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Practical information Service location: Erasmus Hospital (general hospital), level -1: follow route 671.5 intensive care units: Unit 1-2-3-4-5Visiting hours: 2:30 pm to 7:30 pm: maximum of 2 visitorsIs one of your relatives admitted or due to be admitted to the Intensive Care Unit of Erasmus Hospital?Intensive care reception: 02/555.33.95 (10 am–6 pm) or admissions department: 02/555.16.78.You will find other useful information about our service by clicking here.Are you a general practitioner and would you like to obtain the medical results of your patients?secmed [dot] usi [dot] erasme [at] hubruxelles [dot] be Continuous care for the most vulnerable patients Our department provides multidisciplinary care for patients. These include hospitalized patients or patients referred from the emergency department or the operating room who are in critical condition and require continuous close monitoring, 24 hours a day, 7 days a week. We deliver this care with respect for patients’ autonomy and wishes, without any discrimination based on their condition or beliefs. Image Image Image Image Conditions managed exclusively in the Intensive Care Unit of the H.U.B. Acute neurological care: traumatic brain injuries, cerebral hemorrhages, unexplained coma, stroke, epilepsy, …Acute cardiological care: cardiac arrest and post–cardiac arrest care, arrhythmias, heart failure and circulatory support (LVAD, heart transplantation, ECMO)Thromboembolic diseases (in collaboration with the Pulmonary Embolism Response Team Erasme), pulmonary hypertensionTransplant patients (cardiac, pulmonary, hepatic, renal, pancreatic, …)ARDS (veno-venous ECMO), complex ventilator weaning in collaboration with the pulmonology departmentPulmonary fibrosisComplex thoracic surgery: postoperative follow-upLiver cirrhosis and acute liver failureAcute or chronic renal failureSickle cell diseaseOnco-hematology Image Care services offered by the Intensive Care Unit of the H.U.B. The department brings together specialized staff (physicians, nurses, physiotherapists, …) and the specific equipment required for the monitoring and treatment of critical illnesses.Comprehensive management of patients suffering from organ failurePersonalized care pathways following an acute eventHolistic approach to care in collaboration with a dietitian, a psychologist, an occupational therapist, physiotherapists, nursing assistants, and the hospital’s medical specialistsRegular communication with patients’ familiesInnovations: post–intensive care consultation, possibility of animal-assisted contact with the unit’s dog (Yuki) under strict hygiene conditions, “Green ICU”, … Intensive Care at H.U.B.: key figures Number of patients treated 2.800 each year Number of transplants 190 per year Number of extracorporeal membrane oxygenation (ECMO) procedures 40 per year Prof. Fabio Taccone, Head of the Intensive Care Department Prof. Fabio Silvio Taccone is Professor of Intensive Care Medicine and Head of the Intensive Care Department at the Brussels University Hospital (H.U.B. – Erasmus Hospital). He received his medical training in Italy and specialized in internal medicine and intensive care in Belgium. He then pursued his academic and clinical career at H.U.B., where he is now internationally recognized as an expert in intensive care medicine. His main areas of expertise include neurocritical care (traumatic brain injury, subarachnoid hemorrhage, stroke), the management of sepsis and septic shock, advanced hemodynamic support, and multimodal monitoring techniques in critical care. He is the author or co-author of more than 900 indexed scientific publications and has participated in numerous international multicenter clinical trials. He is an active member of several scientific societies, including the ESICM (European Society of Intensive Care Medicine), and regularly contributes to international guidelines and consensus statements. As department head, he combines clinical, academic, and research activities, with a strong commitment to training young intensivists and disseminating knowledge. He is also involved in organizing leading international conferences such as ISICEM (International Symposium on Intensive Care & Emergency Medicine). Our team Image Our intensivists Filippo AnnoniGilles BoumazaCharles Dehout  Côme GarinJulie GorhamVincent LabbéRaphaël LarsenMehdi MezidiAnthony MoreauRaphaël MottaleLeda NobileZoé PletschetteChahnez TalebMichael WatchiKatarina Winant-Halenarova  Head nurses:ICU 1: Daniele ColluraICU 2: Gaetan CrohinICU 3: Laetitia GeldhofICU 4: Nathalie BaillyICU 5: Gwenaelle MercierChristian VanderwallenHead Nurse of the DepartmentYves MaetensChief PhysiotherapistFrédéric BonnierPsychologistAraxie MatossianDietitianGabrielle BonneIntensive Care ReceptionFlorence AbrassartLaura JacminDepartment dogYuki Our scientific publications Lien vers https://www.nejm.org/doi/full/10.1056/NEJMoa2214552 Mild Hypercapnia or Normocapnia after Out-of-Hospital Cardiac Arrest Eastwood G, Nichol AD, Hodgson C, Parke RL, McGuinness S, Nielsen N, Bernard S, Skrifvars MB, Stub D, Taccone FS, Archer J, Kutsogiannis D, Dankiewicz J, Lilja G, Cronberg T, Kirkegaard H, Capellier G, Landoni G, Horn J, Olasveengen T, Arabi Y, Chia YW, Markota A, Hænggi M, Wise MP, Grejs AM, Christensen S, Munk-Andersen H, Granfeldt A, Andersen GØ, Qvigstad E, Flaa A, Thomas M, Sweet K, Bewley J, Bäcklund M, Tiainen M, Iten M, Levis A, Peck L, Walsham J, Deane A, Ghosh A, Annoni F, Chen Y, Knight D, Lesona E, Tlayjeh H, Svenšek F, McGuigan PJ, Cole J, Pogson D, Hilty MP, Düring JP, Bailey MJ, Paul E, Ady B, Ainscough K, Hunt A, Monahan S, Trapani T, Fahey C, Bellomo R; TAME Study Investigators. N Engl J Med. 2023 Jul 6;389(1):45-57. doi: 10.1056/NEJMoa2214552. Epub 2023 Jun 15. Lien vers https://www.nejm.org/doi/full/10.1056/NEJMoa2115998 Treating Rhythmic and Periodic EEG Patterns in Comatose Survivors of Cardiac Arrest Ruijter BJ, Keijzer HM, Tjepkema-Cloostermans MC, Blans MJ, Beishuizen A, Tromp SC, Scholten E, Horn J, van Rootselaar AF, Admiraal MM, van den Bergh WM, Elting JJ, Foudraine NA, Kornips FHM, van Kranen-Mastenbroek VHJM, Rouhl RPW, Thomeer EC, Moudrous W, Nijhuis FAP, Booij SJ, Hoedemaekers CWE, Doorduin J, Taccone FS, van der Palen J, van Putten MJAM, Hofmeijer J; TELSTAR Investigators. N Engl J Med. 2022 Feb 24;386(8):724-734. doi: 10.1056/NEJMoa2115998. Lien vers https://www.nejm.org/doi/full/10.1056/NEJMoa2100591 Hypothermia versus Normothermia after Out-of-Hospital Cardiac Arrest Dankiewicz J, Cronberg T, Lilja G, Jakobsen JC, Levin H, Ullén S, Rylander C, Wise MP, Oddo M, Cariou A, Bělohlávek J, Hovdenes J, Saxena M, Kirkegaard H, Young PJ, Pelosi P, Storm C, Taccone FS, Joannidis M, Callaway C, Eastwood GM, Morgan MPG, Nordberg P, Erlinge D, Nichol AD, Chew MS, Hollenberg J, Thomas M, Bewley J, Sweet K, Grejs AM, Christensen S, Haenggi M, Levis A, Lundin A, Düring J, Schmidbauer S, Keeble TR, Karamasis GV, Schrag C, Faessler E, Smid O, Otáhal M, Maggiorini M, Wendel Garcia PD, Jaubert P, Cole JM, Solar M, Borgquist O, Leithner C, Abed-Maillard S, Navarra L, Annborn M, Undén J, Brunetti I, Awad A, McGuigan P, Bjørkholt Olsen R, Cassina T, Vignon P, Langeland H, Lange T, Friberg H, Nielsen N; TTM2 Trial Investigators. N Engl J Med. 2021 Jun 17;384(24):2283-2294 Lien vers https://jamanetwork.com/journals/jama/fullarticle/2824930 Restrictive vs Liberal Transfusion Strategy in Patients With Acute Brain Injury: The TRAIN Randomized Clinical Trial Taccone FS, Rynkowski CB, Møller K, Lormans P, Quintana-Díaz M, Caricato A, Cardoso Ferreira MA, Badenes R, Kurtz P, Søndergaard CB, Colpaert K, Petterson L, Quintard H, Cinotti R, Gouvêa Bogossian E, Righy C, Silva S, Roman-Pognuz E, Vandewaeter C, Lemke D, Huet O, Mahmoodpoor A, Blandino Ortiz A, van der Jagt M, Chabanne R, Videtta W, Bouzat P, Vincent JL; TRAIN Study Group. JAMA. 2024 Nov 19;332(19):1623-1633 Research in Intensive Care Ongoing clinical studiesEsScape 996Multicenter phase III study evaluating the efficacy and safety of trimodulin versus placebo in adult hospitalized patients with community-acquired pneumonia requiring mechanical ventilation.Secondary objectives include detailed assessment of pharmacokinetic (PK) properties in a sub-study and evaluation of pharmacodynamic properties.Sponsored by Biotest AG.BONANZAInternational multicenter ICU study aiming to reduce cerebral hypoxia following severe traumatic brain injury. The study evaluates whether optimization of cerebral oxygenation management using a brain monitoring catheter, compared with standard care based solely on intracranial pressure monitoring, improves neurological outcomes at 6 months.In collaboration with Monash University (New Zealand).BTI-203Randomized, double-blind, placebo-controlled phase II study assessing the efficacy and safety of recombinant human plasma gelsolin as an adjunct to standard therapy in moderate to severe acute respiratory distress syndrome (ARDS) due to pneumonia or other infections.Sponsor: BioAegis Therapeutics, Inc.CAFSRandomized controlled trial comparing three management strategies (risk control, heart rate control, and rhythm control) for de novo supraventricular arrhythmias during septic shock in adult patients. The primary endpoint is a hierarchical outcome combining mortality and duration of septic shock. Secondary endpoints include rhythm control efficacy, morbidity and mortality, and tolerance.Study conducted by AP-HP (France).EPO-TRAUMARandomized, double-blind, multicenter trial comparing erythropoietin alfa versus placebo in severely traumatized mechanically ventilated patients. The primary endpoint is mortality and severe disability at 6 months.Conducted in collaboration with Monash University (New Zealand).LATTEClinical study evaluating the impact of hypertonic sodium lactate administration in patients surviving cardiac arrest who remain unconscious.Funded by the European Society of Intensive Care Medicine (ESICM) and the Erasme Fund for Medical Research.OXYTRIPInternational, multicenter, randomized controlled study comparing two transfusion strategies in ICU patients: a “standard” strategy (target hemoglobin ≤ 9 g/dl according to international guidelines) versus a “targeted” strategy (target hemoglobin ≤ 7 g/dl to optimize oxygen debt).Initiated by the University of Ferrara (Italy).PRINCESS 2Prehospital Resuscitation Intranasal Cooling Effectiveness Survival Study. International multicenter study investigating whether early therapeutic hypothermia in out-of-hospital cardiac arrest improves survival and neurological recovery. Brain cooling is initiated on-site using intranasal cooling (RhinoChill) versus standard resuscitation with normothermia maintained for 72 hours in ICU.In collaboration with Karolinska Hospital (Stockholm, Sweden).PRO-ACTMulticenter, randomized, double-blind study evaluating probiotics versus placebo to reduce ventilator-associated pneumonia in brain-injured or stroke patients in ICU.STEPCAREInternational multicenter study on post-resuscitation care in unconscious patients after out-of-hospital cardiac arrest. The goal is to determine the optimal combination of sedation, temperature, and blood pressure management to improve survival and limit neurological sequelae.Study sponsor: Helsingborg Hospital.STRADA-CEFNational multicenter study evaluating stratified ceftriaxone dosing based on augmented renal clearance in hospitalized patients with severe community-acquired pneumonia. The aim is to assess the impact of adjusted dosing on length of stay.Initiated by UZ Leuven.TELSTAR 2Randomized, multicenter clinical trial with medico-economic evaluation of anti-epileptic drug treatment in comatose patients after cardiac arrest presenting with status epilepticus on continuous EEG. The study assesses whether anti-epileptic therapy improves recovery.Conducted by the University of Twente (Netherlands).TRECRandomized multicenter study evaluating red blood cell transfusion thresholds (liberal ≤ 9 g/dl Hb vs restrictive ≤ 7 g/dl Hb) in patients receiving ECMO. The primary endpoint is 90-day mortality.Conducted by Amsterdam UMC.VENTILORandomized, controlled, multicenter trial comparing non-invasive ventilation with high-flow nasal oxygen in post-extubation respiratory failure. The primary endpoint is 28-day mortality.Sponsor: Poitiers University Hospital (France). Intensive Care Education at H.U.B. Our academic department welcomes healthcare professionals in training from all medical and paramedical disciplines on a daily basis. Teaching takes place at the patient’s bedside as well as through numerous seminars and practical training sessions using simulation.

Our role When an organ is no longer functioning (well), a donor can donate their organ. The healthy organ is transplanted to the patient, offering him or her the chance of a return to a normal life.     Image “Organ donation is a part of a system of Belgian and supranational solidarity. We identify the donors and register them with Eurotransplant which then allocates the organs to persons on the waiting list with priority for the most seriously ill. We also manage those on the waiting list and the organs we receive for our patients.”      Professor Thierry Gustot, Director of the H.U.B. Transplant Department. Our specialities Organ transplantation at the H.U.B. is organised transversally per organ and always involving two specialist departments. The Medical Department cares for persons with “organ insufficiencies” while they await a transplant and subsequently provides post-transplant monitoring, most notably managing the anti-rejection treatment and risk of infection. The Surgery Department is responsible for the actual organ removal and transplantation.  Responsibility for heart transplants lies with the Cardiac Insufficiency Clinic (cardiology) and thoracic surgery.Responsibility for lung transplants lies with pneumology for the medical aspects and with thoracic surgery. Responsibility for liver transplants  lies with gastroenterology for the medical aspects and with the Liver Transplant Clinic (digestive surgery).Responsibility for  kidney transplants lies with nephrology for the medical aspects and with the Kidney Transplant Functional Unit (digestive surgery).Overseeing these 4 transplant units is the Transplant Coordination Cell. This team of specialised nurses manages interaction between the donor centres and Eurotransplant as well as the waiting lists and interactions with the specialist doctors in charge of patients waiting for an organ. In the event of compatibility and agreement, the Cell organises the logistics of the transplant: communication with  the patient, secure transport of the organ, mobilisation of the surgery team, reserving of a room in the operating area, etc.    Our Team Image Our medical specialists Focus The H.U.B. Transplant Department has expertise in what liver transplants can contribute in the case of multivisceral insufficiency (kidney, circulation, brain, etc.). The director of the department is also Principal Investigator for a major global study on the subject (CHANCE).     Research The H.U.B. Transplant Department works with the Institute of Medical Immunology on research projects relating to transplant immunology (rejection, organ tolerance, ischaemia-reperfusion, etc.) The department also works on terminal phase liver insufficiency, in partnership with the Experimental Gastroenterology Department.   Teaching The H.U.B. Transplant Department organises the Sympadot, an annual symposium dedicated to the latest progress in organ donation and transplantation. This symposium is for all local coordinators of organ donations within the H.U.B.-ULB network.    Publications Early liver transplantation for severe alcohol-related hepatitis not responding to medical treatment : a prospective controlled study. Autors : Louvet A, Labreuche J, Moreno C, Vanlemmens C, Moirand R, et al. Lancet Gastroenterol HepatolJournal : 2022 ;7(5) :416-425. PMID 35202597 A randomized controlled trial of liposomal cyclosporine A for inhalation in the prevention of bronchiolitis obliterans syndrome following lung transplantation. Journal : Am J Transplant 2022 ;22(1) :222-229. PMID 34587371. Long-term outcome after venoarterial extracorporeal mebrane oxygenation as bridge to left ventricular assist device preceding heart transplantation. Autors : Coeckelenbergh S, Valente F, Mortier J, et al.Journal : J Cardiothorac Vasdc Anesth 2022 ;36(6) :1694-1702. PMID 34330577. 5-year outcomes of the prospective and randomized CISTCERT study comparing steroid withdrawal to replacement of cyclosporine with everolimus in de novo kidney transplant patients. Journal : Transpl Int 2021 ;34(2) :313-326. PMID : 33277746.

Contacting the Emergency Department In the event of a life-threatening emergency, dial 112 immediately.Emergency Department address:Rue Meylemeersch 56, 1070 BrusselsOpen 24 hours a day, 7 days a weekFor any other questions or informationEmergency Department Reception:+32 (0)2 555 34 02Medical Secretariat:Ms. Klein Maryse – Ms. Stéphanie Vanlier+32 (0)2 555 34 00Secmed [dot] urgences [dot] Erasme [at] hubruxelles [dot] bePlease contact us between 8:30 a.m. and 12:00 p.m. and from 2:00 p.m. to 4:00 p.m. for all requests related to documents, certificates and attestations. Image How to reach the Emergency Department? Our department is accessible:By car – visitor parking located directly next to the Emergency DepartmentBy public transport (metro – Line 5, Erasme station)By ambulance – via 112Clear signage is provided from the hospital entrance to the Emergency Department reception. Image Upon arrival at the Emergency Department If you come to the Emergency Department on your own, please go directly to the administrative reception desk located at the entrance of the department.Please bring with you:Your identity cardYour health insurance cardAny additional health insurance coverageRelevant medical documents (prescriptions, health record, etc.)In case of waiting timeAlthough we do everything possible to reduce waiting times, a waiting period may be necessary depending on patient volume and the severity of ongoing cases. We therefore recommend that you bring:A phone chargerA book, tablet or headphonesItems to occupy young children: toys, comfort items, snacks, etc.Our team will keep you informed throughout your care. Thank you for your patience and understanding. Image Our role The Emergency Department of the H.U.B. brings together three university hospitals (Erasme Hospital, the Jules Bordet Institute and the Children’s Hospital - HUDERF) and provides the population with access to general and specialized medical care 24/7.A qualified team of emergency physicians and specialized nurses ensures follow-up of complex conditions already treated within our institution, facilitates coordination with specialists, and welcomes all new patients regardless of the actual or perceived severity of their condition.The Emergency Department has recently been completely redesigned to offer a modern, functional and patient-centered environment. Through an ambitious renovation, we have placed people at the heart of care. Our department is organized to provide patients and their families with a smooth care pathway, guiding patients through dedicated care zones adapted to the severity of their condition, in a safe and caring environment.Key figuresCapacity of 40,000 patients per year3 triage boxes + 4 care zonesUp to 8 beds in the Observation Unit (UDS)Dedicated pediatric and adult careBilingual service: FR / NLTeaching mission for physicians in training Image Image Image Vision and operating model Our mission is based on three fundamental pillars:Care: providing respectful and compassionate reception to every patientCure: ensuring accurate diagnosis and rapid treatmentCounsel: guaranteeing clear information and appropriate medical follow-upOur visionTo create a smooth, humane and efficient patient experience, supported by an innovative organization and an architecture designed around care.A paired care modelEach patient is cared for by a medical–nursing duo from arrival and throughout their entire care pathway. This model significantly improves quality of care, communication and safety.We also benefit from a unique multidisciplinary team in Brussels: emergency physicians, internists, anesthesiologists, surgeons, senior pediatricians, and more. This breadth of expertise guarantees comprehensive, high-level care. Our infrastructure Our new infrastructure, designed around the concept of “function supported by architecture”, includes:Triage areasTriage levels 1 to 3: rapid assessment according to severityTriage 3 – Ultra Ultra Short Stay: minor cases that can be treated quickly without hospitalizationCare areasZones 1, 2 and 3: according to medical complexityTriage 4: minor conditions not requiring hospitalizationShock room: for the most critical casesObservation Unit (UDS)6 to 8 temporary hospitalization bedsShort-term monitoring (3 to 24 hours)Waiting for an inpatient bed when necessaryTrauma careSpecialized area for surgical and orthopedic emergenciesDirect access to medical imaging for faster treatmentWhat’s next?Renovation work continues with:Renovation of the psychiatric care areaReorganization of medical examination rooms and the medical-nursing workspaceAll work is carried out without interruption of services, with full respect for patient and staff comfort. Our team Emergency physiciansNurses specialized in emergency careInternists, anesthesiologists, surgeons and pediatriciansPsychiatristsAmbulance staff and SMUR/SAMU driversAdministrative and reception staffDirector of the Emergency DepartmentDr. Adeline HIGUETDirector of the H.U.B. Pediatric DepartmentDr. Inge ROGGENDeputy DirectorProf. Nicolas MPOTOS ResidentsDr. Stéphan WILMINDr. Isabelle TCHOUNKEUDr. Anouk ETIENNEDr. Hamza YOUSFIInternistsProf. Benoit VOKAERProf. Frédéric VANDERGHENSTHead NurseNele OSTYNHead Nurse of the Emergency DepartmentCarina GOOSSENS Image Image Image Image Our medical intervention vehicle The Emergency Department of Erasme Hospital operates a Medical Intervention Vehicle (MIV). On board are a driver, an emergency physician and a nurse. At the request of emergency services (112), they can be dispatched to the field with all necessary resuscitation equipment to provide immediate medical care. The MIV carries out nearly 2,000 missions per year in the Brussels region and Flemish Brabant. Accreditation as a Level 1 Trauma Center Since 2022, Erasme Hospital has been accredited as a Level 1 Trauma Center. This specialized care pathway is activated for severely injured patients with suspected serious internal injuries. They are managed by specialists in orthopedics, neurosurgery, digestive surgery, and more. The Trauma Center includes the Emergency Department, Intensive Care Unit, Blood Bank, Medical Imaging and Operating Theatre. Image Teaching Since 2020, future emergency physicians are required to complete training sessions at SimLab, the ULB simulation laboratory. Using mannequins connected to dedicated software, they learn clinical procedures (intubation, catheter placement, etc.), how to respond to realistic clinical scenarios, and how to communicate effectively with other healthcare professionals.

Our role  Digestive surgery concerns the surgical treatment of pathologies of the digestive tract, pancreas, spleen, liver, bladder and bile ducts, peritoneum and adrenal glands. Spanning the Erasmus Hospital and the Jules Bordet Institute, our Brussels University Hospital (H.U.B) interhospital department treats cancers as well as other non-cancerous pathologies affecting these organs. The minimally invasive laparoscopic or robot-assisted surgery is used as a priority depending on the surgical indications.   Image Our specialities  The Interhospital Department of Digestive Surgery consists of 4 major units within which specialist surgeons operate: The Hepato-Pancreatico-Biliary Surgery, Liver Transplant and Adrenal Clinic is concerned with surgery of the liver (liver cancers of the hepatocarcinoma or cholangiocarcinoma type, hepatic metastases, benign liver tumours), the pancreas (pancreatic cancers, duodenal cancers, neuroendocrine tumours, cystic lesions, chronic pancreatitis) and bile ducts as well as liver transplants and adrenal pathologies.  The Oesogastric, Bariatric and Abdominal Wall Clinic covers cancerous (oesophageal and stomach cancer) or functional pathologies (hiatal hernia and gastroesophagial reflux) of the upper digestive tract, obesity surgery (sleeve gastrectomy, gastric bypass,etc.) and abdominal wall surgery (hernia, eventration).The Colorectal, Peritoneal and Proctology Clinic carries out surgery for cancerous (colorectal cancer) or benign (Crohn’s disease, ulcero hemorrhagic rectoilitis) pathologies of the  colon, rectum, peritoneum (peritoneal carcinomatosis) and anus (prolapsus, haemorrhoids, anal fistula, incontinence).The Kidney Transplant and Organ Donation Functional Unit is responsible for kidney transplants and organ donations in cooperation with the transplant coordination team.    Our team Image Our specialists Colorectal Surgery ClinicPr. Gabriele LIBERALEDr. Najla BACHIRDr. Francesco MARCHEGIANIDr. Fikri BOUAZZADr. Joost MAURISSENConsultantsDr. Nicolas CLAEYSDr. Florence HUTHepato-Pancreato-Biliary Surgery ClinicPr. Ali BOHLOKPr. Vincent DONCKIERPr. Patrizia LOIDr. Desislava GERMANOVADr. Valerio LUCIDIDr. Julie NAVEZConsultantsDr. Jean CLOSSET Functional Unit for Kidney TransplantationDr. Thomas CAESDr. Nikolaos KOLIAKOSDr. Dimitri MIKHALSKIOesogastric, Bariatric and Abdominal Wall Surgery ClinicPr. Patrizia LOIDr. Pietro RIVADr. Maarten VANDER KUYLENConsultantsPr. Issam EL NAKADIDr. Jean CLOSSETDr. Meriem ENNAJIDr. Abdel Ilah MEHDIPediatric Surgery ClinicDr. Pierre LINGIER Focus Since July 2019 the site of the H.U.B’s Erasmus Hospital has been a reference centre approved by the INAMI/RIZIV [National Institute for Health and Disability Insurance]  for surgery of the pancreas and oesophagus. This is in keeping with the  Ministry of Health’s project to centralise complex surgery at experienced  high volume hospitals with a large multidisciplinary technical platform so as to improve the quality of care for these pathologies.   Liver transplantation is also an area in which our department excels, for the treatment of serious liver disease (acute and chronic) as well as primary liver cancer, offering excellent results in the long term. In 2023 our team carried out its 1,000th liver transplant.   The Department of Digestive Surgery has developed expertise in the treatment of peritoneal metastases. The surgery can be coupled with Intraperitoneal Hyperthermic Chemotherapy (IPHC). This technique involves administering a “bath” of anticancer drugs with the aim of destroying residual cancer cells after surgical resection of the metastases.    Research Operating within a university hospital, the development of medical knowledge through scientific research is seen as an essential role of our interhospital department. As such, we take part in a number of clinical trials and you may be asked whether you wish to participate and thereby have the opportunity to receive an innovative treatment. The Department of Digestive Surgery works with the ULB’s Laboratory of Experimental Gastroenterology on translational research, especially on pancreatic cancer and liver diseases and cancers. This enables us to better understand the mechanisms of these pathologies and improve their treatment.  Publications Lien vers https://pubmed.ncbi.nlm.nih.gov/36031469/ Tumor biology reflected by histological growth pattern is more important than surgical margin for the prognosis of patients undergoing resection of colorectal liver metastases. Bohlok A, Inchiostro L, Lucidi V, Vankerckhove S, Hendlisz A, Van Laethem JL, Craciun L, Demetter P, Larsimont D, Dirix L, Vermeulen P, Donckier V. Eur J SurgOncol 2023.  14 January 2023 Lien vers https://pubmed.ncbi.nlm.nih.gov/37382873/ Long-Term Outcomes 10 Years after Laparoscopic Sleeve Gastrectomy: a Single Center Retrospective Analysis. Vital R, Navez J, Gunes S, Tonneau C, Mehdi A, Moussaoui IE, Closset J. ObesSurg 2023.  14 August 2023 Lien vers https://pubmed.ncbi.nlm.nih.gov/36999597/ Neoadjuvant chemotherapy associated with isotoxic high-dose stereotactic body radiotherapy does not increase postoperative complications after pancreaticoduodenectomy for nonmetastatic pancreatic cancer. Navez J, Bouchart C, Mans L, Devos S, Loi P, Closset J, Van Laethem JL. J Surg Oncol 2023 14 July 2023 Lien vers https://pubmed.ncbi.nlm.nih.gov/?term=el%20nakadi%20issam&sort=date&size=200 Esophageal cancer: Outcome and potential benefit of esophagectomy in elderly patients. Laurent A, Marechal R, Farinella E, Bouazza F, Charaf Y, Gay F, Van Laethem JL, Gonsette K, El Nakadi I. 2022 14 October 2022

Under constrcution The Erasmus Hospital offers this service for the care of our patients. The page is currently being updated. However, you can make an appointment for this service by clicking on "make an appointment". Our team Image Our specialists

Our role Dermatology is the medico-surgical speciality concerned with diseases of the skin, the mucous membranes and integument (hair, nails, body hair). Image Image In addition to dermatological diseases as such, other diseases or certain treatment can also have an impact on skin health. This is why dermatologists often work closely together with other medical or surgical services Pr Véronique Del Marmol Head of the Interhospital Dermatology Department at the H.U.B. Our specialities The H.U.B’s Interhospital Dermatology Department is structured as follows: General dermatology is often the gateway to another specialised consultation.   Paediatric dermatology, which straddles the Erasmus Hospital and the HUDERF, treats all skin diseases in children.   Oncological dermatology, which straddles the Jules Bordet Institute and the Erasmus Hospital, treats all skins cancers (melanoma and others) and skin lymphomas, as well as  dermal toxicities linked to certain cancer treatments. Innovative methods of early diagnosis are also available.    Dermatological emergencies responds to acute and sudden problems. Examples: allergic reaction, zona disease, skin infection, acute diabetic foot, etc.    Chronic sore care (especially sores linked to diabetic foot) is carried out at the Erasmus Medical Center (EMC).  The Allergology Clinic treats  contact allergies, eczema, hives and certain occupational diseases that affect the skin. Its activities are  both diagnostic (patch test, prick test, etc.) and therapeutic. The reference centre for Verneuil’s disease (or hidradenitis suppurativa) is Belgium’s only centre  dedicated to this disease.  It is a part of a European Reference Network (ERN). ***mettre logo ERN + lien vers vidéo*** The skin, hair and hormones consultation is concerned with skin diseases that could have a hormonal origin. Examples: hirsutism, alopecia (hair loss), alopecia areata, stubborn acne, etc.   A dermatologist holds a consultation in gynaecology for diseases  affecting the  female genital mucosa. Examples: vaginal candidiasis, STIs, condyloma, etc.   The consultation dedicated to diseases of the  male genital mucosa. Examples: STIs, condyloma, etc. .  The psoriasis consultation (see dedicated sheet).  The immunity disorders consultation  follows up transplant patients or patients with an innate or acquired immunity disorder that results in skin fragility.   Joint consultations with other specialists are proposed for  Inflammatory diseases (such as psoriatic arthritis), with rheumatology; Auto-immune bullous and systemic diseases of the lupus type, with  internal medicine ; Dermatosurgery with plastic surgery; Dermatopaediatrics with paediatrics; Mucosal diseases with gynaecology. Aesthetic dermatology proposes laser treatment for rosacea and laser CO2 for  dermabrasion treatment.Please note: A supplement of 55 euros will be charged for non-invasive skin imaging (L-OCT). In the case of a complex consultation (multiple lesions, for example), a supplement of 75 euros will be charged. An additional charge of 100 euros will be made for mapping. Our team Image Our specialists Focus The H.U.B’s Interhosptial Dermatology Department is the reference and training centre for non-invasive imaging. By combining a confocal microscope and optical coherence tomography (LC-OCT), it is possible, for example, to see in the epidermis with near-cell resolution. This permits a diagnosis of certain diseases without having to take a skin sample (biopsy).  Image Research The H.U.B’s Interhospital Dermatology Department carries out many clinical and translational research projects. In particular, it helps draw up disease registers   (Verneuil’s disease/ hidradenitis suppurativa, psoriasis, skin cancers, etc.). This provides for a better understanding of their sub-types, their development and response to treatment.   

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.   

Our role Gastroenterology is the medico-technical discipline concerned with digestive pathologies, that is, pathologies of the digestive tract - from the mouth to the anus – and the organs and glands situated in the abdomen: liver, pancreas and gall bladder.  Image Although we are separate entities, in practice we form together with digestive surgery and digestive oncology a large medico-surgical department that treats digestive pathologies. Within which our patients often follow integrated care pathways. Our specialities The Erasmus Hospital's Medical Gastroenterology Department spans 7 clinics that correspond to recognised fields of expertise:The Intestinal Diseases Clinic (examples: Crohn's disease,  cœliac disease, ulcerative colitis, auto-immune diseases)  The Digestive Endoscopy Clinic The Liver Disease Clinic that is a reference centre, especially for advanced liver diseasesThe Liver Transplant Clinic that carries out liver transplants The Functional Digestive Pathologies Clinic – pathologies that are the number one reason for consultations in gastroenterology – that proposes, in particular, a digestive comfort consultation for irritable intestine syndrome and gastro-oesophageal reflux, for example   The Pancreatic Diseases and Nutritional Support Clinic that treats non-cancerous pancreatic diseases (e.g. pancreatitis), problems of (mal)nutrition and parenteral feeding, at hospital or at home     The Integrated Obesity Centre. Our team Image Our specialist doctors Focus The Erasmus Hospital Medical Gastroenterology Department is a reference centre – and reputed training centre – for endoscopy, for purposes of diagnosis and treatment.  New procedures at the leading edge of technology are studied here.  Cooperation with the ULB's Polytechnic Faculty has even permitted the development of an endoscope able to carry out partial gastric sleeve surgery. This procedure has shown its effectiveness in weight loss among obesity patients.   Research Thanks to its large "biobank", the Medical Gastroenterology Department works with the ULB's Experimental Gastroenterology Laboratory in pursuing 3 main lines of translational research:  liver diseases and cancerschronic inflammatory bowel diseasespancreatic cancers.A clinical research unit permits access to innovative treatments, notably in oncology, hepatology and inflammatory bowel diseases.   Publications Common genetic variation in alcohol-related hepatocellular carcinoma: a case-control genome-wide association study Authors: Eric Trépo, PhD *, Stefano Caruso, PhD *, Jie Yang, PhD *, Sandrine Imbeaud, PhD, Gabrielle Couchy, PhD, Quentin Bayard, PhDJournal : The Lancet Oncology, Volume 23, Issue 1, January 2022 Endoscopic sutured gastroplasty in addition to lifestyle modification: short-term efficacy in a controlled randomised trial Authors: Vincent Huberty, Ivo Boskoski, Vincenzo Bove, Pauline Van Ouytsel, Guido Costamagna, Marc A Barthet, Jacques DevièreJournal : Gut-Bmj Journal, published October 28, 2020 Collecting New Peak and Intermediate Infliximab Levels to Predict Remission in Inflammatory Bowel Diseases Authors: Claire Liefferinckx, Jérémie Bottieau, Jean-François Toubeau, Debby Thomas, Jean-François Rahier, Edouard Louis, Filip Baert, Pieter Dewin, Lieven Pouillon, Guy Lambrecht, François Vallée, Severine Vermeire, Peter Bossuyt, Denis FranchimontJournal : Inflammatory Bowel Diseases, Volume 28, Issue 2, February 2022, Pages 208–217 Long-term outcomes in patients with decompensated alcohol-related liver disease, steatohepatitis and Maddrey's discriminant function Authors: Delphine Degré, Rudolf E. Stauber, Gaël Englebert, Francesca Sarocchi, Laurine Verset, Florian Rainer, Walter Spindelboeck, Hassane Njimi, Eric Trépo, Thierry Gustot, Carolin Lackner, Pierre Deltenre, Christophe Moreno Journal : Journal of Hepatology, 2020, vol. 72

Under construction The Erasmus hospital offers this service for the care of our patients. The page is currently being updated. However, you can make an appointment for this service by clicking on "make an appointment". Our team Image Our specialists

Under construction The Erasmus Hospital offers this service for the care of our patients. The page is currently being updated. However, you can make an appointment for this service by clicking on "make an appointment". Our team Image Our specialists