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Department of Internal Medicine

Diagnosis and treatment in the Department of Internal Medicine is focused on digestive organs, respiratory organs and diabetes/metabolism. In addition, we also actively accept those with general internal medical diseases (e.g., fever, dehydration and dizziness).

Department of Respiratory Medicine

We provide the best medical care to satisfy you while thinking about your feelings.

We widely deal with diverse diseases in the field of respiratory medicine. In particular, we provide diagnosis and treatment in a structure that allows us to deal quickly, accurately and safely with respiratory tract infections represented by pneumonia that is common in the elderly, pulmonary emphysema (COPD), interstitial pneumonia and bronchial asthma. As a general rule, we will send you back to your family doctor once your symptoms have stabilized after diagnosis and treatment. We aim for specialized diagnosis and treatment in cooperation with local medical institutions.

We provide pathological examinations using bronchoscopes in addition to image diagnosis for lung cancer which has been increasing in recent years. We will refer you to other institutions capable of providing lung cancer surgical treatment and radiation therapy. However, we provide chemotherapy including molecular targeted treatment on a hospital stay or outpatient basis while taking into account your quality of life for internal medical treatment.

Main Target Diseases and Diagnosis/Treatment Details

We provide specialized diagnosis and treatment for a wide range of respiratory illnesses in general. These include lung tumors (primary lung cancer and metastatic lung cancer), respiratory tract infections (e.g., pneumonia, pulmonary abscesses and pleurisy), chronic obstructive diseases, (pulmonary emphysema and chronic bronchitis), interstitial lung diseases (e.g., interstitial pneumonia, pulmonary fibrosis and hypersensitivity pneumonia), allergic immune diseases (e.g., asthma, eosinophil-related lung disease and sarcoidosis), pleural diseases (pleural fluid and pneumothorax) and chronic coughing.

Department of Gastroenterology

We offer a wide range of diagnoses and treatments. These include chemotherapy for stomach cancer and colorectal cancer in addition to endoscopic diagnoses and endoscopic treatments.

We perform diagnoses and treatments under academic specialists and supervising physicians on alimentary canal (esophagus, stomach, bowel and anus) and liver diseases. We aim to provide medical treatment to everyone. Under this aim, we make full use of abdominal ultrasound examinations, abdominal CT/MRI examinations and endoscopic examinations to make reliable diagnoses and provide safe and up-to-date treatment. We are committed to performing reliable medical treatment with an emphasis on restoring the health and improving the quality of life of everyone in the community.

Main Target Diseases and Diagnosis/Treatment Details

We diagnose and treat a wide range of alimentary canal (esophagus, stomach, bowel and anus), liver and other internal organ diseases.

Department of Hepatobiliary and Pancreatic Oncology

We contribute to local medical treatment and welfare by promptly providing safe and high-quality medical treatment for diseases of the liver, pancreas and billary tract.

  1. We diagnose and treat all diseases – from benign disease to malignant diseases.
  2. We accurately and promptly diagnose and treat refractory cancers (e.g., pancreatic cancer, biliary tract cancer and liver cancer).
  3. We have enhanced our medical treatment and cancer chemotherapy with endoscopes and catheters.
  4. Our highly experienced physicians deal with pancreatic and biliary tract diseases.
  5. With a 24-hour structure, we do not refuse emergency patients – we can admit your to our hospital and start treatment on the same day.
  6. We have linked up with specialized facilities for radiation therapy and surgeries with a high degree of difficulty.

Main Target Diseases

We give guidance on the major diseases of the liver, pancreas and biliary tract.

<Benign Diseases>

Liver Diseases
  • Acute hepatitis
  • chronic hepatitis (e.g., type A, type B, type C, alcohol-based and drug-based)
  • fulminant hepatitis
  • cirrhosis of the liver
  • autoimmunity hepatitis (AIH)
  • primary biliary cirrhosis (PBC)
  • fatty liver
  • non-alcoholic steatohepatitis (NASH)
  • alcoholic steatohepatitis (ASH)
  • liver cyst
  • liver abscess and hepatic hemangioma
Biliary Tract Diseases
  • Acute cholecystitis
  • acute suppurative cholangitis
  • gallbladder stones
  • common bile duct stones
  • gallbladder polyp, chronic cholecystitis
  • gallbladder adenomatosis
  • primary sclerotic cholangitis
  • IgC-related cholangitis and pancreaticobiliary maljunction
Pancreatic Diseases
  • Acute pancreatitis
  • chronic pancreatitis
  • pancreatic cyst, autoimmune pancreatitis (AIP)
  • intraductal papillary mucinous tumor (IPMN) and mucinous cystic tumor (MCT)

<Malignant Diseases>

Liver Diseases
  • Hepatoma
  • intrahepatic bile duct cancer (bile duct cell carcinoma) and metastatic liver cancer
Biliary Tract Diseases
  • Gallbladder cancer
  • cholangiocarcinoma and duodenal papilla cancer
Pancreatic Diseases
  • Pancreatic duct cancer
  • pancreatic endocrine tumor and intraductal papillary mucinous carcinoma (IPMC)

Department of Diabetic Medicine

We propose diabetic treatment that suits each individual patient.

Diabetes itself is symptomless. Nevertheless, if left untreated, various complications will develop (e.g., neurological disorder, retinopathy, nephropathy and arteriosclerosis). It is very important to achieve even better blood sugar control as early as possible to prevent such problems.In recent years, there has been an increase in the number of people who can achieve good control with the emergence of various therapeutic drugs. However, it is also very important to review lifestyle habits to maximize the effects of these drugs. We focus on diabetes education and hospitalization. We provide support for diabetes treatment together with nurses, nutritionists and pharmacists who have diabetes treatment instructor qualifications.

Main Target Diseases and Diagnosis/Treatment Details

We mainly handle lifestyle-related diseases (e.g., diabetes, dyslipidemia and metabolic syndrome).

  • Type 1 diabetes, type 2 diabetes, borderline diabetes, steroid diabetes and other diabetes
  • Dyslipidemia, obesity and metabolic syndrome

Department of Nephrology

We offer outpatient diagnosis and treatment twice a week (Mondays and Fridays).

Department of Cardiovascular Medicine

We aim to play a role as a community medical support hospital and endeavor to provide the best medical treatment.

The Department of Cardiovascular Medicine has been involved in cardiovascular community-based medical treatment since the opening of our hospital in 1990. In recent years, hypertension, diabetes, dyslipidemia and other lifestyle diseases have been increasing with the westernization of eating habits. Together with this, there has also been an increase in myocardial infarctions, angina pectoris, heart failures and other cardiovascular diseases. As we approach the coming super-aging society, the prevention and treatment of cardiovascular diseases is becoming an important problem greater than ever before in continuing high-quality lifestyles. This department consists of a Japanese Circulation Society specialist training facilities, Japanese Association of Cardiovascular Intervention and Therapeutics training related facilities and CCU Network member facilities. With these facilities, we are in charge of cardiovascular medical treatment facilities as a core hospital in the Tobu region. A 320-row CT has been introduced into our hospital. Therefore, we can also perform clear coronary artery pathological change assessments on an outpatient basis. We also accept emergency patients regardless of whether it is a holiday or at night. All members of our staff strive on a daily basis to be able to provide the ideal community-based medical treatment. Our cardiologists aim to perform diagnoses and treatment that will satisfy you and your family

Main Target Diseases and Diagnosis/Treatment Details

Our cardiologists provide medical treatment for all cardiovascular diseases: ischemic heart diseases (acute myocardial infarctions and angina pectoris), arrhythmia, heart failure, heart valve disease and peripheral vascular diseases.

Department of Pediatrics

We are responsible for general diagnosis/treatment and critical care in the Department of Pediatrics.

This department is responsible for the diagnosis/treatment of diseases in general in the Department of Pediatrics (including secondary care with referrals from family doctors) and critical care for infants mainly at nights and on holidays as a community support hospital in Katsushika and Adachi. We offer diagnosis/treatment for neurological outpatients, cardiac outpatients and allergic outpatients as specialized outpatient care in addition to hospital stay diagnoses/treatment. In the case of specialized diseases we cannot handle in our hospital or if special treatment is required, we work closely with university hospitals, metropolitan hospital and other medical institutions. Pediatric diseases are often characterized by sudden illnesses and sudden changes in symptoms. This department would also like to help create an environment in which children can grow and develop healthily in cooperation with fathers and mothers in addition to treating diseases.

Main Diseases and Diagnosis/Treatment Structure

The diseases we diagnose and treat include acute diseases (e.g., infectious disease), congenital heart diseases, observation of Kawasaki disease, poor weight gain in infants, short stature, bronchial asthma, food allergies, epilepsy, orthostatic blood pressure regulation disorders and abnormality examinations of school urinalysis.

Department of Surgery

Main Target Diseases and Diagnosis/Treatment Details

By disease, colorectal cancer, stomach cancer and breast cancer account for a lot of the malignant ones. However, pancreatic cancer, biliary tract cancer and liver cancer have also been increasing, to we provide medical treatment on an active basis for them. On the other hand, we also concurrently offer chemotherapy according to the guidelines for advanced cases of cancer that cannot be removed at the time of your visit and cases of recurrence after surgery in our hospital. We refer cases with no surgical indication for advanced cancer and cases for which combined therapy with radiation or chemotherapy appears to be necessary before/after surgery accompanied with materials to university hospitals or more specialized facilities when there is no other choice. We return cases of benign diseases and early-stage cancer cases among the surgical cases referred to us to the medical institutions from which you came soon after surgery. You will then undergo diagnosis and treatment after that. We return to the referring physician advanced cases for which recurrence has not been seen upon observation while providing anticancer drug treatment according to the guidelines approximately one year after surgery once we have made a report to your referring physician.

Department of Pediatric Surgery

Main Target Diseases and Diagnosis/Treatment Details

We treat various common pediatric surgical diseases and pediatric urogenital surgical diseases. These include pediatric inguinal hernia, umbilical hernia, cryptorchidism, phimosis, hypospadias, vesicoureteral reflux phenomenon and appendicitis.

Department of Orthopedic Surgery

Main Target Diseases and Diagnosis/Treatment Details

We have updated our spinal surgery that was very invasive for spine and spinal cord diseases (e.g., dish herniation, purulent spondylitis, spinal metastasis of cancer, adult spinal deformity, vertebral body fractures, spinal cord trauma and lumbar spinal canal stenosis) regardless of age until now. We now provide treatment based on minimally invasive spinal surgery (MIS) that aims to minimize damage to your back muscles as far as possible. The safety margin of surgery has been increasing due to the advantages of the low degree of damage and little postoperative pain even for elderly patients with a narrow tolerance to invasive surgery.

Department of Neurosurgery

Main Target Diseases and Diagnosis/Treatment Details

We treat and diagnose symptoms believed to be caused by the brain and spinal cord (e.g., disturbance of consciousness, speech impediments, walking impediments, weakness and numbness of limbs, convulsions, dizziness, headaches, trigeminal neuralgia and facial spasms, neck pain, double vision, abnormal eyesight and vision, amenorrhea, urinary incontinence, and cognitive impairment).

Main Target Diseases

erebral Infarctions, Cerebral Hemorrhages, Subarachnoid Hemorrhages and Other Cerebrovascular Diseases
We basically treat internal carotid artery stenosis and cerebral aneurysms in particular among these with intravascular treatment specialists of Juntendo University. We handle the former with carotid artery stent placement and the latter with intracranial coiling regardless of whether or not the aneurysm is ruptured.

Brain Tumors (Meningioma, Glioma, Pituitary Tumors and Metastatic Brain Tumors)
We perform nasal surgery for pituitary tumors. If radiation therapy is necessary before or after surgery, we will refer those patients to suitable gamma knife facilities, cyber knife facilities and other facilities with a radiology department.

Normal pressure hydrocephalus
This is also called surgically treatable cognitive impairment. We perform a walking impairment assessment such as a cerebrospinal fluid exclusion test with hospitalization before surgery and then perform lumbar vertebrae – abdominal cavity shunting.

We provide initial support with outpatient care and hospitalization. It is difficult to attend hospital for regular treatment over a long period of time with diseases due to the nature of our hospital. Accordingly, we will refer you to other hospitals with a neurology department as needed depending on your condition.

Spinal Diseases
We provide initial support. We will also refer you to the Department of Orthopedic Surgery or other hospitals if surgery is also necessary.

Facial Convulsions
We carefully investigate the causes and then basically perform BOTOX treatment on an outpatient basis.

Other Cognitive Impairments
It is difficult for our hospital to provide hospital treatment for cognitive impairment However, we basically provide initial support. We conduct careful examinations and diagnoses (e.g., VSRAD, Imp examinations and DAT scans) on cognitive impairments at the outpatient level. We also give referrals to other hospitals as necessary.

Department of Cardiovascular Surgery

We provide outpatient diagnoses and treatment on Fridays.

Department of Urology

Main Target Diseases and Diagnosis/Treatment Details

We are specialized in urological surgery (especially cancer surgery), diagnoses and treatment in general of urological cancers (e.g., prostate cancer, bladder cancer, and renal pelvic/ureteral cancer), and treatment of stones with endoscopes. We perform prostrate biopsy (biopsies in other places) under lumbar anesthesia upon a one-night stay in hospital. In addition, we started performing biopsies under local anesthesia by continuing internal use for patients taking antiplatelet drugs and anticoagulant drugs in FY2011

Department of Gynecology

Main Diseases and Diagnosis/Treatment Structure

Malignant Diseases (Cervical Cancer, Cancer of the Uterine Body and Ovarian Cancer)
We perform standard treatment based on the guidelines of the Japan Society of Gynecologic Oncology – from radical surgery to anticancer drug treatment. We endeavor to provide diagnosis and treatment based on evidence. We offer treatment in cooperation with Juntendo University, the Tokyo Metropolitan Komagome Hospital and others for those who need radiation therapy.

Benign Diseases
We actively perform minimally invasive treatment with endoscopic surgery (laparoscopic surgery and hysteroscopic surgery) for uterine myoma, endometriosis and benign ovarian tumors. We perform treatment tailored to each patient (e.g., transvaginal conventional methods, the mesh method and laparoscopic sacral vaginal fusions) for pelvic organ prolapse and genital prolapse (uterine prolapse, hysteroptosis, rectal prolapse and bladder prolapse) often found in women after menopause. (Refer below for details.) We are also actively engaged in the acceptance and referral of second opinions. The members of our staff aim for sufficient informed consent so that patients accept and undergo treatment with peace of mind.

We actively treat pelvic organ prolapse in our hospital.

What Is Pelvic Organ Prolapse?
There is a urinary bladder, uterus and rectum in the pelvis. These are supported by muscles and ligaments. If the muscles and ligaments are weakened due to injury from childbirth or aging, this support is lost and the organs in the pelvis lower. We call the lowering of the bladder cystocele, lowering of the uterus uterine prolapse and lowering of the rectum rectal aneurysm. We call lowering of the stump of the vagina after removal of the uterus vagina stump prolapse or intestinal aneurysm.
<Symptoms of Pelvic Organ Prolapse>
If prolapse leads to severe symptoms relating to urination (e.g., uncomfortable feeling or sensation or a foreign body like something is stuck in the crotch, difficult to pass urine, close urine or urine leakage), it may cause hydronephrosis or pyelonephritis.
<Indication of Treatment>
Even if the degree of the prolapse becomes greater, treatment is not particularly necessary if your symptoms are not severe. We perform treatment if your symptoms are severe and you make a request for such. However, we proactively recommend treatment if hydronephrosis has occurred or if the prolapse is causing chafing and inflammation.
<Treatment of Pelvic Organ Prolapse>
1. Pelvic floor muscle exercises (Kegel exercises)
Perform exercises that tighten the hole of your bottom to train your pelvic floor muscles. There is no immediate effect.
However, if the degree is light, the symptoms often improve by continuing these exercises.
2. Lifestyle guidance, dieting and no abdominal pressure (avoid holding heavy objects and suffering from constipation)
Pelvic organ prolapse is liable to occur with those who work while holding heavy objects or who have pressure applied to their abdomen on a daily basis.
You should endeavor to live without placing stress on your stomach. In addition, obesity places pressure on your abdomen. This worsens the symptoms.
Your symptoms may improve by dieting a little.
Place a donut-shaped ring in your vagina to support your pelvic organs.
This puts a hard and foreign object in your soft vagina, so chafing, inflammation and then bleeding may occur.
You will need periodic checks. If you can attach and detach the pessary by yourself,you can use it even more comfortably.
4. Surgical treatment

There are several ways to operate. The procedure varies depending on the site of the prolapse, your age, whether or not you have sexual relations, when or not you have uterine and appendage lesions, and your health condition. We present the most suitable surgical procedure for each individual with an examination and detailed interview. These are the main surgical procedures.

  1. Uterine prolapse curative operation (vaginal simple total hysterectomy + colporrhaphia anterior + levator ani stitches)
    We remove the uterus from your vagina and then stitch up the loose vaginal wall. This is done under general anesthesia. The time required for the surgery is approximately two hours. The hospital stay is basically about seven days after the surgery. This is suitable for those whose uterus is mainly prolapsed. However, the postoperative vagina may become narrower and those engaged in sexual relations will need further consultation.
  2. Vaginal mesh surgery
    This is surgery to rebuild weakened support tissue in the pelvis using a mesh made with the artificial material of polypropylene. This is mainly suitable for those whose urinary bladder is prolapsed and those after a hysterectomy. The depth of the vagina is also maintained with this surgical procedure that does not require the removal of the uterus. This is a relatively new surgery that was introduced into Japan in 2005. Basically, we do not perform this surgery on premenopausal women. This is performed under general anesthesia. The time required for the surgery is approximately one to two hours. The hospital stay is basically seven days after the surgery.
  3. Closure of the vagina surgery
    This is a surgical procedure in which we stich the front and rear of a prolapsed vagina wall. This is suitable for those who are elderly who have many complications with a method that places the least burden on your body. This is performed under general anesthesia. The time required for the surgery is approximately one hour. The hospital stay is three days after the surgery. We close the vagina, so uterine cancer screening will no longer be possible after surgery.
  4. Laparoscopic sacral vagina fusion
    We raise the pelvic organ using a mesh under a laparoscope. We often cut and remove the upper part of the uterus. This is suitable for those with ovarian tumors, those with a hip joint that does not open and those engaged in sexual relations. This is performed under general anesthesia. The time required for the surgery is approximately four hours. The hospital stay is basically six days after the surgery. The surgery time is long, so it is suitable for relatively younger people.

We select the surgical procedure according to the case in other situations. Please first consult with a gynecologist if you have any concerns.

Department of Ophthalmology

Main Target Diseases and Diagnosis/Treatment Details

In recent year, eye diseases have been increasing with the aging of the population. This has also had a major impact of the quality of life (QOL) of patients. We perform diagnosis and treatment in general on ophthalmology in this department. In particular, uveitis is applicable to examination at any time – from minor iritis to Behcet’s disease sarcoidosis and other designated intractable diseases. We will refer you to university hospitals, including Tokyo Medical and Dental University, for cases that are difficult to handle in our department. We will proactively refer you if your symptoms have stabilized after treatment to regional medical institutions. In this way, we strive to cooperate with community-based health care.

The examinations we are capable of include fluorescent fundus angiography (FAG), visual field examinations (GP and Humphrey), fundus three-dimensional image analysis (OCT), ultrasound examinations, ocular muscle function examinations, eye axial length measurement examinations, electroretinograms, corneal shape analysis, corneal endothelium measurements and corneal thickness measurements. In addition, we also conduct inspections and training for strabismus and amblyopia.

We perform cataract surgery (ultrasonic emulsification suction surgery and intraocular lens insertion surgery) with a hospital stay of two nights and three days or a same day return according to your request. We mainly use soft intraocular lenses for small incision wounds with little impact on postoperative astigmatism for intraocular lenses. We can also use astigmatism correction lenses depending on the case.

Department of Anesthesiology

Main Diseases and Diagnosis/Treatment Structure

Pain Clinic
The pain clinic offers treatment to alleviate harmful pain with nerve blocking and medication. This is the under the responsibility of the Pain Clinic specialists in our hospital. We also proactively offer traditional Chinese medicine treatment for medication.

Preoperative Outpatient Examinations in the Department of Anesthesiology
Conventionally, pre-operative examinations were performed directly before surgery. Preoperative outpatient examinations are a system in which you will undergo an examination prior to hospitalization once surgery has been decided. We examine the condition of your whole body in the examination room. We then describe the optimal anesthesia method and safety. This is also helpful in protecting your privacy.

Department of Otorhinolaryngology

We offer outpatient diagnosis/treatment three days a week (Tuesdays, Thursdays and Fridays).

Department of Radiology

  • General photography
  • Mammography
  • Angiography examinations
  • Cardiac catheter examinations
  • CT examinations
  • MRI examinations
  • Nuclear medicine (radioisotope: RI) examinations