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Image Direct line to emergency +32 2 555 34 02 Image Lifesaving emergency 112 Image Address : Rue Meylemeersch 56, 1070 BruxellesThe Emergency Department provides the population with access to general and specialised medical care 24 hours a day, 7 days a week Image Department The qualified team of  accident and emergency doctors and specialised nurses also follow up the complex pathologies already treated at the hospitals, permit the link  with specialists, and welcome all new patients irrespective of the actual or suspected degree of gravity. More info :  Emergencies Contact and address

Our role Endocrinology is the medical speciality concerned with the hormones secreted by the various endocrine glands:  the pituitary gland, the thyroid gland, the parathyroid gland, the adrenal glands, the pancreas, the ovaries and the testicles.  Diseases of the endocrine glands are either a hormonal malfunctioning (excessive or insufficient production of one or more hormones) or tumours, usually benign.  Image Image Image Image We always seek to provide an optimal treatment for every patient. To do so, we work in close cooperation with numerous medical or surgical specialities. Professor Bernard Corvilain head of the Endocrinology Department at the Erasmus Hospital Our specialities The Erasmus Hospital Endocrinology Department provides general and specialised consultations depending on the gland in question:   The Diabetology ClinicThyroid pathologies such as hyperthyroidism, hypothyroidism, goiter and thyroid nodules (cf Focus). In the case of thyroid cancer the treatment is organised in conjunction with specialist doctors from the Jules Bordet Institute.   Pituitary pathologies  are principally adenomas (tumours) that can secrete too many hormones and/or impede the proper functioning of the gland or lead to the compression of adjacent anatomical structures. The treatment sometimes takes the form of neurosurgery.    Adrenal gland pathologies: adrenal insufficiencies (Addison’s disease, congenital adrenal hyperplasia), corticosteroid hypersecretion syndrome (Cushing syndrome, hyperandrogenism),  tumours of the adrenal medulla, etc. In the case of malignant tumours the multidisciplinary treatment is organised in conjunction with specialists from the Jules Bordet Institute.   Hyperandrogenism, frequently associated with polycystic ovary syndrome (PCOS), is treated in cooperation with  gynaecologists and dermatologists from the H.U.B. Pathologies of the calcium and phosphate metabolism. The treatment of hyper- and hypocalcemia – and of their possible consequences for the skeleton and kidneys – is organised in conjunction with rheumatologists and nephrologists from the H.U.B. Male and female hypogonadism : Turner’s and Klinefelter’s syndrome are treated in cooperation with gynaecologists and urologists from the H.U.B. The transition consultation concerns young adults with an endocrine pathology that began in childhood and is designed to ensure that optimal follow-up continues into adulthood. An endocrinologist from the Erasmus Hospital meets the young patient (and their parents) and the treating child endocrinologist from the HUDERF prior to transition to adult endocrinology at the Erasmus Hospital.    The Endocrinology Departments at the Erasmus Hospital and the HUDERF children’s hospital are recognised as a European expert centre in treating rare endocrine diseases that are sometimes of genetic origin.   Our team Image Our specialist doctors Focus The  (para)thyroid nodule diagnostic unit provides a weekly joint consultation with doctors specialised in endocrinology, radiology and nuclear medicine. Patients meet with these specialists in succession at the same place and during the same morning or afternoon for the purposes of diagnosis (ultrasound, scintigraphy scan and/or bone density scan) and a proposed treatment.      Research The diabetes and obesity investigation clinic, headed by Professor Mirian Cnop, supervises a number of fundamental, translational and clinical research projects on various types of  diabetes.   

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

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