{"id":1775,"date":"2026-04-27T00:08:33","date_gmt":"2026-04-27T00:08:33","guid":{"rendered":"https:\/\/kishiwada.tokushukai.or.jp\/en\/?page_id=1775"},"modified":"2026-06-15T07:26:46","modified_gmt":"2026-06-15T07:26:46","slug":"gastroenterology-clinical-outcomes","status":"publish","type":"page","link":"https:\/\/kishiwada.tokushukai.or.jp\/en\/research\/clinical-research-outcomes\/gastroenterology-clinical-outcomes\/","title":{"rendered":"Gastroenterology Clinical Outcomes"},"content":{"rendered":"<p><!-- ============================================================\n     Gastroenterology Clinical Outcomes \u2014 Kishiwada Tokushukai Hospital\n     URL: \/en\/research\/clinical-research-outcomes\/gastroenterology-clinical-outcomes\/\n     WordPress H1: Gastroenterology Clinical Outcomes\n     AIOSEO Focus Keyword: gastroenterology clinical outcomes Japan\n     SEO Title: Gastroenterology Clinical Outcomes | Kishiwada Tokushukai Hospital\n     Meta Description: Gastroenterology procedure volumes at Kishiwada Tokushukai Hospital, including endoscopy, ESD, ERCP, and interventional procedures for fiscal years 2022\u20132024.\n     ============================================================ --><\/p>\n<section class=\"op-section max-container gastro-outcomes\">\n<p>  <!-- Intro --><\/p>\n<header class=\"page-hero\">\n<p class=\"page-lead\">\n      Procedure volumes for the Gastroenterology Department at Kishiwada Tokushukai Hospital.<br \/>\n      Data covers fiscal years <strong>2022, 2023, and 2024<\/strong> (April\u2013March).\n    <\/p>\n<div class=\"op-alert\" role=\"note\" aria-label=\"Data note\">\n<div class=\"op-alert-icon\" aria-hidden=\"true\">i<\/div>\n<div class=\"op-alert-body\">\n        <strong>Data note:<\/strong> All figures reflect activity within the Gastroenterology Department,<br \/>\n        unless otherwise specified. Procedure volumes are provided for reference and do not indicate individual treatment suitability.\n      <\/div>\n<\/p><\/div>\n<\/header>\n<p>  <!-- Quick anchors --><\/p>\n<nav class=\"page-nav\" aria-label=\"On this page\">\n<ul class=\"page-nav-list\">\n<li><a href=\"#overview\">Overview<\/a><\/li>\n<li><a href=\"#upper\">Upper GI Endoscopy<\/a><\/li>\n<li><a href=\"#lower\">Lower GI Endoscopy<\/a><\/li>\n<li><a href=\"#esd\">ESD<\/a><\/li>\n<li><a href=\"#ercp\">ERCP &amp; Advanced<\/a><\/li>\n<li><a href=\"#ivr\">Interventional Radiology<\/a><\/li>\n<li><a href=\"#capabilities\">Core Capabilities<\/a><\/li>\n<\/ul>\n<\/nav>\n<p>  <!-- 1) Overview --><\/p>\n<section id=\"overview\" class=\"op-section\">\n<h2>Overview<\/h2>\n<div class=\"dept-when\">\n<div class=\"dept-when__block\">\n<h3 class=\"dept-when__title\">Key Figures (FY2022\u20132024)<\/h3>\n<ul class=\"dept-when__list\">\n<li><strong>13,790\u201318,028<\/strong> total endoscopic procedures per year<\/li>\n<li><strong>8,646\u201311,525<\/strong> upper GI endoscopy per year<\/li>\n<li><strong>4,846\u20136,047<\/strong> lower GI endoscopy per year<\/li>\n<li><strong>298\u2013577<\/strong> ESD procedures per year (oesophageal, gastric, colorectal)<\/li>\n<li><strong>334\u2013438<\/strong> ERCP-related procedures per year<\/li>\n<\/ul>\n<p class=\"dept-when__note\">A detailed breakdown by procedure category is provided below.<\/p>\n<\/p><\/div>\n<div class=\"dept-when__block dept-when__block--er\">\n<h3 class=\"dept-when__title\">Scope of procedures<\/h3>\n<ul class=\"dept-when__list\">\n<li>Upper and lower gastrointestinal endoscopy<\/li>\n<li>Endoscopic treatment for gastrointestinal bleeding<\/li>\n<li>ESD for selected early gastrointestinal cancers and large lesions<\/li>\n<li>ERCP-related biliary and pancreatic procedures<\/li>\n<li>Interventional procedures performed in collaboration with related departments<\/li>\n<\/ul>\n<p class=\"dept-when__note\">Figures are procedure volume data only.<\/p>\n<\/p><\/div>\n<\/p><\/div>\n<\/section>\n<p>  <!-- 2) Upper GI Endoscopy --><\/p>\n<section id=\"upper\" class=\"op-section\">\n<h2>Upper Gastrointestinal Endoscopy<\/h2>\n<p class=\"section-lead\">\n      All figures reflect upper GI endoscopic procedures performed by the Gastroenterology Department.\n    <\/p>\n<p class=\"kth-table-caption\">Upper GI Endoscopy \u2014 Procedure Volume<\/p>\n<table class=\"kth-table\">\n<colgroup>\n<col class=\"col-procedure\">\n<col class=\"col-fy\">\n<col class=\"col-fy\">\n<col class=\"col-fy\"><\/colgroup>\n<thead>\n<tr>\n<th scope=\"col\">Procedure<\/th>\n<th scope=\"col\">FY2022<\/th>\n<th scope=\"col\">FY2023<\/th>\n<th scope=\"col\">FY2024<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Oesophagogastroduodenoscopy (EGD)<\/td>\n<td>10,734<\/td>\n<td>10,221<\/td>\n<td>8,135<\/td>\n<\/tr>\n<tr>\n<td>Endoscopic haemostasis<\/td>\n<td>295<\/td>\n<td>744<\/td>\n<td>227<\/td>\n<\/tr>\n<tr>\n<td>Polypectomy<\/td>\n<td>5<\/td>\n<td>11<\/td>\n<td>6<\/td>\n<\/tr>\n<tr>\n<td>Endoscopic mucosal resection (EMR)<\/td>\n<td>25<\/td>\n<td>20<\/td>\n<td>16<\/td>\n<\/tr>\n<tr>\n<td>Endoscopic ultrasound (EUS)<\/td>\n<td>12<\/td>\n<td>8<\/td>\n<td>9<\/td>\n<\/tr>\n<tr>\n<td>EUS-FNA<\/td>\n<td>84<\/td>\n<td>81<\/td>\n<td>53<\/td>\n<\/tr>\n<tr>\n<td>EUS (convex)<\/td>\n<td>370<\/td>\n<td>319<\/td>\n<td>200<\/td>\n<\/tr>\n<tr style=\"border-top:2px solid #c8a4ab;\">\n<td><strong>Total \u2014 upper GI endoscopy<\/strong><\/td>\n<td><strong>11,525<\/strong><\/td>\n<td><strong>11,404<\/strong><\/td>\n<td><strong>8,646<\/strong><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/section>\n<p>  <!-- 3) Lower GI Endoscopy --><\/p>\n<section id=\"lower\" class=\"op-section\">\n<h2>Lower Gastrointestinal Endoscopy<\/h2>\n<p class=\"section-lead\">\n      All figures reflect lower GI endoscopic procedures performed by the Gastroenterology Department.\n    <\/p>\n<p class=\"kth-table-caption\">Lower GI Endoscopy \u2014 Procedure Volume<\/p>\n<table class=\"kth-table\">\n<colgroup>\n<col class=\"col-procedure\">\n<col class=\"col-fy\">\n<col class=\"col-fy\">\n<col class=\"col-fy\"><\/colgroup>\n<thead>\n<tr>\n<th scope=\"col\">Procedure<\/th>\n<th scope=\"col\">FY2022<\/th>\n<th scope=\"col\">FY2023<\/th>\n<th scope=\"col\">FY2024<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Colonoscopy (CS)<\/td>\n<td>3,557<\/td>\n<td>3,814<\/td>\n<td>2,990<\/td>\n<\/tr>\n<tr>\n<td>Endoscopic haemostasis<\/td>\n<td>164<\/td>\n<td>141<\/td>\n<td>187<\/td>\n<\/tr>\n<tr>\n<td>Polypectomy<\/td>\n<td>1,708<\/td>\n<td>1,808<\/td>\n<td>1,453<\/td>\n<\/tr>\n<tr>\n<td>Endoscopic mucosal resection (EMR)<\/td>\n<td>266<\/td>\n<td>281<\/td>\n<td>213<\/td>\n<\/tr>\n<tr>\n<td>Endoscopic ultrasound (EUS)<\/td>\n<td>6<\/td>\n<td>3<\/td>\n<td>3<\/td>\n<\/tr>\n<tr style=\"border-top:2px solid #c8a4ab;\">\n<td><strong>Total \u2014 lower GI endoscopy<\/strong><\/td>\n<td><strong>5,701<\/strong><\/td>\n<td><strong>6,047<\/strong><\/td>\n<td><strong>4,846<\/strong><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/section>\n<p>  <!-- 4) ESD --><\/p>\n<section id=\"esd\" class=\"op-section\">\n<h2>Endoscopic Submucosal Dissection (ESD)<\/h2>\n<p class=\"section-lead\">\n      ESD is an endoscopic technique used for selected early gastrointestinal cancers and large lesions.<br \/>\n      Figures below show procedure volumes by anatomical location.\n    <\/p>\n<p class=\"kth-table-caption\">ESD \u2014 Procedure Volume by Location<\/p>\n<table class=\"kth-table\">\n<colgroup>\n<col class=\"col-procedure\">\n<col class=\"col-fy\">\n<col class=\"col-fy\">\n<col class=\"col-fy\"><\/colgroup>\n<thead>\n<tr>\n<th scope=\"col\">Location<\/th>\n<th scope=\"col\">FY2022<\/th>\n<th scope=\"col\">FY2023<\/th>\n<th scope=\"col\">FY2024<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Oesophageal ESD<\/td>\n<td>47<\/td>\n<td>59<\/td>\n<td>40<\/td>\n<\/tr>\n<tr>\n<td>Gastric \/ duodenal ESD<\/td>\n<td>173<\/td>\n<td>166<\/td>\n<td>121<\/td>\n<\/tr>\n<tr>\n<td>Colorectal ESD<\/td>\n<td>197<\/td>\n<td>352<\/td>\n<td>137<\/td>\n<\/tr>\n<tr style=\"border-top:2px solid #c8a4ab;\">\n<td><strong>Total ESD<\/strong><\/td>\n<td><strong>417<\/strong><\/td>\n<td><strong>577<\/strong><\/td>\n<td><strong>298<\/strong><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/section>\n<p>  <!-- 5) ERCP & Advanced --><\/p>\n<section id=\"ercp\" class=\"op-section\">\n<h2>ERCP and Advanced Endoscopic Procedures<\/h2>\n<p class=\"section-lead\">\n      Advanced biliary and pancreatic endoscopy, including ERCP, endoscopic haemostasis for varices,<br \/>\n      and enteral access procedures.\n    <\/p>\n<p class=\"kth-table-caption\">ERCP &amp; Advanced Procedures \u2014 Volume<\/p>\n<table class=\"kth-table\">\n<colgroup>\n<col class=\"col-procedure\">\n<col class=\"col-fy\">\n<col class=\"col-fy\">\n<col class=\"col-fy\"><\/colgroup>\n<thead>\n<tr>\n<th scope=\"col\">Procedure<\/th>\n<th scope=\"col\">FY2022<\/th>\n<th scope=\"col\">FY2023<\/th>\n<th scope=\"col\">FY2024<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>ERCP-related procedures<\/td>\n<td>438<\/td>\n<td>401<\/td>\n<td>334<\/td>\n<\/tr>\n<tr>\n<td>Oesophageal variceal sclerotherapy \/ ligation (EIS \/ EVL)<\/td>\n<td>61<\/td>\n<td>40<\/td>\n<td>49<\/td>\n<\/tr>\n<tr>\n<td>Dilation \/ balloon dilation<\/td>\n<td>94<\/td>\n<td>95<\/td>\n<td>81<\/td>\n<\/tr>\n<tr>\n<td>PEG \u2014 new placement<\/td>\n<td>30<\/td>\n<td>34<\/td>\n<td>22<\/td>\n<\/tr>\n<tr>\n<td>PEG tube replacement<\/td>\n<td>23<\/td>\n<td>35<\/td>\n<td>32<\/td>\n<\/tr>\n<tr>\n<td>Small bowel endoscopy<\/td>\n<td>10<\/td>\n<td>12<\/td>\n<td>5<\/td>\n<\/tr>\n<tr>\n<td>Small bowel \/ colonic stricture dilation<\/td>\n<td>15<\/td>\n<td>11<\/td>\n<td>12<\/td>\n<\/tr>\n<tr>\n<td>Foreign body removal<\/td>\n<td>56<\/td>\n<td>37<\/td>\n<td>26<\/td>\n<\/tr>\n<tr>\n<td>Ileus tube \/ Denis tube insertion<\/td>\n<td>56<\/td>\n<td>44<\/td>\n<td>61<\/td>\n<\/tr>\n<tr>\n<td>CS repositioning<\/td>\n<td>26<\/td>\n<td>27<\/td>\n<td>23<\/td>\n<\/tr>\n<tr>\n<td>Cholangioscopy (bile duct fibre)<\/td>\n<td>1<\/td>\n<td>5<\/td>\n<td>3<\/td>\n<\/tr>\n<tr>\n<td>Ultrasound-guided endoscopic fistula formation<\/td>\n<td>17<\/td>\n<td>11<\/td>\n<td>9<\/td>\n<\/tr>\n<tr>\n<td>Endoscopic gastric \/ duodenal perforation closure<\/td>\n<td>3<\/td>\n<td>2<\/td>\n<td>2<\/td>\n<\/tr>\n<tr>\n<td>IDUS (intraductal ultrasound)<\/td>\n<td>1<\/td>\n<td>3<\/td>\n<td>4<\/td>\n<\/tr>\n<tr style=\"border-top:2px solid #c8a4ab;\">\n<td><strong>Total \u2014 ERCP &amp; advanced procedures<\/strong><\/td>\n<td><strong>838<\/strong><\/td>\n<td><strong>768<\/strong><\/td>\n<td><strong>687<\/strong><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/section>\n<p>  <!-- 6) IVR --><\/p>\n<section id=\"ivr\" class=\"op-section\">\n<h2>Interventional Radiology (IVR)<\/h2>\n<p class=\"section-lead\">\n      Biliary drainage, hepatic, and urological interventional procedures performed in collaboration<br \/>\n      with the Gastroenterology and related departments.\n    <\/p>\n<p class=\"kth-table-caption\">IVR \u2014 Procedure Volume<\/p>\n<table class=\"kth-table\">\n<colgroup>\n<col class=\"col-procedure\">\n<col class=\"col-fy\">\n<col class=\"col-fy\">\n<col class=\"col-fy\"><\/colgroup>\n<thead>\n<tr>\n<th scope=\"col\">Procedure<\/th>\n<th scope=\"col\">FY2022<\/th>\n<th scope=\"col\">FY2023<\/th>\n<th scope=\"col\">FY2024<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>PTCD \/ PTGBD \/ PTAD (biliary drainage)<\/td>\n<td>153<\/td>\n<td>193<\/td>\n<td>156<\/td>\n<\/tr>\n<tr>\n<td>Tube contrast \/ tube replacement<\/td>\n<td>135<\/td>\n<td>134<\/td>\n<td>122<\/td>\n<\/tr>\n<tr>\n<td>Liver biopsy<\/td>\n<td>9<\/td>\n<td>7<\/td>\n<td>38<\/td>\n<\/tr>\n<tr>\n<td>Urology-related procedures<\/td>\n<td>333<\/td>\n<td>341<\/td>\n<td>430<\/td>\n<\/tr>\n<tr>\n<td>Other<\/td>\n<td>159<\/td>\n<td>146<\/td>\n<td>200<\/td>\n<\/tr>\n<tr style=\"border-top:2px solid #c8a4ab;\">\n<td><strong>Total \u2014 IVR<\/strong><\/td>\n<td><strong>789<\/strong><\/td>\n<td><strong>821<\/strong><\/td>\n<td><strong>946<\/strong><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p class=\"dept-services-note\">RFA (radiofrequency ablation): data not available for the periods shown.<\/p>\n<\/section>\n<p>  <!-- 7) Core Capabilities --><\/p>\n<section id=\"capabilities\" class=\"op-section\">\n<h2>Core Capabilities<\/h2>\n<div class=\"three-col\">\n<div class=\"cap-card\">\n<h3>Endoscopy<\/h3>\n<ul class=\"bullet\">\n<li>Upper gastrointestinal endoscopy<\/li>\n<li>Lower gastrointestinal endoscopy<\/li>\n<li>Endoscopic haemostasis<\/li>\n<li>Polypectomy and EMR<\/li>\n<\/ul><\/div>\n<div class=\"cap-card\">\n<h3>Advanced Procedures<\/h3>\n<ul class=\"bullet\">\n<li>ESD \u2014 oesophageal, gastric, and colorectal<\/li>\n<li>ERCP-related biliary and pancreatic procedures<\/li>\n<li>Cholangioscopy and intraductal evaluation<\/li>\n<li>Selected interventional procedures with related departments<\/li>\n<\/ul><\/div>\n<div class=\"cap-card\">\n<h3>Procedure Volume Data<\/h3>\n<ul class=\"bullet\">\n<li>Total endoscopic procedures by fiscal year<\/li>\n<li>Upper and lower GI endoscopy data<\/li>\n<li>ESD and ERCP-related procedure data<\/li>\n<li>IVR-related procedure data<\/li>\n<\/ul><\/div>\n<\/p><\/div>\n<\/section>\n<p>  <!-- Back link --><\/p>\n<section class=\"op-section\">\n<p>\n      <a href=\"\/en\/departments\/gastroenterology\/\">\u2190 Back to Gastroenterology<\/a>\n    <\/p>\n<\/section>\n<p>  <!-- Minimal CSS --><\/p>\n<style>\n    .page-lead { margin: 0 0 18px; color: #666; }\n    .page-nav { margin: 18px 0 28px; }\n    .page-nav-list { list-style: none; padding: 0; margin: 0; display: flex; flex-wrap: wrap; gap: 12px 16px; }\n    .page-nav-list a { text-decoration: none; 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Data covers fiscal years 2022, 2023, and 2024 (April\u2013March). i Data note: All figures reflect activity within the Gastroenterology Department, unless otherwise specified. Procedure volumes are provided for reference and do not indicate individual treatment suitability. Overview Upper GI Endoscopy Lower GI Endoscopy ESD ERCP [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":933,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1775","page","type-page","status-publish","hentry"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 4.9.8 - aioseo.com -->\n\t<meta name=\"description\" content=\"Procedure volumes for the Gastroenterology Department at Kishiwada Tokushukai Hospital. Data covers fiscal years 2022, 2023, and 2024 (April\u2013March). i Data note: All figures reflect activity within the Gastroenterology Department, unless otherwise specified. Procedure volumes are provided for reference and do not indicate individual treatment suitability. 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Data covers fiscal years 2022, 2023, and 2024 (April\u2013March). i Data note: All figures reflect activity within the Gastroenterology Department, unless otherwise specified. Procedure volumes are provided for reference and do not indicate individual treatment suitability. Overview Upper GI Endoscopy Lower GI Endoscopy ESD ERCP\" \/>\n\t\t<meta property=\"og:url\" content=\"https:\/\/kishiwada.tokushukai.or.jp\/en\/research\/clinical-research-outcomes\/gastroenterology-clinical-outcomes\/\" \/>\n\t\t<meta property=\"article:published_time\" content=\"2026-04-27T00:08:33+00:00\" \/>\n\t\t<meta property=\"article:modified_time\" content=\"2026-06-15T07:26:46+00:00\" \/>\n\t\t<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n\t\t<meta name=\"twitter:title\" content=\"Gastroenterology Clinical Outcomes - Kishiwada Tokushukai Hospital\" \/>\n\t\t<meta name=\"twitter:description\" content=\"Procedure volumes for the Gastroenterology Department at Kishiwada Tokushukai Hospital. Data covers fiscal years 2022, 2023, and 2024 (April\u2013March). i Data note: All figures reflect activity within the Gastroenterology Department, unless otherwise specified. Procedure volumes are provided for reference and do not indicate individual treatment suitability. 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