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Consultation Info.:049-228-3411

Number Info.:049-228-3400

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Department of Digestive Tract and General Surgery

May 14,2021 Update

Introduction

In the Department of Digestive Tract and General Surgery, the motto is "sufficient explanation for the patients and treatment by specialists with no complications," and we are focusing on surgical treatment of malignant tumors of the gastrointestinal tract and benign diseases. A characteristic of our department is to practice treatments in a wide range of areas while maintaining a high level of expertise.

[Surgical treatment/multidisciplinary medical treatment of gastrointestinal cancers]

For esophageal cancer, gastric cancer, and colorectal cancer, we actively introduce minimally invasive treatments such as endoscopic treatments (in conjunction with the Department of Gastroenterology and Hepatology) and laparoscopic surgery in response to the progression, and we strive to improve the quality of life of our patients. When it is not possible to treat with routine surgery, we aim for cures in combination with extended surgery, chemotherapy and radiotherapy (in cooperation with the Department of Radiation Oncology). In terms of function preservation, we actively aim to preserve digestive tract function after gastric cancer resections and preserve the anus in surgery for lower rectal cancers. For recurrent lesions of gastric cancer and colorectal cancer, we aim to reduce the lesions by using combinations that include effective chemotherapy and aim to heal by actively performing liver metastasis resections.

[Surgical treatment for benign diseases]

We also provide surgical treatment for relatively infrequent diseases such as esophageal achalasia, esophageal hiatus hernia, and inflammatory bowel diseases (ulcerative colitis, Crohn's disease), etc. There are also numerous surgeries in the general surgical areas such as inguinal hernia, acute appendicitis, benign anal diseases (hemorrhoids, anal fistulas, anal fissures, anal prolapse), etc.

[Cancer genetic medicine and hereditary colorectal cancer]

Chemotherapy is central to the treatment of malignant tumors of the gastrointestinal tract that cannot be cured by endoscopic or surgical treatment. A number of genes in the tumor are examined to select the optimal treatment (such as the choice of chemotherapy), and we will drive the so-called cancer genome medicine. Genetic diagnosis, surgical treatment, and long-term follow-up of hereditary colorectal cancer (such as familial colorectal adenomas and Lynch syndrome) have been performed aggressively, and many patients from all over the country have been visiting us.

Patient care at our department

[Outpatient care]

Initial consultation:
For the initial consultation, please consult with a stuff in charge of surgery outpatients on the first floor in mornings from Monday to Friday where possible.
The reception desk hours are from 8:00am to 11:00am. The examination start time is 9:00am. It is preferable to bring a letter of referral, but it is fine if you don't have one. It is possible to receive a checkup on the day of the doctor's follow-up examination as a new patient.
If you are a new patient and need to be hospitalized, the outpatient staff may explain the flow for hospitalization, or may introduce you to the admission and discharge support office if necessary.
In addition, transferring to a ward will be performed by the outpatient medical director. As a result of the entire examination at the clinic, the treatment policy, and in particular the operative type of surgery may be different from the content described in the outpatient department, but in that case, we will explain in detail after admission.
Return visits:
Each organ specialist will be responsible for the post-operative follow-up and chemotherapy. Chemotherapy is available at the outpatient chemotherapy center.

[Unique outpatient]

At unique specialist outpatient, we provide appropriate medical information (such as selection of treatment methods) and genetic diagnosis for hereditary colorectal cancers such as familial colorectal adenomas (colorectal polyposis) and Lynch syndrome. You must be counseled by a certified genetic counselor when you undergo a genetic diagnosis. Where possible, please bring a letter of referral.

[Inpatient care]

The medical clinic is divided into three to four teams, practicing the most important team medicine in the surgical practice. The team rounds will be done every morning from 8:30am. The explanation before treatment and obtaining the consent form for treatment is usually done after hospitalization. The daily treatment is done by a surgical team, but we have all of the staff of the treatment departments participate in a conference (twice a week) and the general manager does rounds (once a week). Through these procedures, we examine the conditions of the hospitalized patients, confirm the treatment policy, and examine any changes. The staff of the medical department will work together to provide the best treatment for the patients. We are striving every day.

Main diseases

  • Esophageal cancer
  • Gastric cancer
  • Small intestine cancer
  • Colorectal (colon, rectal, anal) cancer
  • Metastatic liver cancer (colorectal cancer, gastric cancer, etc.)
  • Inflammatory bowel disease (ulcerative colitis, Crohn's disease, intestinal Behcet's disease)
  • Familial colorectal adenomatosis (familial colorectal polyposis)
  • Peutz‐Jeghers' syndrome
  • Juvenile polyposis syndrome
  • Lynch syndrome
  • Acute appendicitis
  • Strangulation ileus
  • Adhesive ileus
  • Idiopathic esophageal rupture
  • Upper gastrointestinal tract (stomach, duodenum) perforation
  • Colorectal perforation
  • Anal disease (internal hemorrhoids, anal fistula, perianal abscess, anal fissure)
  • Anal prolapse/rectal prolapse
  • Hernia (inguinal, groin, abdominal wall scar, etc.)
 

Target Symptoms

Esophageal cancer:
Difficulty swallowing, weight loss, chest pain, back pain, hoarse voice, bloody sputum
Gastric cancer:
Epigastric discomfort, heartburn, nausea, loss of appetite, anemia, black stool
Colorectal cancer:
Bloody stool, narrowing of stool, feeling of constipation, abdominal bloating, abdominal pain, anemia, weight loss
Metastatic liver cancer:
A lump in the right hypocondrium, abdominal pain
Ulcerative colitis:
Bloody stool/mucous and blood in stool, diarrhea, hematogenous diarrhea, abdominal pain, fever, loss of appetite, weight loss, anemia
Crohn's disease
Abdominal pain, diarrhea, weight loss, fever, anal fistula, intestinal obstruction, intestinal perforation
Familial adenomatous polyposis:
Lots of polyps in the stomach and large intestine.
Lynch syndrome:
Large number of relatives with colorectal cancer and uterine body cancer
Acute appendicitis:
Fever, right lower abdominal pain
Ileus:
Abdominal pain, vomiting, no bowel movement or passing gas.
Gastrointestinal perforation:
Abdominal pain (sharp pain), fever
Hemorrhoid
Bleeding and pain during bowel movements
Anal prolapse:
Stool leakage, difficulty in defecation, discomfort in the lower abdomen, difficulty urinating.
Inguinal hernia:
Protruding inguinal bulge, inguinodynia

Treatment results

Outpatients Year 2017 14494 people
Esophageal cancer 1,332 people
Stomach cancer 3,382 people
Small intestinal cancer 26 people
Colon cancer 2,255 people
Rectal cancer 1,771 people
Metastatic liver cancer 30 people
Ulcerative colitis 239 people
Crohn’s disease 145 people
Familial colorectal adenomatosis 11 people
Acute appendicitis 123 people
Ileus 51 people
Idiopathic esophageal rupture 8 people
Upper gastrointestinal tract perforation 761 people
Lower gastrointestinal tract perforation 2,495 people
Internal hemorrhoid 446 people
Anal fistula 77 people
Anal prolapse/rectal prolapse 58 people
Scrotal hernia 438 people
Femoral hernia 14 people
Abdominal incisional hernia 842 people
Admissions in 20171,485 people
2017 - Surgeries 934 people
Esophageal cancer 32 cases
Gastric cancer 107 cases
Colon cancer 145 cases
Rectal cancer 50 cases
Acute appendicitis 78 cases
Inguinal hernia 108 cases
Other 414 cases

Medical staff

Name Job Title Position Specialized Field Credentials
石田 秀行
(Ishida Hideyuki)
消化管外科・一般外科スタッフ001
Professor Chief of Clinical Services General Surgery (Colorectlal surgery)
Hereditary colorectal cancerCancer Chemotherapy
Board Certified Surgeon (Jpn Surg Assoc, Jpn Soc Gastroenterolo Surg)
Faculty(tentative), Subspecialty Board of Medical Oncology, JSMO
持木 彫人
(Mochiki Erito)
消化管外科・一般外科スタッフ002
Professor Vice-Chief of Clinical Services General Surgery
(Gastric surgery)
Endoscopic surgery
Board Certified Surgeon (Jpn Surg Assoc, Jpn Soc Gastroenterolo Surg)
Endoscopic surgical skill qualification system: qualified surgeon (Jpn Soc Enodsc Surg)
da Vinci Xi Certificate
熊谷 洋一
(Kumagai Yoichi)
消化管外科・一般外科スタッフ003
Associate Professor Manager of Inpatient Services General Surgery (Esophageal surgery) Board Certified Surgeon (Jpn Surg Assoc, Jpn Soc Gastroenterolo Surg)
Board Certified Fellow (Jpn Soc Gastroenterologocal Endosc)
松山 貴俊
(Takatoshi Matsuyama)
消化管外科・一般外科スタッフ004
Associate Professor Chief of Research General Surgery (Colorectal surgery) Board Certified Surgeon (Jpn Surg Assoc, Jpn Soc Gastroenterolo Surg)
Endoscopic surgical skill qualification system: qualified surgeon (Jpn Soc Enodsc Surg)
Board Certified Fellow (Jpn Soc Gastroenterologocal Endosc)
石畝 亨
(Ishiguro Tohru)
消化管外科・一般外科スタッフ004
Assistant Professor Manager of Residency Programs General Surgery(Esophagp-Gastric Surgery)
Endoscopic Surgery
Board Certified Surgeon (Jpn Surg Assoc, Jpn Soc Gastroenterolo Surg)
Endoscopic surgical skill qualification system: qualified surgeon (Jpn Soc Enodsc Surg)
da Vinci Xi Certificate
幡野 哲
(Hatano Satoshi)
消化管外科・一般外科スタッフ007
Assistant Professor Manager of Outpatient Services General Surgery(Colorectal Surgery) Board Certified Surgeon(Jpn Surg Assoc, Jpn Soc Gastroenterol Surg)
Board Certified Fellow (Jpn Soc Gastroenterologocal Endosc)
豊増 嘉高
(Toyomasu Yoshitaka)
消化管外科・一般外科スタッフ008
Assistant Professor General Surgery(Gastric Surgery)
Endoscopic surgery
Board Certified Surgeon (Jpn Surg Assoc,Jpn Soc Gastroenterolo Surg)
近 範泰
(Chika Noriyasu)
消化管外科・一般外科スタッフ010
Instructor General Surgery(Colorectal Surgery) Board Certified Surgeon(Jpn Surg Assoc, Jpn Soc Gastroenterol Surg)
山本 梓
(Yamamoto Azusa)
消化管外科・一般外科スタッフ022
Instructor General Surgery Board Certified Surgeon (Jpn Surg Assoc)
伊藤 徹哉
(Itou Tetsuya)
消化管外科・一般外科スタッフ011
Instructor General Surgery (Gastric surgery)
Endoscopic surgery
Board Certified Surgeon(Jpn Surg Assoc, Jpn Soc Gastroenterol Surg)
Board Certified Fellow (Jpn Soc Gastroenterologocal Endosc)
近谷 賢一
(Chikatani Kenichi)
消化管外科・一般外科スタッフ012
Instructor General Surgery(Colorectal Surgery) Board Certified Surgeon (Jpn Surg Assoc,Jpn Soc Gastroenterolo Surg)
Board Certified Fellow (Jpn Soc Gastroenterologocal Endosc)
佐藤 拓
(Sato Taku)
消化管外科・一般外科スタッフ012
Instructor Department of General Surgery(Heapato-Pancreato-Biliary Surgery) Board Certified Surgeon(Jpn Surg Assoc, Jpn Soc Gastroenterol Surg)
山本 瑛介
(Yamamoto Eisuke)
消化管外科・一般外科スタッフ013
Instructor Department of General Surgery Board Certified Surgeon (Jpn Surg Assoc)
石川 博康
(Ishikawa Hiroyasu)
消化管外科・一般外科スタッフ015
Instructor Department of General Surgery Board Certified Surgeon (Jpn Surg Assoc)
杉野 葵
(Sugino Aoi)
消化管外科・一般外科スタッフ017
Instructor Department of General Surgery Board Certified Surgeon (Jpn Surg Assoc)
入江 直子
(Naoko Irie)
消化管外科・一般外科スタッフ017
Instructor Department of General Surgery
花田 真成美
(Hanada Manami)
消化管外科・一般外科スタッフ017
Instructor Department of General Surgery
鈴木 興秀
(Suzuki Okihide)
消化管外科・一般外科スタッフ017
Assistant Professor
ゲノム診療科兼担
General Surgery Hereditary cancer Board Certified Surgeon (Jpn Surg Assoc,)
母里 淑子
(Mori Yoshiko)
消化管外科・一般外科スタッフ017
Assistant Professor
ゲノム診療科兼担
General Surgery
Cancer Genomu
Board Certified Surgeon(Jpn Surg Assoc, Jpn Soc Gastroenterol Surg)
辻 美隆
(Tsuji Yoshitaka)
消化管外科・一般外科スタッフ018
Professor Surgical Oncology Board Certified Surgeon (Jpn Surg Assoc,Jpn Soc Gastroenterolo Surg)
石橋 敬一郎
(Ishibashi Keiichirou)
消化管外科・一般外科スタッフ019
Associated Professor General Surgery(Colorectal Surgery) Board Certified Surgeon(Jpn Surg Assoc, Jpn Soc Gastroenterol Surg)
Board Certified Fellow (Jpn Soc Gastroenterologocal Endosc)
岩間 毅夫
(Iwama Takeo)
消化管外科・一般外科スタッフ020
Part-time surgeon General Surgery
Hereditary cancer
Board Certified Surgeon (Jpn Surg Assoc,Jpn Soc Gastroenterolo Surg)
福地 稔
(Fukuchi Minoru)
消化管外科・一般外科スタッフ021
Part-time surgeon General Surgery(Gastric Surgery) Board Certified Surgeon (Jpn Surg Assoc,Jpn Soc Gastroenterolo Surg)
馬場 裕之
(Baba Hiroyuki)
消化管外科・一般外科スタッフ021
Part-time surgeon Department of General Surgery(Heapato-Pancreato-Biliary Surgery) Board Certified Surgeon (Jpn Surg Assoc,Jpn Soc Gastroenterolo Surg)
小倉 俊郎
(Ogura Toashirou)
消化管外科・一般外科スタッフ021
Part-time surgeon Department of General Surgery(Heapato-Pancreato-Biliary Surgery) Board Certified Surgeon (Jpn Surg Assoc,Jpn Soc Gastroenterolo Surg)
天野 邦彦
(Amano Kunihiko)
消化管外科・一般外科スタッフ005
Part-time surgeon General Surgery(Colorectal Surgery) Board Certified Surgeon (Jpn Surg Assoc,Jpn Soc Gastroenterolo Surg)

Outpatient clinic

Department of Digestive Tract and General Surgery
  Monday Tuesday Wednesday Thursday Friday Saturday
午前
初診
(交替制)
(交替制)
(交替制)
(交替制)
(交替制)
(交替制)
再診

熊谷 洋一
(Kumagai Yoichi)
石田 秀行
(Ishida Hideyuki)
持木 彫人
(Mochiki Erito)
石畝 亨
(Ishiguro Toru)
中田 博
(Nakata Hiroshi)(3週)

豊増 嘉高
(Toyomasu Yoshitaka)
母里 淑子
(Mori Yoshiko)
石橋 敬一郎
(Ishibashi Keiichiro)

近 範泰
(Chika Noriyasu)
専門外来





肛門疾患外来
(交替制)
午後
再診
鈴木 興秀
(Suzuki Okihide)
伊藤 徹哉
(Ito Tetsuya)
近谷 賢一
(Chikatani Kenichi)
石橋 敬一郎
(Ishibashi Keiichiro)
石畝 亨
(Ishiguro Toru)

佐藤 拓
(Sato Taku)
松山 貴俊
(Matsuyama Takatoshi)
近 範泰
(Chika Noriyasu)
幡野 哲
(Hatano Satoshi)
大澤 智徳
(Osawa Tomonori)
(第4週)
(再診のみ)



猪熊 滋久
(Inokuma Shigehisa)
(不定期)
中島 日出夫
(Nakajima Hideo)
松山 貴俊
(Matsuyama Takatoshi)
(1.2.3週)



岩間 毅夫
(Iwama Takeo)
(1.3週)



専門外来


ゲノム診断
大腸術前
(予約のみ)
緩和ケア外来
﨑元 雄彦
(Sakimoto Masahiko)

To the Medical Institutions

In the Department of Digestive Tract and General Surgery, we treat with a focus on (1) Surgical treatment for malignant tumors occurring in the gastrointestinal tract, such as esophageal, gastric, duodenal, small intestine, large intestine, anus, etc., (2) A multidisciplinary treatment, including chemotherapy and chemical radiation therapy for advanced esophageal cancer, gastric cancer, and colorectal cancer, (3) Surgical treatment for abdominal emergency diseases such as ileus, gastrointestinal perforation, colon diverticulitis, acute appendicitis, etc., (4) Surgical treatment of peritoneal disease (such as inguinal hernia, femoral hernia, closed hole hernia, etc.). We are always aiming to practice high quality medical care while working closely with the doctors at the medical institutions to which we have referred.

The number of annual surgeries for gastrointestinal malignancies in recent years consists of 25 to 30 cases of esophageal cancer. 100 to 120 gastric cancers and 180 to 200 colorectal cancers, and the proportion of arthroscopic surgery is increasing every year. Even with advanced and re-carcinogenesis, there is a significant increase in opportunities for resection due to advances in chemotherapy, and we are actively resecting with a focus on the liver metastasis of gastric and colorectal cancer, not only to improve the survival rate, but also to practice a multidisciplinary treatment aimed at healing and not just improving the survival rate. In order to actively participate in regional cooperation, we are committed to the surgery and dissemination of local cooperation paths for gastric cancer and colorectal cancer, so we may ask you to have a mutual physician's relationship with the patients who you have referred to us for five years after the surgery.

The number of patients with hereditary carcinoma of the colon and rectum (digestive tract polyposis and Lynch syndrome) is extremely large and they are referred from all over the country. Minimally invasive treatment and genetic diagnosis of colorectal polyposis and duodenal polyposis is possible.

We have built a system to respond promptly and accurately, not just to elective surgery but also to acute abdominal diseases which are mainly abdominal emergency diseases.
Although the treatment policy is standardized for each disease under the responsibility of the general manager of the medical care policy, the individual support is done in detail based on the risk assessment and we strive to reduce the complications. Our staff is prepared with all of our body and soul to provide the best medical care.

Please contact the following for the inquiries or consultation from patients.

Contact information Gastrointestinal tract and general surgical instructor Toru Ishiguro(itoru@saitama-med.ac.jp)
Person in charge of second opinions
Colorectal diseases (including hereditary tumors) and others Director and professor, Hideyuki Ishida
Gastric diseases Dupty director professor, Erito Mochigi
Esophageal diseases Assoc. Prof., Youichi Kumagai
埼玉医科大学バナー 埼玉医科大学看護学校バナー