper enteroscopy) or anus (lower enteroscopy) and advanced into the small intestine. Sometimes, an overtube or balloon system is used to facilitate progression. Air is insufflated to flatten the intestinal walls. You may feel bloated or have gas after the procedure. Various biopsies may be taken if your doctor deems it necessary.If polyps are found, they are removed with forceps or an electric knife (“polypectomy”). Vascular ectasias (angiomas) may be coagulated.For your comfort, general anesthesia is often offered. The procedure lasts approximately 45 to 90 minutes, depending on whether both upper and lower routes are used. Hospital observation overnight is required after anesthesia. Possible complications of enteroscopy Any medical procedure, even when performed under optimal conditions, carries a risk of complications.Enteroscopy complications are rare (intestinal perforation, hematomas in the wall or abdomen, bleeding, infections, cardiovascular problems). Hospitalization or surgery may sometimes be required. Risk may be higher with prior medical history or certain medications. Complications can occur on the day of the procedure or in the following days.In case of abnormal symptoms (severe abdominal pain, blood in stool – red or black, chills, fever), contact the treating doctor during office hours (Monday to Friday, 8:00 – 16:30):Endoscopy Clinic, Erasme General Hospital: 02/555.32.92Day Hospital: 02/555.37.77If unreachable, promptly contact your general practitioner, on-call doctor, or emergency department.Between patients, the endoscope is disinfected, and used accessories are sterilized or disposed of (single-use equipment).

In November 2024, this specialty will be highlighted during a dedicated event, underscoring the importance and advancements of epilepsy neurosurgery in Belgium. Healthcare professionals will have the opportunity to gather, share their knowledge, and explore new perspectives offered by this discipline. Epilepsy neurosurgery in Belgium: a leading specializationIn Belgium, neurosurgery, and more specifically epilepsy neurosurgery, represents a medical specialty that is both advanced and rare. Essential for the treatment of patients with epilepsy who are refractory to traditional medication treatments, this discipline is distinguished by its cutting-edge techniques and promising results.State-of-the-art equipment at the H.U.B.The Brussel University Hospital (H.U.B.) stands out for its use of advanced technologies for the treatment of epilepsy, notably SEEG (stereo-electroencephalography) and, soon, LITT (laser interstitial thermotherapy). The H.U.B. boasts some of the leading specialists who utilize this advanced equipment, crucial for pediatric patients resistant to traditional pharmaceutical treatments.SEEG: precision and effectivenessSEEG provides a detailed mapping of brain activity, accurately pinpointing epileptogenic zones. With this technique, neurosurgeons can identify the areas responsible for epileptic seizures with great precision, facilitating more targeted and effective interventions.LITT: minimally invasive innovationSoon, the H.U.B. will integrate LITT into its treatment protocols. This technique offers a minimally invasive solution for treating the epileptogenic zones identified by SEEG, using a laser to destroy the brain tissue responsible for seizures. LITT serves as an effective alternative to traditional open surgeries when the functional or cognitive risk is too high. It provides a curative solution for patients who were previously deemed inoperable.An international symposium in November 2024On November 8, 2024, the H.U.B. will host an international symposium dedicated to epilepsy neurosurgery. This event will bring together world-renowned experts to discuss the latest advancements and innovative perspectives in this highly specialized field. The goal is to improve the care of epilepsy patients and to promote cutting-edge surgical techniques.Practical InformationDate: November 8, 2024Time: 8:30 AM - 5:30 PMLocation: Museum of Medicine, Erasme Hospital ULB, 808 route de Lennik, 1070 BrusselsTo access the detailed program and register, please follow this link.

Together, we can save lives and improve the health and well-being of all.  Your donation is vital In making a donation you give us the means to achieve progress in medicine. Our research projects increase our understanding of diseases, improve our diagnoses and provide the basis for developing  new treatments.  Support medical progress today. THANK YOU To make a donation Contact & info Discover all the projects  supported by the Erasmus Fund Contact the Erasmus Fund fonds.erasme@ulb.be +32 2 555 43 59  

What is esophageal dysplasia? Dysplasia is a precancerous lesion. Various factors, including alcohol and tobacco consumption, as well as gastroesophageal reflux, can alter the type of cells lining the esophagus (for example, Barrett’s esophagus). In some cases, there is an increased risk of cancer. Today, it is possible to detect precancerous lesions and, in some cases, remove them (endoscopic resection by mucosectomy or endoscopic submucosal dissection (ESD)) or ablate them by burning (radiofrequency). Esophageal dysplasia: what medical management at the H.U.B? Thanks to the expertise of the team and the latest-generation endoscopes available at the Endoscopy Clinic of Erasmus Hospital, it is possible to identify these precancerous lesions with great precision and treat them optimally, in order to limit the need for esophageal surgery and the risk of disease progression. The multidisciplinary approach typical of an academic hospital makes it possible to discuss each patient jointly with the surgical, oncological and radiological teams, in order to offer the best treatment to each patient.If you have undergone an endoscopy that showed the presence of Barrett’s esophagus or dysplastic (precancerous) lesions, and you wish to obtain the opinion of the specialized Erasme team, do not hesitate to make an appointment for a consultation (by email at ConsGastroMed [dot] erasme [at] hubruxelles [dot] be or by phone at +32 (0)2 555.35.04). Depending on your file, a new endoscopic evaluation may be proposed using our latest-generation endoscopes, in order to define the best treatment to offer. Discover the H.U.B Endoscopy Clinic Esophageal dysplasia: what scientific and medical innovations at the H.U.B? Our hospital benefits from accreditation from the INAMI/RIZIV for the use of radiofrequency to treat Barrett’s esophagus endoscopically (in cases of precancerous lesions or after ablation of an early cancer). In addition, Erasme Hospital is accredited by the INAMI/RIZIV as a reference center for esophageal surgery (specialized contracted center), making this multidisciplinary approach crucial for better patient treatment. Finally, several scientific publications have been issued by the team on this subject in recent years, demonstrating the pioneering nature of the endoscopy clinic in this field. Our Contributions to Scientific Research As members of a leading academic hospital, our healthcare professionals conduct scientific research projects to advance medicine and continuously improve the quality of care provided to patients. View the list of our scientific publications