Department of Gastroenterology and Hepatology

Introduction

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

Medical staff

Name	Job Title	Position	Specialized Field	Credentials
名越　澄子 (Nagoshi Sumiko)	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)	Professor	Vice-Chief of Clinical Services Chief of Education Adviser 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)	Professor	Medical director Director of IBD Center	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)	Professor	Manager of Residency Programs Director of Endoscopy Center	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
山口　菜緒美 (Yamaguchi Naomi)	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
寺井 悠二 (Terai Yuji)	Instructor	Manager of Outpatient Services	Gastrointestinal tract disease Endoscopic treatments Liver disorder	Board Certified Member 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
須田　健太郎 (Suda Kentaro)	Instructor	Manager of Inpatient Services	Biliary pancreatic disease Endoscopic treatments	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
池田　守登 (Ikeda Morito )	Instructor		Biliary pancreatic disease Endoscopic treatments	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 Certified Expert of Japan Pancreas Society ICLS instructor
堀　裕太朗 (Hori Yutarou)	Instructor		Gastrointestinal tract disease Functional gastrointestinal tract disturbances	Board Certified Member 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
中川　慧人 (Nakagawa Keito)	Instructor		Biliary pancreatic disease Endoscopic treatments	Board Certified Gastroenterologist of The Japanese Society of Gastroenterology Board Certified Hepatologist of the Japan Society of Hepatology
田川　慧 (Tagawa Kei)	Instructor		Gastrointestinal tract disease	Board-Certified Doctor of Internal Medicine Board Certified Gastroenterologist of The Japanese Society of Gastroenterology Board Certified Fellow of the Japan Gastroenterological Endoscopy Society
田中　孝幸 (Tanaka Takayuki)	Instructor		Gastrointestinal tract disease	Board-Certified Doctor of Internal Medicine Board Certified Fellow of the Japan Gastroenterological Endoscopy Society
新井　智洋 (Arai Tomohiro)	Instructor		Gastrointestinal tract disease	Board-Certified Doctor of Internal Medicine Board Certified Fellow of the Japan Gastroenterological Endoscopy Society
砂田　莉沙 (Sunada Risa)	Instructor
内田　信介 (Uchida Shinsuke)	Instructor
高橋　久一郎 (Takahashi Kyuichiro)	Instructor
芦田　安輝 (Ashida Yasuki)	Instructor
木村　勇太 (Kimura Yuta)	Instructor
寺本　駿也 (Teramoto Syunya)	Instructor
道鎭　優 (Douchin Yu)	Instructor
宮内　琉希 (Miyauchi Ryuuki)	Instructor
屋嘉比　康治 (Yakabi Kouji)	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)	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)	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
可児　和仁 (Kani Kazuhito)	Visiting Lecturer		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
細見　英里子 (Hosomi Eriko)	Visiting Lecturer		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
大塚　武史 (Ohtsuka Takeshi)	Adjunct Physician		Biliary pancreatic disease Endoscopic treatments	Board Certified Member of the Japanese Society of Internal Medicine Board Certified Gastroenterologist of The Japanese Society of Gastroenterology
荒井　亮士 (Arai Ryoji)	Adjunct Physician		Gastrointestinal tract disease Endoscopic treatments	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)	Adjunct Physician		Gastrointestinal tract disease Endoscopic treatments	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
野口　賢作 (Noguchi Kensaku)	Adjunct Physician		Diagnostic and therapeutic endoscopy for pancreatobiliary diseases (ERCP, EUS).	Board Certified Member of the Japanese Society of Internal Medicine Board Certified Gastroenterologist of The Japanese Society of Gastroenterology Fellow of the Japanese Society of Internal Medicine Board Certified Fellow of the Japan Gastroenterological Endoscopy Society
山鹿　渚 (Yamaga Nagisa)	Adjunct Physician		Gastrointestinal tract disease	Board Certified Member of the Japanese Society of Internal Medicine Board Certified Gastroenterologist of The Japanese Society of Gastroenterology
鈴木　一世 (Suzuki Kazutoshi)	Adjunct Physician
洲鎌　秀永 (Sugama Syuuei)	Visiting Professor		brain neurology physiology	physiology educato
魯 昭輝 (Ro Shouki)	Visiting Lecturer		Vet doctor	Vet doctor

Outpatient clinic

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.