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To ensure that you are clearly informed about how this procedure will be carried out, we invite you to read this information carefully. Your doctor is available to provide you with any additional information you may require. What is enteral nutrition? Malnutrition is a condition in which the body no longer functions properly because it is not receiving sufficient essential nutrients (carbohydrates, fats and proteins). In some situations, it becomes necessary to provide enteral nutrition: you then receive liquid food directly into the stomach or the first part of the small intestine (the jejunum), via a thin, flexible tube.  What type of tube will be used? The choice of tube depends on your disease and the anticipated duration of enteral nutrition.In most cases, a tube inserted through the nose—called a nasogastric or nasojejunal tube—is sufficient to improve your nutritional status. When enteral nutrition is required over the long term, the tube is inserted directly into the stomach (gastrostomy) or the small intestine (jejunostomy) endoscopically at the Digestive Endoscopy Clinic. How to prepare for gastrostomy placement? The gastrostomy is performed during a gastroscopy. To arrange for the tube to be placed, you will be seen by the clinical nutrition nurse or the gastroenterologist to prepare for your procedure. To prepare for your procedure: Inform your doctor about your medical history and all the medicines you take, particularly those that affect blood clotting: aspirin, Plavix, Sintrom, Xarelto, Eliquis, Pradaxa, Lixiana, Innohep, Fraxiparine (the list is not exhaustive).Inform your doctor of any known allergies.Fast for at least 6 hours before the examination: do not eat, drink or smoke.Depending on your situation, the examination will be performed under light sedation or general anaesthesia.  How is a gastrostomy placed? The procedure is performed by two gastroenterologists and generally takes between 15 and 30 minutes:The first doctor inserts an endoscope (a thin, flexible camera) through the mouth into the stomach.The second doctor identifies the best site on the abdominal wall from the outside, using the light from the endoscope.A small incision of a few millimetres is made in the skin after local anaesthesia.The tube is then passed from the inside outwards and secured in place, passing directly through the abdominal wall into the stomach (a technique commonly known as “pull gastrostomy”). What happens during the period after the gastrostomy is placed? After the procedure, you will remain in hospital for at least 2 days to ensure that enteral nutrition through the gastrostomy is well tolerated.The most frequent complications are pain around the tube opening, which is generally temporary. More rarely, bleeding or perforation may occur; these are detected promptly by means of an abdominal CT scan.Before you are discharged, the dietitian and theclinical nutrition nurse will explain the type and quantity of enteral nutrition suited to your situation, as well as how to use the tube at home. If necessary, home nursing care will be arranged before your discharge. How is follow-up carried out? Once the tube is in place, regular follow-up is essential to ensure your care proceeds smoothly:Regular consultations with the gastroenterologist and the clinical nutrition nurseDietary assessments to adapt your nutritional intake to changes in your conditionBlood tests to monitor your nutritional parametersFor young patients: the transition to adulthoodIf you have been followed in paediatrics until now, the transition to an adult service is prepared gradually from the age of 16:Your paediatrician will contact the adult team and provide them with all the information concerning your health and treatmentA first joint consultation — in the presence of your paediatrician and your new doctor responsible for your care — will be arranged, so that you do not feel alone during this stageIf necessary,, follow-up in both services (paediatric and adult) can be maintained for a maximum of 6 months in order to facilitate this transition in complete peace of mind. Contact You can make an appointment for a consultation (by email at ConsGastroMed [dot] erasme [at] hubruxelles [dot] be or by telephone on +32 (0)2 555.35.04, or contact the H.U.B Gastroenterology Department directly at SecMed [dot] GastroMed [dot] erasme [at] hubruxelles [dot] be (SecMed[dot]GastroMed[dot]erasme[at]hubruxelles[dot]be)You can also contact our clinical nutrition nurses, Asuncion Ballarin ( asuncion [dot] ballarin [at] hubruxelles [dot] be (asuncion[dot]ballarin[at]hubruxelles[dot]be)), Valerie Burion (val%C3%A9rie [dot] burion [at] hubruxelles [dot] be (valérie[dot]burion[at]hubruxelles[dot]be)), and, for the Jules Bordet Institute, Ingrid Amorison (ingrid [dot] amorison [at] hubruxelles [dot] be).  Discover the Pancreatology and Nutritional Support Clinic

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The Pancreatology and Nutritional Support Clinic is a specialised medical unit dedicated to the diagnosis, treatment and follow-up of pancreatic diseases, as well as to the nutritional management of patients suffering from undernutrition, digestive disorders or requiring artificial nutrition. Contact the Clinic Are you a doctor and would like to obtain your patients’ medical results?Are you looking for information or do you need to deal with an administrative matter?Contact our medical secretariat by email at SecMed [dot] GastroMed [dot] erasme [at] hubruxelles [dot] be (SecMed[dot]GastroMed[dot]erasme[at]hubruxelles[dot]be)  Provide each patient with specialised care The Pancreatology and Nutritional Support Clinic is dedicated to providing each patient with specialised, personalised and multidisciplinary care, incorporating the latest medical and scientific advances in the fields of pancreatology and clinical nutrition. Image Image Image We are committed to: Diagnose and treat all pancreatic diseases, whether inflammatory (acute and chronic pancreatitis), autoimmune, hereditary or tumour-related, using state-of-the-art technical facilities (interventional endoscopy, advanced imaging and specialised surgery). Provide nutritional support for patients suffering from malnutrition, malabsorption or dependence on artificial nutrition (enteral or parenteral nutrition), in close collaboration with dietitians, clinical nurses and specialised pharmacists. Coordinate a multidisciplinary approach to ensure a rigorous diagnostic assessment and individualized therapeutic management, in line with current scientific recommendations. Promote clinical and fundamental research in the fields of pancreatology and nutrition, in order to continuously improve practices and provide our patients with access to the most innovative treatments. Train tomorrow’s healthcare professionals as part of our university mission, by sharing our expertise with students and doctors in training or visiting doctors who join us. Our range of care services •    Acute pancreatitis•    Chronic pancreatitis, including idiopathic and genetic forms•    Pancreatic cysts•    Autoimmune pancreatitis•    Malnutrition requiring artificial nutritional support (enteral or parenteral nutrition)•    Placement and management of enteral feeding tubes (by the Digestive Endoscopy Clinic)•    Short bowel syndrome•    Obscure gastrointestinal bleeding originating from the small intestine Our team Our multidisciplinary team, comprising specialist physicians, nurses and paramedical professionals, provides comprehensive and coordinated care for pancreatic diseases and nutritional disorders, in close collaboration with the general practitioner to ensure continuity of care. Prof. Marianna Arvanitakis, Director of the Pancreatology and Nutritional Support Clinic Gastroenterologist specialising in pancreatic diseases, interventional endoscopy and clinical nutrition. Professor Marianna Arvanitakis specialised in pancreatology and interventional endoscopy as part of Professor Jacques Devière’s team at Erasme Hospital. After obtaining a university diploma in Clinical Nutrition in 2005, she took over the medical coordination of the nutritional support service in 2018. The research conducted within the clinic focuses in particular on optimising the management of patients with severe acute pancreatitis and chronic pancreatitis, as well as on the management of patients suffering from short bowel syndrome. A member of several scientific societies, she is Secretary General of the European Society of Gastrointestinal Endoscopy (ESGE) for the 2025–2027 term and a clinical supervisor in gastroenterology for the Université libre de Bruxelles (ULB). Prof. Alia Hadefi Professor Hadefi is a gastroenterologist with expertise in clinical nutrition and metabolic liver diseases. She completed her doctoral thesis in 2024 on the interaction between the intestine and liver diseases, and undertook additional training in 2025 within the Department of Gastroenterology, Chronic Inflammatory Bowel Diseases (IBD) and Nutritional Support at Beaujon Hospital (Paris).Languages spoken: French, English, Arabic. Dr Michael Fernandez Y Viesca Dr Fernandez is a gastroenterologist with expertise in pancreatology, acquired after obtaining a university diploma in pancreatology in 2017 (Sorbonne). He is the coordinating physician for benign pancreatic diseases within the multidisciplinary pancreatology consultation and is currently preparing a doctoral thesis on severe acute pancreatitis.Languages spoken: French, English, Spanish. Wound care, stomatherapy, clinical nutrition A nursing team by your side to treat wounds, support people with a digestive stoma bag, and ensure appropriate nutrition.Clinical nutrition nurseErasmus HospitalAsuncion Ballarin, Stomatherapy nurse, clinical nutritionValérie Burion Jules Bordet InstituteIngrid Amorison   Meet our nursing team The departments with which the clinic collaborates Digestive surgery Lien vers Digestive surgery Digestive Oncology Lien vers Digestive Oncology Medical Imaging Lien vers Medical Imaging Interventional Radiology Lien vers Interventional Radiology Anatomical Pathology Centre Dietetics Lien vers Dietetics Hospital Pharmacy Lien vers Hospital Pharmacy Image Research and Innovation The Pancreatology and Nutritional Support Clinic is involved in various research projectsOptimisation of the management of patients with severe acute pancreatitis (Dr Fernandez Y Viesca), in collaboration with the Medical Imaging DepartmentChronic pancreatitis: Quality of life and Patient-Reported Outcomes (PROMs) (Dr Fernandez)Prevention of refeeding syndrome (RFS) using an application (Prof. Hadefi)Impact of endoscopic suturing gastroplasty (ENDOMINA) on liver diseases (steatohepatitis associated with liver dysfunction), in collaboration with the Centre of Pathological Anatomy (Prof. Hadefi)Study of new medications for short bowel syndrome (GLP-2 analogues) (Prof. Hadefi)Relationship between short bowel syndrome and liver diseases (Intestinal Failure-Associated Liver Disease (IFALD) (Prof. Hadefi) Resources and useful links [SCIENTIFIC ARTICLE] Pancreatic cysts and the risk of malignant transformation [SCIENTIFIC ARTICLE] Infected pancreatic necrosis and multidrug-resistant bacte… [SCIENTIFIC ARTICLE] Nutrition and diabetes [SCIENTIFIC ARTICLE] Endoscopic and percutaneous drainage for acute pancreatitis [SCIENTIFIC ARTICLE] European recommendations for exocrine pancreatic insuffici… [SCIENTIFIC ARTICLE] ESPEN European recommendations on clinical nutrition in ac… [SCIENTIFIC ARTICLE] Nutritional strategies for non-alcoholic fatty liver disea… [SCIENTIFIC ARTICLE] ASGE-ESGE recommendations on bariatric and metabolic endos… [ARTICLE] Feeding tube: a tool to take care of yourself when your body needs it

MyHUB is the entire hospital just a click away! MyHUB: What is it? MyHUB is the application that gives you control of your relations with the Erasmus Hospital: Make an appointment Consult the diary of your scheduled appointments and hospitalisationsUpdate your contact details in our files: address, telephone number, GP, etc. Tell us where and when you want the options you indicate for your hospitalisations to apply (menu preferences, type of room, etc.) Read at leisure all the most important information for your hospital stayRegister your medication and receive a reminder of when you must take it (and easy communication of details to your doctor)For certain departments, make an appointment directly in the app.  MyHUB online Download the app and use Itsme to connect!Download MyHUB for AndroidDownload MyHUB for iOS Click for more informations Connecting to MyHUB without Itsme Nom | Naam Prénom | Voornaam Date de naissance | Geboorte datum Sexe | Geslacht Homme Femme Nationalité | Nationaliteit Numéro de téléphone portable | Telefoonnummer Adresse mail | E-mail adres NISS (uniquement pour personnes résidant en Belgique) | INSZ (alleen voor inwoners in België Adresse | Adres Rue et numéro | Straat en straatnummer Code postal | Postcode Commune | Gemeente Pays | Land