{"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":"2026-06-15T06:53:17","modified_gmt":"2026-06-15T06:53:17","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\nSEO Title: Gastroenterology in Osaka | Endoscopy, ERCP & IBD Care\nMeta Description: Gastroenterology at Kishiwada Tokushukai Hospital offers endoscopy, ERCP, SpyGlass DS, endoscopic hemostasis, ESD, and dedicated IBD care in Osaka.\n     ============================================================ --><\/p>\n<p><!-- Key Services --><\/p>\n<section class=\"op-section\">\n<div class=\"dept-when\">\n<div class=\"dept-when__block\">\n<h3 class=\"dept-when__title\">Gastroenterology Services<\/h3>\n<ul class=\"dept-when__list\">\n<li>Diagnostic endoscopy: gastroscopy and colonoscopy<\/li>\n<li>Therapeutic endoscopy for selected gastrointestinal conditions<\/li>\n<li>Biliary and pancreatic endoscopy, including ERCP<\/li>\n<li>Endoscopic treatment for gastrointestinal bleeding<\/li>\n<li>Assessment and management of gastrointestinal, hepatobiliary, and pancreatic diseases<\/li>\n<\/ul>\n<p class=\"dept-when__note\">Diagnosis and treatment are provided by the gastroenterology team according to each patient&#8217;s condition.<\/p>\n<\/p><\/div>\n<div class=\"dept-when__block dept-when__block--er\">\n<h3 class=\"dept-when__title\">Team-based care<\/h3>\n<ul class=\"dept-when__list\">\n<li>Care is provided by the department team, not by a single designated physician<\/li>\n<li>The attending physician may vary depending on urgency, condition, and required procedure<\/li>\n<li>Endoscopy staff, nurses, pharmacists, and related departments support patient care when required<\/li>\n<li>Urgent gastrointestinal bleeding can be assessed through the Emergency Department<\/li>\n<li>Patients from overseas should contact the International Medical Support Department before visiting<\/li>\n<\/ul>\n<p class=\"dept-when__note\">Appointments and procedures are arranged based on medical necessity and hospital availability.<\/p>\n<\/div><\/div>\n<\/section>\n<p><!-- About Us --><\/p>\n<section class=\"op-section\">\n<h2>About Us<\/h2>\n<p>\n    Gastroenterology at Kishiwada Tokushukai Hospital provides diagnosis and treatment<br \/>\n    for a wide range of gastrointestinal, hepatobiliary, and pancreatic conditions.<br \/>\n    We manage both scheduled consultations and urgent cases requiring timely endoscopic evaluation.\n  <\/p>\n<p>\n    Our Endoscopy Centre supports routine gastroscopy and colonoscopy as well as advanced therapeutic procedures,<br \/>\n    including ESD, ERCP-based interventions, SpyGlass DS cholangioscopy, and emergency endoscopic hemostasis<br \/>\n    for gastrointestinal bleeding.\n  <\/p>\n<hr class=\"dept-about-minimal__divider\">\n<p>\n    The IBD outpatient clinic, established in 2023, provides dedicated long-term management<br \/>\n    for ulcerative colitis and Crohn&#8217;s disease, with over 500 patients currently under active care.<br \/>\n    Our team also works closely with the Emergency Department and related specialties<br \/>\n    when hospitalization or urgent intervention is required.\n  <\/p>\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\/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\/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<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\/ibd\/\" class=\"dept-scope-link\"><br \/>\n        Inflammatory bowel disease (IBD) \u2014 dedicated clinic<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-based assessment or direct intraductal evaluation with SpyGlass DS 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 Team --><\/p>\n<section class=\"dept-leadership\">\n<h2 class=\"section-title\">Clinical Team<\/h2>\n<div class=\"info-card\">\n<div class=\"info-item\">\n<div class=\"info-key\">Team-based care<\/div>\n<div class=\"info-value\">\n        Gastroenterology at Kishiwada Tokushukai Hospital is provided by a multidisciplinary team of physicians, nurses, endoscopy staff, pharmacists, and other healthcare professionals.\n      <\/div>\n<\/p><\/div>\n<div class=\"info-item\">\n<div class=\"info-key\">Coordinated care<\/div>\n<div class=\"info-value\">\n        Patients may be seen by different physicians depending on their condition, urgency, and required examinations or procedures. Care is coordinated within the department.\n      <\/div>\n<\/p><\/div>\n<div class=\"info-item\">\n<div class=\"info-key\">Clinical scope<\/div>\n<div class=\"info-value\">\n        The department provides care for gastrointestinal, hepatobiliary, pancreatic, and inflammatory bowel diseases, including diagnostic and therapeutic endoscopy, ERCP, gastrointestinal bleeding, and IBD management.\n      <\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/section>\n<p><!-- Clinical Outcomes --><\/p>\n<section class=\"op-section\">\n<h2>Clinical outcomes<\/h2>\n<p>\n    Procedure volumes for endoscopy, ESD, ERCP, SpyGlass-related biliary procedures, and interventional radiology are published annually.<br \/>\n    The department performs over 13,000 endoscopic procedures per year across upper and lower gastrointestinal, biliary, and pancreatic indications.\n  <\/p>\n<p>\n    <a href=\"\/en\/research\/clinical-research-outcomes\/gastroenterology-clinical-outcomes\/\">View Gastroenterology Clinical Outcomes (2022\u20132024) \u2192<\/a>\n  <\/p>\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\": 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are provided by the gastroenterology team according to each patient&#8217;s condition. Team-based care Care is provided by the department [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":264,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-526","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=\"Gastroenterology at Kishiwada Tokushukai Hospital provides endoscopy, ERCP, SpyGlass DS, endoscopic hemostasis, ESD, and dedicated IBD care in Osaka.\" \/>\n\t<meta name=\"robots\" content=\"max-image-preview:large\" \/>\n\t<link rel=\"canonical\" href=\"https:\/\/kishiwada.tokushukai.or.jp\/en\/departments\/gastroenterology\/\" \/>\n\t<meta name=\"generator\" content=\"All in One SEO (AIOSEO) 4.9.8\" \/>\n\n\t\t<meta name=\"google-site-verification\" content=\"K2ktbgQNYZ4X2mTrERHdrH3PRAQUoJjsJgrsQbW0d_E\" \/>\n\t\t<meta property=\"og:locale\" content=\"en_US\" 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