{"id":529,"date":"2026-01-16T02:12:19","date_gmt":"2026-01-16T02:12:19","guid":{"rendered":"https:\/\/kishiwada.tokushukai.or.jp\/en\/?page_id=529"},"modified":"2026-04-11T03:56:13","modified_gmt":"2026-04-11T03:56:13","slug":"endoscopy","status":"publish","type":"page","link":"https:\/\/kishiwada.tokushukai.or.jp\/en\/departments\/gastroenterology\/endoscopy\/","title":{"rendered":"Diagnosis and Endoscopic Evaluation"},"content":{"rendered":"<section class=\"op-section disease\">\n<p>  <!-- Key takeaways --><\/p>\n<div class=\"disease-kpi\">\n<div class=\"disease-kpi__item\">\n<div class=\"disease-kpi__label\">What we do<\/div>\n<div class=\"disease-kpi__value\">\n    Gastroscopy and colonoscopy\n  <\/div>\n<\/div>\n<div class=\"disease-kpi__item\">\n<div class=\"disease-kpi__label\">Purpose<\/div>\n<div class=\"disease-kpi__value\">\n    Diagnosis and screening of gastrointestinal disease\n  <\/div>\n<\/div>\n<div class=\"disease-kpi__item\">\n<div class=\"disease-kpi__label\">Approach<\/div>\n<div class=\"disease-kpi__value\">\n    Direct endoscopic evaluation with attention to safety and comfort\n  <\/div>\n<\/div>\n<\/div>\n<p class=\"disease-lead\">\n  Gastroscopy (upper endoscopy) and colonoscopy are used to evaluate symptoms<br \/>\n  of the digestive tract and to identify disease, including early-stage conditions.<br \/>\n  These examinations are performed using standard endoscopic techniques with attention<br \/>\n  to safety and patient comfort.\n<\/p>\n<div class=\"disease-rows\">\n<div class=\"disease-row\">\n<div class=\"disease-row__h\">\n<h2>What are gastroscopy and colonoscopy<\/h2>\n<\/p><\/div>\n<div class=\"disease-row__b\">\n<p>\n        Gastroscopy examines the esophagus, stomach, and duodenum using a flexible endoscope.<br \/>\n        Colonoscopy examines the large intestine and rectum to assess for inflammation,<br \/>\n        polyps, bleeding, or cancer.\n      <\/p>\n<p>\n        These procedures allow direct visualization of the digestive tract and,<br \/>\n        when necessary, tissue sampling for pathological examination.\n      <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"disease-row\">\n<div class=\"disease-row__h\">\n<h2>When these examinations are recommended<\/h2>\n<\/p><\/div>\n<div class=\"disease-row__b\">\n<p>\n        Endoscopic evaluation may be recommended for persistent digestive symptoms,<br \/>\n        abnormal test results, or findings from health screening.\n      <\/p>\n<ul>\n<li>Persistent abdominal pain, heartburn, nausea, or difficulty swallowing<\/li>\n<li>Blood in stool, black stools, anemia, or unexplained weight loss<\/li>\n<li>Abnormal findings on health checkups or cancer screening<\/li>\n<li>Follow-up of known gastrointestinal conditions<\/li>\n<\/ul><\/div>\n<\/p><\/div>\n<div class=\"disease-row\">\n<div class=\"disease-row__h\">\n<h2>How the examination is performed<\/h2>\n<\/p><\/div>\n<div class=\"disease-row__b\">\n<p>\n        The examination is performed using a flexible endoscope by trained physicians.<br \/>\n        Sedation may be used when appropriate.\n      <\/p>\n<p>\n        For colonoscopy, bowel preparation is required in advance to allow adequate visualization.\n      <\/p>\n<p class=\"disease-muted\">\n        The examination method and use of sedation are determined based on clinical condition.\n      <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"disease-row\">\n<div class=\"disease-row__h\">\n<h2>After the examination<\/h2>\n<\/p><\/div>\n<div class=\"disease-row__b\">\n<p>\n        Results are explained after the procedure.<br \/>\n        If tissue samples are taken, final results are available after pathological analysis.\n      <\/p>\n<p>\n        Further evaluation or follow-up may be recommended depending on the findings.\n      <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"disease-row\">\n<div class=\"disease-row__h\">\n<h2>Appointment<\/h2>\n<\/p><\/div>\n<div class=\"disease-row__b\">\n<p>\n          Appointments are required in principle.<br \/>\n          A referral letter from another medical institution is recommended but not mandatory.\n        <\/p>\n<p class=\"disease-muted\">\n          For appointment requests and language support, please see the<br \/>\n          <a href=\"\/en\/departments\/gastroenterology\/#contact\">Gastroenterology<\/a> page.\n        <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>What we do Gastroscopy and colonoscopy Purpose Diagnosis and screening of gastrointestinal disease Approach Direct endoscopic evaluation with attention to safety and comfort Gastroscopy (upper endoscopy) and colonoscopy are used to evaluate symptoms of the digestive tract and to identify disease, including early-stage conditions. These examinations are performed using standard endoscopic techniques with attention to [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":526,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-529","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/529","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/comments?post=529"}],"version-history":[{"count":6,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/529\/revisions"}],"predecessor-version":[{"id":1381,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/529\/revisions\/1381"}],"up":[{"embeddable":true,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/526"}],"wp:attachment":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/media?parent=529"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}