Kishiwada Tokushukai Hospital > Departments > Gastroenterology
Gastroenterology
IBD Centre & Endoscopy
- 500+ IBD patients under active management
- Dedicated IBD outpatient clinic — established 2023
- Advanced endoscopy: ESD, ERCP, SpyGlass DS cholangioscopy
- Emergency endoscopic hemostasis — available 24/7
- Colonoscopy by female physician available on request
Referrals accepted from across Osaka and beyond
What this means for you
- One of the larger IBD centres in the Osaka region
- Multidisciplinary IBD team conference — regular case review
- Collaboration with Sapporo Higashi Tokushukai IBD Centre for knowledge exchange
- No waiting list — consultations typically arranged promptly
- Second opinions always welcome
20 minutes from Kansai International Airport (KIX)
About Us
Gastroenterology at Kishiwada Tokushukai Hospital provides diagnosis and treatment for a wide range of gastrointestinal, hepatobiliary, and pancreatic conditions. We focus on safe, minimally invasive care, including endoscopic examinations and advanced endoscopic procedures.
We manage both scheduled consultations and urgent cases, including gastrointestinal bleeding and acute biliary or pancreatic conditions. Our team works closely with the Emergency Department and other specialties to provide timely evaluation and treatment when hospitalisation is needed.
Our Endoscopy Centre supports routine endoscopy as well as specialised procedures such as ESD (endoscopic submucosal dissection), ERCP-based interventions, and SpyGlass DS cholangioscopy. The IBD outpatient clinic, established in 2023, provides dedicated long-term management for ulcerative colitis and Crohn’s disease, with over 500 patients currently under active care.
When to visit / When to call ER
Visit this department if:
- You have persistent abdominal pain, nausea, diarrhea, constipation, or unexplained weight loss.
- You notice blood in vomit or stool (including black stools) or have ongoing anaemia.
- You have difficulty swallowing, persistent heartburn, or symptoms that may require endoscopy.
- You have been told you need evaluation or treatment for early gastrointestinal cancer.
- You have suspected bile duct or gallstone problems (jaundice, recurrent pain, fever) or were told ERCP may be needed.
- You have inflammatory bowel disease (IBD) or suspect you may have IBD.
Call ER immediately if:
- Severe abdominal pain with persistent vomiting, fainting, or signs of shock
- Vomiting blood, passing a large amount of blood, or black tarry stools
- High fever with severe right upper abdominal pain, jaundice, or confusion
- Severe chest pain, severe shortness of breath, or sudden collapse
If you are unsure, please contact the Emergency Department first.
Services
Appointments are required in principle.
A referral letter from another medical institution is recommended but not mandatory.
Treatment flow
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1
Initial consultation
We review your symptoms, medical history, medications, and any prior test results or referral information.
Based on urgency and risk, we determine the next steps for evaluation.
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2
Diagnostic evaluation
We arrange appropriate tests such as blood tests, imaging, and endoscopic examinations.
If advanced evaluation of the bile duct or pancreatic duct is needed, ERCP-related assessment may be considered.
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3
Treatment (outpatient or inpatient)
Treatment may include medication, endoscopic therapy (hemostasis, stone management),
or advanced endoscopic procedures such as ESD.
For urgent conditions or procedures requiring close monitoring, hospitalisation is arranged.
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4
Follow-up and long-term care
We provide follow-up based on your condition and treatment, including ongoing management for IBD
and surveillance after endoscopic therapy.
Clinical leadership
Specialisation
Endoscopy, gastrointestinal and liver disease, inflammatory bowel disease
Certifications
Japanese Society of Gastrointestinal Endoscopy — Specialist;
Japanese Society of Gastroenterology — Specialist;
Japanese Society of Hepatology — Specialist;
Japanese Society for Inflammatory Bowel Disease — IBD Specialist;
Japanese Society of Internal Medicine — Certified Physician
IBD Centre
Over 500 IBD patients under active management.
Regular multidisciplinary case conferences and collaboration with
Sapporo Higashi Tokushukai IBD Centre for ongoing clinical development.
