Outpatient Services

Gastroenterology

This is a specialty that diagnoses and treats diseases of the digestive system, including the stomach, intestines, liver, gallbladder, and pancreas. Using endoscopic and ultrasound examinations, we treat gastric ulcers, stomach cancer, liver diseases, and other conditions.

When you experience these symptoms

Heartburn

Stomach upset

Diarrhea or constipation

Stomach pain

Stomachache

Telephone reservation reception hours

A.M. 9:00-12:30/P.M. 14:00-17:30 (Monday to Friday *Excluding Saturdays, Sundays and public holidays)


Reception for initial consultations, examinations, and infusions

A.M. 9:00-12:00/P.M. 14:00-17:00 (Monday to Friday *Excluding Saturdays, Sundays and public holidays)


First visit

Web booking Alternatively, please make a reservation in advance by phone and bring your health insurance card.

Revisit

Web booking Alternatively, please make an appointment in advance by phone and bring your health insurance card and patient registration card.

Reservations are required, so please make your reservation online or by phone.

Gastroenterology (Reservation Required)

Blue backgroundTeachers can be booked online

A.M.
P.M.
Mon

Fujita

No examination

Tue

Akagi

Akagi

Wed

Endo

Akagi

Furukawa

Kure

*17:00-17:30

Thu

Tatewaki

9:00am ~ 11:00am

Okubo

Akagi

Fri

Ohtake

Akagi

Our clinic is for people aged 16 and over.

Reservations are required, so please make your reservation online or by phone.

A thorough inspection system

① Results of general blood tests are given to you on the same day

We have a clinical testing room within the hospital, and can explain the results of common blood tests (peripheral blood tests, liver function, lipids, metabolic system, renal function, etc.) on the same day as the test.

②Secondary inspection is also possible using high-precision inspection equipment

We are equipped with high-precision testing equipment, such as an 80-slice CT, 3.0 Tesla MRI, and 2D/3D mammography, and are able to provide a variety of tests if findings are found during medical checkups and health examinations.

  • CT, MRI and ultrasound examinations require reservations.

Comprehensive support on one floor

We provide medical care in cooperation with other specialists depending on the patient's condition. On the same floor, you will also find Tokyo Midtown Dermatology and Plastic Surgery Noage, Tokyo Midtown Dental Clinic, health care shop TMMC Plus, and a dispensing pharmacy.

Main responses by disease

Reflux esophagitis
  • This is such a disease.
    • A digestive disease in which stomach acid and contents reflux, causing inflammation and damage to the esophagus. If it progresses, it can damage the esophageal mucosa and cause complications.
  • Main symptoms
    • Burning or pain in the chest
    • Discomfort when swallowing food
    • Unpleasant or foreign body sensation in the throat
  • Future risks
    • Tissue damage caused by reflux narrows the esophagus
    • Long-term reflux increases risk of developing esophageal cancer
    • Mucosal abnormalities may progress and develop into cancer
  • Main treatment
    • Drug therapy
      • Antacids: For mild symptoms, antacids can help by reducing the amount of acid in the stomach.
      • H2 receptor antagonists, such as ranitidine and famotidine, have the effect of suppressing the secretion of stomach acid.
      • Proton pump inhibitors (PPIs), such as omeprazole and esomeprazole, are more potent at suppressing stomach acid secretion and helping the esophagus heal.
Gastritis
  • This is such a disease.
    • It is a digestive disorder in which the inner mucous membrane of the stomach becomes inflamed, causing stomach discomfort and pain. It can be caused by infection, stress, or excessive alcohol consumption.
  • Main symptoms
    • Abdominal discomfort or pain
    • Loss of appetite or vomiting
    • Decreased interest or desire to eat
  • Future risks
    • Damage to the gastric mucosa leads to ulcers
    • Continuing inflammation prolongs symptoms
    • Long-term inflammation can lead to cancer
  • Main treatment
    • Drug therapy
      • Antacids: These help the stomach lining repair itself by reducing the amount of acid produced.
      • H2 blockers: Drugs that suppress the production of stomach acid, such as ranitidine and famotidine.
      • Proton pump inhibitors (PPIs): These drugs, such as omeprazole and lansoprazole, are more effective at suppressing stomach acid production.
Inflammatory bowel disease
  • This is such a disease.
    • A group of diseases characterized by chronic inflammation in the digestive tract, mainly including ulcerative colitis*1 and Crohn's disease*2. There are multiple causes, and it is believed that an autoimmune response is involved.
  • Main symptoms
    • Frequent bowel movements or abnormal bowel movements
    • Abdominal pain or discomfort
    • Blood in the stool
  • Future risks
    • Risk of intestinal narrowing due to inflammation
    •  Potential for formation of fistulas between intestinal tracts
    •  Surgery may be required due to progression or complications.
  • Main treatment
    • Drug therapy
      • Aminosalicylic acid (5-ASA) drugs are primarily used to treat ulcerative colitis by reducing inflammation.
      • Steroids: These are effective in suppressing acute symptoms, but caution is required when used long-term as they can have side effects.
      • Immunosuppressants: These suppress the activity of the immune system and reduce inflammation. Examples include azathioprine and methotrexate.

 

*1 Ulcerative colitis is a disease in which inflammation and ulcers occur in the mucous membrane of the large intestine, causing symptoms such as diarrhea, abdominal pain, and bloody stool.

*2: Crohn's disease is a condition in which "discrete inflammation and ulcers occur in the digestive tract, resulting in abdominal pain, diarrhea, bloody stool, and weight loss."

Doctor introduction

Toshiomi Kusano

Tokyo Midtown Clinic

Full-time doctor/Gastroenterologist

Biography
Graduated from Nagasaki University School of Medicine in 1975.
After serving as a surgical resident at the National Cancer Center, chief surgeon at the National Nagasaki Central Hospital, assistant professor of the First Department of Surgery at the Faculty of Medicine at the University of the Ryukyus, and visiting professor of surgery at the University of California, San Francisco, he became a permanent director of Tokyo Midtown Clinic in 2010.
He became the company's chairman in June 2011.
Certifications
Japan Surgical Association Certified Doctor
Japanese Society of Gastroenterology Certified Physician
American College of Surgeons Specialist
American Society of Gastrointestinal Endoscopic Surgery Specialist

Ichiro Akagi

Tokyo Midtown Clinic

Full-time doctor/Gastroenterologist

Biography
Graduated from Nippon Medical School in 2001 and began working in the Department of Gastroenterological Surgery at Nippon Medical School Hospital.
In 2009, he graduated from the Graduate School of Organ Biology and Pathological Control Surgery at Nippon Medical School and obtained his Doctor of Medicine degree before moving to the United States.
2010: Worked at the US National Cancer Institute (NIH).
In 2015, he became Chief of the Surgery Department at Nippon Medical School Tama Nagayama Hospital, where he currently serves.
Certifications
Japan Surgical Society Supervisor, Specialist, and Certified Doctor
Japan Society of Hepatology Supervisor and Specialist
Japan Gastroenterological Society instructor/specialist
Japan Society of Ultrasound in Medicine Supervisor and Specialist
Japanese Gastrointestinal Endoscopy Society Specialist
Japan Esophageal Society certified physician
Japanese Society of Gastroenterological Surgery Specialist
Gastrointestinal cancer surgical treatment certified physician
Japan Cancer Treatment Certified Physician
Japan Society of Laser Medicine Certified Doctor, Type 2
Completed a palliative care seminar for doctors involved in cancer treatment
Completed the Mammography Training Course at the NPO Seichu Organization
Tokyo Metropolitan Government designated doctor for intractable diseases
Special Researcher, Department of Molecular Anatomy, Nippon Medical University
Japanese Medical English Proficiency Test (Advanced Level)
ICLS (Immediate Cardiac Life Support) course certified doctor
Ministry of Health, Labor and Welfare Medical Officer
American Association for Cancer Research (AACR) active member
Editorial Board Member of Global Journal of Oncologist

Makoto Tatewaki

Tokyo Midtown Clinic

Full-time doctor/Gastroenterologist

Biography
Graduated from Hyogo College of Medicine in 1988. Completed clinical training in internal medicine at the National Center for Global Health and Medicine.
Doctor of Medicine (University of Tokyo) in 1995.
1995, University of Michigan, USA.
In 2001, he studied abroad at DUKE University Medical Center.
Department of Internal Medicine, Teikyo University School of Medicine, Department of Internal Medicine, Cancer Research Institute Hospital, Department of Gastroenterology, Cancer Institute Ariake Hospital.
Certifications
Member of the Japanese Society of Internal Medicine, the Japanese Society of Gastroenterology, and the American Gastroenterological Association (AGA)

Hidetaka Ohkubo

Tokyo Midtown Clinic

Full-time doctor/Gastroenterologist

Biography
Graduated from Kyushu University School of Medicine in 2009
JCHO Kyushu Hospital (formerly Kyushu Welfare Pension Hospital) Resident physician
He has worked as a resident, fellow and medical officer in the gastroenterology department at the National Center for Global Health and Medicine Hospital since 2011, up to his current position.
Certifications
Japanese Society of Internal Medicine General Internal Medicine Specialist
Japan Gastrointestinal Endoscopy Society Gastrointestinal Endoscopy Specialist
Japan Gastroenterological Society Gastroenterologist
Japan Society of Hepatology Hepatologist

Yuki Ohtake

Tokyo Midtown Clinic

Full-time doctor/Gastroenterologist

Certifications
Gastroenterologist
Endoscopy specialist
Certified Internal Medicine Physician
Primary Care Specialist
industrial physician

Maiko Furukawa

Tokyo Midtown Clinic

Part-time doctor/Gastroenterologist

Biography
2003 Graduated from Tokyo Women's Medical University School of Medicine
Assistant Professor, Tokyo Women's Medical University Aoyama Hospital
Hachioji Digestive Hospital, Department of Gastroenterology
Seconded to the Department of Gastroenterology at the Southern Tohoku General Hospital
Seconded to Toda Central General Hospital, Department of Gastroenterology
Director and Director of the Medical Checkup Center at Tokyo Midtown Clinic, Midtown Clinic Medical Corporation
Platanus Medical Corporation
Director and Director of Eek Omotesando, a comprehensive health clinic for women

Other medical departments