Division of Gastroenterology

Hamilton Health Sciences

Hamilton Health Sciences is Ontario’s most comprehensive healthcare system with five hospital sites and five specialized facilities in Hamilton and West Niagara. The Division of Gastroenterology at McMaster University provides clinical services at three of its campuses: McMaster University Medical Centre, the Juravinski Hospital and the Hamilton General Hospital.

McMaster University Medical Center

Dr. Frances Tse

Dr. Frances Tse
Chief of Service for
Gastroenterology, HHS

Division of Gastroenterology
McMaster University Medical Centre
1200 Main Street West,
Hamilton, Ontario L8N 3Z5

905.521.2100 X76404

Administrative Assistant: Krista Derkach
905.521.2100 X76404

McMaster University Medical Centre (MUMC) is a major hospital in Ontario with three key services: McMaster Children’s Hospital, Women’s Health Centre and Adult Outpatient Services. The site is a regional referral center for high-risk obstetrics and gynecology. Additionally, it serves as the home for a range of adult outpatient clinics and day surgery.

MUMC supports a comprehensive outpatient facility (2F clinic) that hosts 36 clinics per week, including specialty celiac disease clinic, Barrett’s esophagus clinic, complex inflammatory bowel disease (IBD) clinic, complex motility clinic, and nutrition clinic. It has a four-room endoscopy unit, where the majority of outpatient procedures including upper GI endoscopy, colonoscopy, and flexible sigmoidoscopy are performed. A unique GI clinical investigation unit offers special testing that is often not found at other centers including hydrogen breath testing for fructose/lactose malabsorption and small bowel bacterial overgrowth. The state-of-the-art motility laboratory offers a variety of diagnostic services including high-resolution esophageal manometry, esophageal pH and impedance testing, anorectal manometry, anorectal biofeedback therapy, and capsule endoscopy.

With its state-of-the-art training facility in endoscopy, MUMC is one of the first training centers certified by the Canadian Association of Gastroenterology (CAG) for conducting the Skills Enhancement for Endoscopy (SEE™) Program. Two accredited programs are offered at this site: (1) the Colonoscopy Skills Improvement (CSI) program, which is designed to provide up-skilling and improvement of colonoscopy skills for all practicing endoscopists; (2) Train-the Endoscopy-Trainer (TET), which is designed to improve teaching skills and procedural conscious competence needed to teach colonoscopy for teachers of colonoscopy. The Division of Gastroenterology at McMaster University has recognized and embraced quality assurance and quality improvement in colonoscopy as a priority and is reflected as such by our commitment in hosting these regular colonoscopy training courses for all endoscopists across Canada.

MUMC also hosts the Farncombe Family Digestive Health Research Institute (formerly known as the Intestinal Diseases Research Program), a world-renowned digestive disease research group that is recognized for its integrated multi-disciplinary approach encompassing bench-to-bedside research and close collaborations between clinicians, clinician-scientists, and basic scientists. The Farncombe Institute has a strong focus on the role of the intestinal microbiota in health and disease and the Institute contains Canada’s first gnotobiotic laboratory, a metagenomics platform and a microbiology laboratory specializing in the culture of human commensal bacteria. There is a clinical research unit within the Institute that conducts clinical trials, meta-analyses, epidemiological studies in affiliated hospitals as well as on a national and international basis.

Juravinski Hospital

The Juravinski Hospital and Cancer Center is recognized as a regional center of excellence in cancer care, orthopedics and hepatobiliary surgery. The Regional Cancer Program at the Juravinski Hospital delivers a full spectrum of cancer care services, with programs ranging from prevention, screening and diagnosis to treatment including chemotherapy and the region’s only radiation treatment program. It is home to the region’s only stem cell transplant, acute leukemia and blood cancer programs. In addition, the Juravinski Hospital is the site of the region’s only hepatobiliary surgery center supported by a complete state-of-the-art diagnostic and interventional radiology service. A comprehensive cancer clinical trials program is also housed at the Escarpment Cancer Research Institute.

The Division of Gastroenterology maintains a busy Gastrointestinal inpatient unit (C3) and an inpatient consultation service for all aspects of gastrointestinal, liver and pancreatic disease at the Juravinski Hospital. The inpatient unit is supported by a dedicated multidisciplinary team including consultant gastroenterologists, residents, nurses, dieticians, occupational therapists, and social workers. It has a three-room endoscopy unit with equipment and facilities for upper GI endoscopy, colonoscopy, endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound (EUS).

Hamilton General Hospital

Hamilton General Hospital is recognized as a regional center of excellence in cardiovascular care, neurosciences, trauma and burn treatment, stroke and rehabilitation. The Heart Investigation Unit (HIU) at the Hamilton General Hospital is the largest center in Ontario with four state-of-the-art cardiac catheterization laboratories with over 10,000 procedures performed annually, including cardiac catheterizations, angioplasties, valvuloplasties and percutaneous aortic valve implantations. It has also grown to become one of the largest cardiac surgery hospitals in Canada, performing over 1,600 open-heart surgeries annually. It is home to the David Braley Cardiac, Vascular and Stroke Research Institute, which brings together two world-renowned research teams – the Population Health Research Institute (PHRI) and the Thrombosis and Atherosclerosis Research Institute (TaARI).

The Division of Gastroenterology maintains a busy inpatient consultation service for all aspects of gastrointestinal, liver and pancreatic disease at the Hamilton General Hospital. It has a two-room endoscopy unit with equipment and facilities for upper GI endoscopy, colonoscopy, and ERCP.

The 11 gastroenterologists based at MUMC hold their outpatient clinics in the new 2F Digestive Diseases area, co-located with surgeons specializing in digestive diseases and supported by the HHS Home Parenteral Nutrition Team, the Enterostomal Therapy Team and Registered Dietitians specializing in Digestive Health. The GI Investigation Unit at MUMC offers facilities for a wide range of specialized tests including high-resolution esophageal manometry, anorectal manometry with biofeedback therapy, breath hydrogen testing, 13C urea breath testing and wireless capsule endoscopy.

The Division of Gastroenterology at the MUMC site conducts a wide range of clinical research studies in the areas of gastroesophageal reflux disease, Barrett’s esophagus, dyspepia and peptic ulcer disease, irritable bowel syndrome and constipation, inflammatory bowel disease (ulcerative colitis and Crohn’s disease), nutrition, gastrointestinal motility and endoscopy. These studies are closely aligned with the basic science research studies performed by the Farncombe Family Digestive Health Research Institute as part of a long-term, translational strategy for coordinated ‘bench-to-bedside’ research.