{"id":526,"date":"2026-01-16T02:05:01","date_gmt":"2026-01-16T02:05:01","guid":{"rendered":"https:\/\/kishiwada.tokushukai.or.jp\/en\/?page_id=526"},"modified":"2026-04-11T03:56:13","modified_gmt":"2026-04-11T03:56:13","slug":"gastroenterology","status":"publish","type":"page","link":"https:\/\/kishiwada.tokushukai.or.jp\/en\/departments\/gastroenterology\/","title":{"rendered":"Gastroenterology"},"content":{"rendered":"<p><!-- ============================================================\n     Gastroenterology \u2014 Kishiwada Tokushukai Hospital\n     URL: \/en\/departments\/gastroenterology\/\n     WordPress H1: Gastroenterology\n     AIOSEO Focus Keyword: gastroenterology\n     SEO Title: Gastroenterology Japan \u2014 Endoscopy, IBD & ERCP | Kishiwada Tokushukai\n     Meta Description: Gastroenterology at Kishiwada Tokushukai \u2014 IBD centre (500+ patients), ESD, ERCP, SpyGlass DS cholangioscopy. Led by IBD specialist Dr. Tazawa. No waiting list. 20 min from KIX.\n     ============================================================ --><\/p>\n<p><!-- Key Numbers --><\/p>\n<section class=\"op-section\">\n<div class=\"dept-when\">\n<div class=\"dept-when__block\">\n<h3 class=\"dept-when__title\">IBD Centre &#038; Endoscopy<\/h3>\n<ul class=\"dept-when__list\">\n<li><strong>500+<\/strong> IBD patients under active management<\/li>\n<li>Dedicated <strong>IBD outpatient clinic<\/strong> \u2014 established 2023<\/li>\n<li>Advanced endoscopy: <strong>ESD<\/strong>, <strong>ERCP<\/strong>, <strong>SpyGlass DS<\/strong> cholangioscopy<\/li>\n<li>Emergency endoscopic hemostasis \u2014 available 24\/7<\/li>\n<li>Colonoscopy by female physician available on request<\/li>\n<\/ul>\n<p class=\"dept-when__note\">Referrals accepted from across Osaka and beyond<\/p>\n<\/p><\/div>\n<div class=\"dept-when__block dept-when__block--er\">\n<h3 class=\"dept-when__title\">What this means for you<\/h3>\n<ul class=\"dept-when__list\">\n<li>One of the larger IBD centres in the Osaka region<\/li>\n<li>Multidisciplinary IBD team conference \u2014 regular case review<\/li>\n<li>Collaboration with Sapporo Higashi Tokushukai IBD Centre for knowledge exchange<\/li>\n<li>No waiting list \u2014 consultations typically arranged promptly<\/li>\n<li>Second opinions always welcome<\/li>\n<\/ul>\n<p class=\"dept-when__note\">20 minutes from Kansai International Airport (KIX)<\/p>\n<\/p><\/div>\n<\/p><\/div>\n<\/section>\n<p><!-- About Us --><\/p>\n<section class=\"op-section\">\n<h2>About Us<\/h2>\n<p>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.<\/p>\n<p>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.<\/p>\n<hr class=\"dept-about-minimal__divider\">\n<p>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&#8217;s disease, with over 500 patients currently under active care.<\/p>\n<\/p><\/div>\n<\/section>\n<p><!-- When to visit --><\/p>\n<section class=\"op-section\">\n<h2>When to visit \/ When to call ER<\/h2>\n<div class=\"dept-when\">\n<div class=\"dept-when__block\">\n<h3 class=\"dept-when__title\">Visit this department if:<\/h3>\n<ul class=\"dept-when__list\">\n<li>You have persistent abdominal pain, nausea, diarrhea, constipation, or unexplained weight loss.<\/li>\n<li>You notice blood in vomit or stool (including black stools) or have ongoing anaemia.<\/li>\n<li>You have difficulty swallowing, persistent heartburn, or symptoms that may require endoscopy.<\/li>\n<li>You have been told you need evaluation or treatment for early gastrointestinal cancer.<\/li>\n<li>You have suspected bile duct or gallstone problems (jaundice, recurrent pain, fever) or were told ERCP may be needed.<\/li>\n<li>You have inflammatory bowel disease (IBD) or suspect you may have IBD.<\/li>\n<\/ul><\/div>\n<div class=\"dept-when__block dept-when__block--er\">\n<h3 class=\"dept-when__title\">Call ER immediately if:<\/h3>\n<ul class=\"dept-when__list\">\n<li>Severe abdominal pain with persistent vomiting, fainting, or signs of shock<\/li>\n<li>Vomiting blood, passing a large amount of blood, or black tarry stools<\/li>\n<li>High fever with severe right upper abdominal pain, jaundice, or confusion<\/li>\n<li>Severe chest pain, severe shortness of breath, or sudden collapse<\/li>\n<\/ul>\n<p class=\"dept-when__note\">\n        If you are unsure, please contact the Emergency Department first.\n      <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<\/section>\n<p><!-- Services --><\/p>\n<section class=\"op-section\">\n<h2>Services<\/h2>\n<div class=\"dept-scope\">\n<div class=\"dept-scope-item\">\n      <a href=\"\/en\/departments\/gastroenterology\/ibd\/\" class=\"dept-scope-link\"><br \/>\n        Inflammatory bowel disease (IBD) \u2014 dedicated clinic<br \/>\n      <\/a>\n    <\/div>\n<div class=\"dept-scope-item\">\n      <a href=\"\/en\/departments\/gastroenterology\/endoscopy\/\" class=\"dept-scope-link\"><br \/>\n        Diagnosis and endoscopic evaluation (gastroscopy \/ colonoscopy)<br \/>\n      <\/a>\n    <\/div>\n<div class=\"dept-scope-item\">\n      <a href=\"\/en\/departments\/gastroenterology\/esd\/\" class=\"dept-scope-link\"><br \/>\n        Endoscopic submucosal dissection (ESD)<br \/>\n      <\/a>\n    <\/div>\n<div class=\"dept-scope-item\">\n      <a href=\"\/en\/departments\/gastroenterology\/ercp\/\" class=\"dept-scope-link\"><br \/>\n        ERCP \u2014 bile duct &amp; pancreatic duct<br \/>\n      <\/a>\n    <\/div>\n<div class=\"dept-scope-item\">\n      <a href=\"\/en\/departments\/gastroenterology\/spyglass\/\" class=\"dept-scope-link\"><br \/>\n        SpyGlass DS cholangioscopy<br \/>\n      <\/a>\n    <\/div>\n<div class=\"dept-scope-item\">\n      <a href=\"\/en\/departments\/gastroenterology\/endoscopic-hemostasis\/\" class=\"dept-scope-link\"><br \/>\n        Endoscopic hemostasis for GI bleeding<br \/>\n      <\/a>\n    <\/div>\n<\/p><\/div>\n<div class=\"dept-services-note\">\n    Appointments are required in principle.<br \/>\n    A referral letter from another medical institution is recommended but not mandatory.\n  <\/div>\n<\/section>\n<p><!-- Treatment flow --><\/p>\n<section class=\"op-section\">\n<h2>Treatment flow<\/h2>\n<ol class=\"dept-timeline\">\n<li class=\"dept-timeline__item\">\n<div class=\"dept-timeline__badge\">1<\/div>\n<div class=\"dept-timeline__content\">\n<h3>Initial consultation<\/h3>\n<p>\n          We review your symptoms, medical history, medications, and any prior test results or referral information.<br \/>\n          Based on urgency and risk, we determine the next steps for evaluation.\n        <\/p>\n<\/p><\/div>\n<\/li>\n<li class=\"dept-timeline__item\">\n<div class=\"dept-timeline__badge\">2<\/div>\n<div class=\"dept-timeline__content\">\n<h3>Diagnostic evaluation<\/h3>\n<p>\n          We arrange appropriate tests such as blood tests, imaging, and endoscopic examinations.<br \/>\n          If advanced evaluation of the bile duct or pancreatic duct is needed, ERCP-related assessment may be considered.\n        <\/p>\n<\/p><\/div>\n<\/li>\n<li class=\"dept-timeline__item\">\n<div class=\"dept-timeline__badge\">3<\/div>\n<div class=\"dept-timeline__content\">\n<h3>Treatment (outpatient or inpatient)<\/h3>\n<p>\n          Treatment may include medication, endoscopic therapy (hemostasis, stone management),<br \/>\n          or advanced endoscopic procedures such as ESD.<br \/>\n          For urgent conditions or procedures requiring close monitoring, hospitalisation is arranged.\n        <\/p>\n<\/p><\/div>\n<\/li>\n<li class=\"dept-timeline__item\">\n<div class=\"dept-timeline__badge\">4<\/div>\n<div class=\"dept-timeline__content\">\n<h3>Follow-up and long-term care<\/h3>\n<p>\n          We provide follow-up based on your condition and treatment, including ongoing management for IBD<br \/>\n          and surveillance after endoscopic therapy.\n        <\/p>\n<\/p><\/div>\n<\/li>\n<\/ol>\n<\/section>\n<p><!-- Clinical Leadership --><\/p>\n<section class=\"dept-leadership\">\n<h2 class=\"section-title\">Clinical leadership<\/h2>\n<div class=\"profile-header\">\n    <img decoding=\"async\" src=\"\/en\/wp-content\/uploads\/2026\/03\/dr_Tazawa.jpg\"\n         alt=\"Tomohiko Tazawa M.D. \u2014 Head of Gastroenterology and IBD Centre, Kishiwada Tokushukai Hospital\"\n         class=\"profile-photo\"><\/p>\n<div class=\"profile-title\">\n<h2>Tomohiko Tazawa, M.D.<\/h2>\n<p style=\"margin:0 0 0.15rem; font-size:0.85rem; color:#888;\">\u7530\u6fa4 \u667a\u5f66<\/p>\n<p class=\"small-muted\">\n        Head of Gastroenterology \/ Director, IBD Centre<br \/>\n        Kishiwada Tokushukai Hospital\n      <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"info-card\">\n<div class=\"info-item\">\n<div class=\"info-key\">Specialisation<\/div>\n<div class=\"info-value\">Endoscopy, gastrointestinal and liver disease, inflammatory bowel disease<\/div>\n<\/p><\/div>\n<div class=\"info-item\">\n<div class=\"info-key\">Certifications<\/div>\n<div class=\"info-value\">\n        Japanese Society of Gastrointestinal Endoscopy \u2014 Specialist;<br \/>\n        Japanese Society of Gastroenterology \u2014 Specialist;<br \/>\n        Japanese Society of Hepatology \u2014 Specialist;<br \/>\n        Japanese Society for Inflammatory Bowel Disease \u2014 IBD Specialist;<br \/>\n        Japanese Society of Internal Medicine \u2014 Certified Physician\n      <\/div>\n<\/p><\/div>\n<div class=\"info-item\">\n<div class=\"info-key\">IBD Centre<\/div>\n<div class=\"info-value\">\n        Over 500 IBD patients under active management.<br \/>\n        Regular multidisciplinary case conferences and collaboration with<br \/>\n        Sapporo Higashi Tokushukai IBD Centre for ongoing clinical development.\n      <\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/section>\n<p><!-- Contact --><\/p>\n<section class=\"op-section\" id=\"contact\">\n<h2>Contact<\/h2>\n<div class=\"contact-cards\">\n<div class=\"contact-card contact-card--jmhc\">\n<div class=\"contact-card__eyebrow\">Patients from overseas<\/div>\n<h3 class=\"contact-card__title\">Contact us from overseas<\/h3>\n<p class=\"contact-card__lead\">\n        Start with a brief message to our International Medical Support Department.<br \/>\n        Please include your diagnosis, current condition, and the type of consultation or treatment you are seeking.<br \/>\n        We will review your case and guide you through the next steps.\n      <\/p>\n<ul class=\"ls-contact-icons\" style=\"margin-top:16px;\">\n<li>\n          <a href=\"https:\/\/lin.ee\/GRXNFOG\" class=\"ls-contact-icon ls-contact-icon--line\" target=\"_blank\" rel=\"noopener\"><br \/>\n            <i class=\"fa-brands fa-line\" aria-hidden=\"true\"><\/i><br \/>\n            <span class=\"sr-only\">LINE<\/span><br \/>\n          <\/a>\n        <\/li>\n<li>\n          <a href=\"https:\/\/wa.me\/818070945976\" class=\"ls-contact-icon ls-contact-icon--whatsapp\" target=\"_blank\" rel=\"noopener\"><br \/>\n            <i class=\"fa-brands fa-whatsapp\" aria-hidden=\"true\"><\/i><br \/>\n            <span class=\"sr-only\">WhatsApp<\/span><br \/>\n          <\/a>\n        <\/li>\n<li>\n          <a href=\"https:\/\/kishiwada.tokushukai.or.jp\/en\/contact.html\" class=\"ls-contact-icon ls-contact-icon--mail\" target=\"_blank\" rel=\"noopener\"><br \/>\n            <i class=\"fa-regular fa-envelope\" aria-hidden=\"true\"><\/i><br \/>\n            <span class=\"sr-only\">Online contact form<\/span><br \/>\n          <\/a>\n        <\/li>\n<\/ul>\n<p style=\"margin-top:14px;font-size:.92rem;\">\n        <a href=\"\/en\/international-treatment\/overview\/\">International Treatment Services \u2014 full details \u2192<\/a>\n      <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<\/section>\n<p><script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@graph\": [\n    {\n      \"@type\": \"MedicalOrganization\",\n      \"@id\": \"https:\/\/kishiwada.tokushukai.or.jp\/en\/#org\",\n      \"name\": \"Kishiwada Tokushukai Hospital\",\n      \"url\": \"https:\/\/kishiwada.tokushukai.or.jp\/en\/\",\n      \"telephone\": [\"+81-72-445-9915\", \"+81-80-7094-5976\"]\n    },\n    {\n      \"@type\": \"BreadcrumbList\",\n      \"itemListElement\": [\n        { \"@type\": \"ListItem\", \"position\": 1, \"name\": \"Home\", \"item\": \"https:\/\/kishiwada.tokushukai.or.jp\/en\/\" },\n        { \"@type\": \"ListItem\", \"position\": 2, \"name\": \"Departments (A\u2013Z)\", \"item\": \"https:\/\/kishiwada.tokushukai.or.jp\/en\/departments\/\" },\n        { \"@type\": \"ListItem\", \"position\": 3, \"name\": \"Gastroenterology\", \"item\": \"https:\/\/kishiwada.tokushukai.or.jp\/en\/departments\/gastroenterology\/\" }\n      ]\n    },\n    {\n      \"@type\": \"MedicalWebPage\",\n      \"url\": \"https:\/\/kishiwada.tokushukai.or.jp\/en\/departments\/gastroenterology\/\",\n      \"name\": \"Gastroenterology Japan \u2014 Endoscopy, IBD & ERCP | Kishiwada Tokushukai\",\n      \"description\": \"Gastroenterology at Kishiwada Tokushukai \u2014 IBD centre (500+ patients), ESD, ERCP, SpyGlass DS cholangioscopy. 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