Gastroenterology Services
- Diagnostic endoscopy: gastroscopy and colonoscopy
- Therapeutic endoscopy for selected gastrointestinal conditions
- Biliary and pancreatic endoscopy, including ERCP
- Endoscopic treatment for gastrointestinal bleeding
- Assessment and management of gastrointestinal, hepatobiliary, and pancreatic diseases
Diagnosis and treatment are provided by the gastroenterology team according to each patient’s condition.
Team-based care
- Care is provided by the department team, not by a single designated physician
- The attending physician may vary depending on urgency, condition, and required procedure
- Endoscopy staff, nurses, pharmacists, and related departments support patient care when required
- Urgent gastrointestinal bleeding can be assessed through the Emergency Department
- Patients from overseas should contact the International Medical Support Department before visiting
Appointments and procedures are arranged based on medical necessity and hospital availability.
About Us
Gastroenterology at Kishiwada Tokushukai Hospital provides diagnosis and treatment
for a wide range of gastrointestinal, hepatobiliary, and pancreatic conditions.
We manage both scheduled consultations and urgent cases requiring timely endoscopic evaluation.
Our Endoscopy Centre supports routine gastroscopy and colonoscopy as well as advanced therapeutic procedures,
including ESD, ERCP-based interventions, SpyGlass DS cholangioscopy, and emergency endoscopic hemostasis
for gastrointestinal bleeding.
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.
Our team also works closely with the Emergency Department and related specialties
when hospitalization or urgent intervention is required.
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
A referral letter from another medical institution is recommended but not mandatory.
Treatment flow
-
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. -
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-based assessment or direct intraductal evaluation with SpyGlass DS may be considered. -
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. -
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 Team
Clinical outcomes
Procedure volumes for endoscopy, ESD, ERCP, SpyGlass-related biliary procedures, and interventional radiology are published annually.
The department performs over 13,000 endoscopic procedures per year across upper and lower gastrointestinal, biliary, and pancreatic indications.
Contact
Contact us from overseas
Start with a brief message to our International Medical Support Department.
Please include your diagnosis, current condition, and the type of consultation or treatment you are seeking.
We will review your case and guide you through the next steps.