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Number Info.:049-228-3400

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Department of Gastroenterology and Hepatology

November 10,2021 Update

Introduction

My name is Sumiko Nagoshi, a professor in the Department of Gastroenterology and Hepatology. Our department is basically in charge of medical services for the entire area of the Gastroenterology department. Doctors in this department are trained to give medical services for all digestive disorders.

These medical services for gastroenterology are mainly categorized into; malignant diseases such as esophageal cancer, stomach cancer, colorectal cancer, liver cancer, gallbladder cancer and pancreatic cancer, and benign diseases such as esophageal inflammation, gastric and duodenal ulcers and inflammatory bowel disease. Or they could be categorized into intractable diseases such as inflammatory bowel disease and daily diseases or non-refractory diseases such as gastric and duodenal ulcers and reflux esophagitis. We also provide services to many patients with hepatitis and pancreatitis. We are also involved with emergency services daily, and not just for malignant diseases such as cancer or inflammatory bowel disease which could be refractory. Those emergency patients who come with gastrointestinal bleeding, intestinal obstructions or obstructive jaundice, which in many cases are emergency patients are also important medical treatment subjects. Internal Medicine basically tends to be mainly drug treatment and nutrition therapy, however for a department of gastrointestinal medicine such as ours, we give patients a diagnosis using an endoscope and remove early-stage cancer, which is a significant difference from the classification between internal medicine and surgery from 20 to 30 years ago. If it is early-stage cancer, it can be removed endoscopically in internal medicine and liver cancer can be treated by radiofrequency ablation in internal medicine along with vascular embolization requests to radiology. However, advanced or metastatic cancer requires surgical treatment or required anticancer drug treatment, so we will refer that to the department of surgery. Basically, patients who have a consultation in our department are often able receive services from the department of surgery or the department of radiology, and multiple departments cooperate in the treatment.

Patient care at our department

Outpatient care
In the case of the first visit, you will receive a check up during the reception hours of 9 am to 11 am from Monday to Friday, and then come to the doctor of the Department of Gastroenterology and Hepatology in charge of new patients in the emergency clinic. We recommend that you have a referral letter from another medical institution, so that you can go to our clinic smoothly. Even if you have no referral letter, you can see the doctor in charge of a new patient without a referral letter. The doctor in charge of new patients will treat all patients with any digestive disease or with the chief complaint of gastrointestinal symptoms.
The return visit is for the outpatients who need to receive medical care at our department after the first visit or leaving from our hospital where they receive treatment as inpatients. If a highly specialized consultation is required for a revisit outpatient, the doctor in charge may be determined according to the doctor's specialty. The main specialties of outpatient physicians include upper and lower gastrointestinal disorders, functional gastrointestinal disorders, inflammatory bowel disease, liver diseases, pancreatico-biliary diseases, esophageal cancer, gastric cancer, early colorectal cancer, liver cancer, pancreatico-biliary cancer. You will need to make a reservation after your first visit to our department.
Endoscopic inspection
For endoscopy, you can receive an endoscopic examination immediately on that day if you are consulted in a state when you haven’t eaten. In the case of the lower gastrointestinal endoscopy, prior treatment will be carried out before the day of the examination, but it will even be done on that day if it requires urgency.
Hospitalization
In principle, the date of hospitalization is determined by the doctor in charge of hospitalization through the outpatient clinic. In the case of a referral from another hospital, they will have to visit the outpatient clinic first. If the patients themselves are unable to come to us, the family member or parents, etc. will need to visit the outpatient clinic as their representative. The hospitalization essentially required a reservation, but same day hospitalization will be considered when there is an emergency.

Main diseases

Esophageal diseases
Reflux esophagitis, esophageal varices, esophageal ulcers, Mallory Weiss syndrome, esophageal cancer
Gastric and duodenal ulcer diseases
Gastritis, gastric adenomas, gastric ulcers, helicobacter-pylori infections, stomach cancer, duodenal cancer
Lower gastrointestinal tract disease
Duodenal ulcers, duodenal adenomas, colon polyps, irritable bowel syndrome, bleeding of the colon diverticulum, colon diverticulitis, ulcerative colitis, Crohn's disease, intestinal Behcet's disease, ileus, chronic constipation, diarrhea, infectious enteritis, ischemic enteritis, colorectal cancer
Liver disorder
Cirrhosis, autoimmune hepatitis, primary bilious cholangitis, chronic hepatitis B, chronic hepatitis C, drug hepatitis, acute hepatitis, hepatic dysfunction, hepatic encephalopathy, hepatic ascites, hepatic abscess, intrahepatic calculosis, hepatocellular tumors
Biliary diseases
Obstructive jaundice, choledochal stones, bile duct inflammation, gallbladder disease, gallbladder stones, bile duct cancer, gallbladder cancer
Pancreatic disorder
Chronic pancreatitis, acute pancreatitis, pancreatic cysts, intraductal papillary mucinous tumors, pancreatic neuroendocrine tumors, pancreatic cancer
Other
Functional gastrointestinal tract disturbances, gastrointestinal bleeding

Target Symptoms

  • Loss of appetite
  • Nausea
  • Vomiting
  • Heartburn
  • Difficulty swallowing
  • Weight loss
  • Abdominal pain
  • Chest pain
  • Epigastric abdominal pain
  • Back pain
  • Feeling of fullness
  • Sense of fatigue
  • Obstipation
  • Dyspeptic symptoms
  • Steatorrhea
  • Diarrhea
  • Black stool
  • Bloody stool
  • Hematemesis
  • Fecal occult blood positive reaction as a result of the medical examination
  • Jaundice
  • Anemia

Treatment results

Admissions in 2019
Disease name(Number of cases)
Esophageal varicose veins 56
Esophageal cancer 39
Gastric ulcer 30
Stomach cancer 114
Gastric adenomas 13
Ulcerative colitis 43
Crohn’s disease 36
Adenomatosis / colorectal cancer 83
Gastrointestinal bleeding 111
Autoimmune hepatitis 7
Primary bilious cholangitis 17
Cirrhosis 77
Hepatocellular tumor 121
Cholangitis 82
Choledochal stones 87
Gallbladder disease 6
Bile duct cancer 16
Pancreatitis 74
Pancreatic cancer 132
Outpatients in 2019
Total number of outpatients38,840人

Medical staff

Name Job Title Position Specialized Field Credentials
名越 澄子
(Nagoshi Sumiko)
消化器・肝臓内科スタッフ002
Professor Director of the department of Gastroenterology and Hepatology
Chief of Clinical Services
Chief of Research
Hepatitis
Cirrhosis
Liver cancer
Board Certified Member/Instructor of the Japanese Society of Internal Medicine
Board Certified Gastroenterologist/Instructor of The Japanese Society of Gastroenterology
Board Certified Hepatologist/Instructor of the Japan Society of Hepatology
岡 政志
(Oka Masashi)
消化器・肝臓内科スタッフ004
Professor Vice-Chief of Clinical Services
Chief of Education
Director of Endoscopy Center
Gastrointestinal cancer Screeming
Helicobacter pylori
Gastrointestinal Endoscopy
Board Certified Member/Instructor of the Japanese Society of Internal Medicine
Board Certified Gastroenterologist/Instructor of The Japanese Society of Gastroenterology
Board Certified Fellow/Board Certified Trainer of the Japan Gastroenterological Endoscopy Society
Board Certified Specialist of the Japanese Society of Gastrointestinal Cancer Screening
加藤 真吾
(Kato Shingo)
消化器・肝臓内科スタッフ005
Associate Professor Inflammatory bowel disease
General digestive diseases
Disease of small intestine; Disease of small bowel
Fellow/Instructor of the Japanese Society of Internal Medicine (FJSIM)
Board Certified Gastroenterologist/Instructor of The Japanese Society of Gastroenterology
Board Certified Fellow/Board Certified Trainer of the Japan Gastroenterological Endoscopy Society
Board Certified Member/Instructor of The Japanese Gastroenterological Association Instructor of the Japanese Association for Capsule Endoscopy
Board Certified Hepatologist of the Japan Society of Hepatology
松原 三郎
(Matsubara Saburou)
消化器・肝臓内科スタッフ006
Associate Professor Manager of Residency Programs Diagnostic and therapeutic endoscopy for pancreatobiliary diseases (ERCP, EUS).
Percutaneous interventions for pancreatobiliary diseases
Chemotherapy for pancreatobiliary malignancies
Fellow/Instructor of the Japanese Society of Internal Medicine(FJSIM)
Board Certified Gastroenterologist/Instructor of The Japanese Society of Gastroenterology
Board Certified Fellow/Trainer of the Japan Gastroenterological Endoscopy Society
General Clinical Oncologist (by JBCT) Board Certified Expert of Japan Pancreas Society
高林 英日己
(Takabayashi Hidehiko)
消化器・肝臓内科スタッフ007
Associate Professor Manager of Outpatient Services Gastrointestinal tract disease
Endoscopic treatments
Fellow/Instructor of the Japanese Society of Internal Medicine (FJSIM)
Board Certified Gastroenterologist of The Japanese Society of Gastroenterology
Board Certified Fellow of the Japan Gastroenterological Endoscopy Society
General Clinical Oncologist (by JBCT)
Board Certified Member/Instructor of The Japanese Gastroenterological Association
可児 和仁
(Kani Kazuhito)
消化器・肝臓内科スタッフ008
Assistant Professor Manager of Inpatient Services Inflammatory bowel disease
Gastrointestinal tract disease
Disease of small intestine; Disease of small bowel
Board Certified Member/Instructor of the Japanese Society of Internal Medicine
Board Certified Gastroenterologist of The Japanese Society of Gastroenterology
Board Certified Fellow of the Japan Gastroenterological Endoscopy Society
Board Certified Member the Japanese Gastroenterological Association
山口 菜緒美
(Yamaguchi Naomi)
消化器・肝臓内科スタッフ011
Assistant Professor Liver disorder
Gastrointestinal hormone
Board Certified Member of the Japanese Society of Internal Medicine
Board Certified Gastroenterologist of The Japanese Society of Gastroenterology
Board Certified Fellow of the Japan Gastroenterological Endoscopy Society
Board Certified Hepatologist of the Japan Society of Hepatology
細見 英里子
(Hosohimi Eriko)
消化器・肝臓内科スタッフ026
Instructor Gastrointestinal tract disease
Functional gastrointestinal tract disturbances
Endoscopic treatments
Fellow of the Japanese Society of Internal Medicine
Board Certified Member of the Japanese Society of Internal Medicine
Board Certified Gastroenterologist of The Japanese Society of Gastroenterology
Board Certified Fellow of the Japan Gastroenterological Endoscopy Society
小暮 裕太
(Kogure Yuta)
消化器・肝臓内科スタッフ013
Instructor Nephrology
Polycystic kidney disease
Board Certified Member of the Japanese Society of Internal Medicine
Board Certified Nephrologist of the Japanese Society of Nephrology
大塚 武史
(Ohtsuka Takeshi)
消化器・肝臓内科スタッフ013
Instructor Biliary pancreatic disease Board Certified Member of the Japanese Society of Internal Medicine
Board Certified Gastroenterologist of The Japanese Society of Gastroenterology
寺井 悠二
(Terai Yuji)
消化器・肝臓内科スタッフ014
Instructor Board Certified Member of the Japanese Society of Internal Medicine
Board Certified Gastroenterologist of The Japanese Society of Gastroenterology
Board Certified Hepatologist/Instructor of the Japan Society of Hepatology
石橋 朗
(Ishibashi Akira)
消化器・肝臓内科スタッフ016
Instructor Board Certified Member of the Japanese Society of Internal Medicine
須田 健太郎
(Suda Kentaro)
消化器・肝臓内科スタッフ016
Instructor Board Certified Member of the Japanese Society of Internal Medicine
内田 党央
(Uchida Kumichika)
消化器・肝臓内科スタッフ018
Instructor Board Certified Member of the Japanese Society of Internal Medicine
中川 慧人
(Nakagawa Keito)
消化器・肝臓内科スタッフ019
Instructor Board Certified Member of the Japanese Society of Internal Medicine
堀 裕太朗
(Hori Yutarou)
消化器・肝臓内科スタッフ021
Instructor Board Certified Member of the Japanese Society of Internal Medicine
山鹿 渚
(Yamaga Nagisa)
消化器・肝臓内科スタッフ022
Instructor Board Certified Member of the Japanese Society of Internal Medicine
加藤 秀輔
(Katou Shusuke)
消化器・肝臓内科スタッフ022
Instructor
新井 智洋
(Arai Tomohiro)
消化器・肝臓内科スタッフ022
Instructor
砂田 莉沙
(Sunada Risa)
消化器・肝臓内科スタッフ022
Instructor
石垣 佑樹
(Ishigaki Yuki)
消化器・肝臓内科スタッフ022
Instructor
内田 信介
(Uchida Shinsuke)
消化器・肝臓内科スタッフ022
Instructor
酒井 駿
(Sakai Shun)
消化器・肝臓内科スタッフ022
Instructor
高橋 久一郎
(Takahashi Kyuichiro)
消化器・肝臓内科スタッフ022
Instructor
屋嘉比 康治
(Yakabi Kouji)
消化器・肝臓内科スタッフ001
Specially Appointed Professor Gastrointestinal tract disease
Acid-related diseases
Functional gastrointestinal tract disturbances
Board Certified Member/Instructor of the Japanese Society of Internal Medicine
Board Certified Gastroenterologist of The Japanese Society of Gastroenterology
Board Certified Fellow of the Japan Gastroenterological Endoscopy Society
Board Certified Member of the Japanese Gastroenterological Association
西川 稿
(Nishikawa Kou)
消化器・肝臓内科スタッフ023
Visiting Professor Endoscopic treatments
Liver disorder
Board Certified Member of the Japanese Society of Internal Medicine
Board Certified Gastroenterologist/Instructor of The Japanese Society of Gastroenterology
Board Certified Fellow/Board Certified Trainer of the Japan Gastroenterological Endoscopy Society
Board Certified Hepatologist/Instructor of the Japan Society of Hepatology
Board Certified Member of The Japanese Gastroenterological Association
和田 友則
(Wada Tomonori)
消化器・肝臓内科スタッフ024
Visiting Professor Endoscopic treatments
Liver disorder
Fellow/Instructor of the Japanese Society of Internal Medicine (FJSIM)
Board Certified Gastroenterologist/Instructor of The Japanese Society of Gastroenterology
Board Certified Fellow/Board Certified Trainer of the Japan Gastroenterological Endoscopy Society Board Certified Hepatologist of the Japan Society of Hepatology
青山 徹
(Aoyama Toru)
消化器・肝臓内科スタッフ024
Visiting Lecturer Liver disorder
Local therapy for hepatocellular carcinoma
Fellow of the Japanese Society of Internal Medicine
Board Certified Gastroenterologist of The Japanese Society of Gastroenterology
Board Certified Hepatologist of the Japan Society of Hepatology
Board Certified Fellow of the Japan Gastroenterological Endoscopy Society General Clinical Oncologist (by JBCT)
林 健次郎
(Gayashi Kenjirou)
消化器・肝臓内科スタッフ010
Visiting Lecturer Gastrointestinal tract disease
Endoscopic treatments
Board Certified Member of the Japanese Society of Internal Medicine
Board Certified Gastroenterologist of The Japanese Society of Gastroenterology
長船 靖代
(Osafune Yasuyo)
消化器・肝臓内科スタッフ026
Visiting Lecturer Board Certified Member of the Japanese Society of Internal Medicine
Board Certified Gastroenterologist of The Japanese Society of Gastroenterology
Board Certified Fellow of the Japan Gastroenterological Endoscopy Society
荒井 亮士
(Arai Ryoji)
消化器・肝臓内科スタッフ013
Adjunct Physician Board Certified Member of the Japanese Society of Internal Medicine
Board Certified Fellow of the Japan Gastroenterological Endoscopy Society
Board Certified Hepatologist of the Japan Society of Hepatology
藤田 徹郎
(Fujita Tetsuro)
消化器・肝臓内科スタッフ013
Adjunct Physician Board Certified Member of the Japanese Society of Internal Medicine
Board Certified Fellow of the Japan Gastroenterological Endoscopy Society
Board Certified Hepatologist of the Japan Society of Hepatology

Outpatient clinic

Department of Gastroenterology and Hepatology
  Monday Tuesday Wednesday Thursday Friday Saturday
午前
初診

紹介あり
(交替制)
(交替制)
(交替制)
(交替制)
(交替制)

初診

紹介なし
酒井 駿
(Sakai Shun)
石垣 佑樹
(Ishigaki Yuki)
内田 信介
(Uchida Shinsuke)
高橋 久一郎
(Takahashi Kyuichiro)

再診
屋嘉比 康治
(Yakabi Koji)
名越 澄子
(Nagoshi Sumiko)
高林 英日己
(Takabayashi
Hidehiko)
岡 政志
(Oka Masashi)
加藤 真吾
(Kato Shingo)

可児 和仁
(Kani Kazuhito)
松原 三郎
(Matsubara Saburou)
細見 英里子
(Hosomi Eriko)
堀 裕太朗
(Hori Yutarou)
寺井 悠二
(Terai Yuji)

内田 党央
(Uchida Kumichika)
山口 菜緒美
(Yamaguchi Naomi)
須田 健太郎
(Suda Kentaro)
大塚 武史
(Ohtsuka Takeshi)
石橋 朗
(Ishibashi Akira)


加藤 秀輔
(Kato Shusuke)

中川 慧人
(Nakagawa Keito)


午後
再診
屋嘉比 康治
(Yakabi Koji)
名越 澄子
(Nagoshi Sumiko)
高林 英日己
(Takabayashi
Hidehiko)
岡 政志
(Oka Masashi)
加藤 真吾
(Kato Shingo)

可児 和仁
(Kani Kazuhito)
松原 三郎
(Matsubara Saburou)
細見 英里子
(Hosomi Eriko)
大塚 武史
(Ohtsuka Takeshi)
寺井 悠二
(Terai Yuji)

内田 党央
(Uchida Kumichika)

須田 健太郎
(Suda Kentaro)

石橋 朗
(Ishibashi Akira)

To the Medical Institutions

Medical Service Content

Our department is a comprehensive department of gastrointestinal medicine for diseases of all of the digestive organs. Therefore, please refer your patients in the case where digestive diseases are suspected or digestive symptoms are the main complaint.

Regarding outpatient visits to the Department of Gastroenterology

First- time reception is between 9:00 am and 11:00 am from Monday to Friday. If you refer patients to us, please have the patients bring the referral letter and their medical information including the examination data and reports, and the images stored on CD-R, so that the medical service can proceed smoothly.

If a highly specialized consultation is required for a revisit outpatient, the doctor in charge may be determined according to the doctor's specialty. The main specialties of outpatient physicians include upper and lower gastrointestinal disorders, functional gastrointestinal disorders, inflammatory bowel disease, liver diseases, pancreatico-biliary diseases, esophageal cancer, gastric cancer, early colorectal cancer, liver cancer, pancreatico-biliary cancer.

Please refer patients on the day, from Monday to Friday, according to the list of "Medical Staff" and "Outpatient Clinic".

For patients referred to our department, we ask for their continued treatment at the original medical institution as much as possible following the completion of the treatment at our department.

Endoscopic inspection

For endoscopy, you can receive an endoscopic examination immediately on that day if you are consulted in a state when you haven’t eaten. In the case of the lower gastrointestinal endoscopy, prior treatment will be carried out before the day of the examination, but it will even be done on that day if it requires urgency.

Hospitalization

In principle, the date of hospitalization is determined by the doctor in charge of hospitalization through the outpatient clinic. In the case of a referral from another hospital, they will have to visit the outpatient clinic first. If the patients themselves are unable to come to us, the family member or parents, etc. will need to visit the outpatient clinic as their representative. The hospitalization essentially required a reservation, but same day hospitalization will be considered when there is an emergency.

埼玉医科大学バナー 埼玉医科大学看護学校バナー