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Digestive Diseases Center, Showa University Koto Toyosu Hospital,
Tokyo, Japan

Introduction:
 Our Digestive Diseases Center at Showa University Koto-Toyosu Hospital provides state-of-the-art treatment for patients who suffer from various digestive diseases. Our team covers a wide variety of Gastroenterology and GI surgery, including esophageal cancer, gastric cancer, colon cancer, hepatobiliary carcinoma, and various inflammatory diseases of the gastrointestinal tract.

Our Credo:
1. Dr. Shusuke Kamijyo, one of the founders of Showa University, said, “Complete honesty and sincerity for the patient (至誠一貫).” Today this is a slogan of Showa University. We care for patients with unlimited effort and a sincere mind. We always think foremost about the patient’s benefit.
2. As experts in Gastroenterology and GI Surgery, we deliver high quality care to our patients with the pride of one of the world’s leading groups in the field.
3. Our clinical team includes both gastroenterologists and surgeons. This close relationship allows us to collaborate in the care of the patient and provide the most effective treatment. Even when patients are referred for surgery, in some cases we may direct further studies and recommend a minimally invasive or non-surgical approach.
4. We scientifically collaborate with medical industries to develop and utilize brand-new, highly sophisticated devices.
5. We take great care to minimize discomfort during diagnosis and treatment.
6. We provide high quality treatment not only to local patients, but also to patients from around the world. We have treated patients from USA, Australia, Europe, and Asia with the same quality we provide to Japanese patients.
7. Our Digestive Disease Center collaborates very closely with other specialties, such as the cardiovascular disease center, to offer comprehensive, high-quality medical care.


• Cancer Board for Gastrointestinal Cancer
  Our tumor board consists of clinical oncologists, radiologists, gastroenterologists, hepatologists, endoscopists, and surgeons who discuss cases from a multidisciplinary point of view and recommend the best treatment options for advanced cancer patients.

• World–class Endoscopy Suite
  If gastrointestinal cancer is found in the early stages, it can be cured by endoscopic (non-surgical) resection. Our endoscopists are keen to establish minimally invasive treatment for various gastrointestinal diseases. In terms of EMR (Endoscopic Mucosal Resection) we were one of the pioneers in this field (Cap-EMR, 1993). This has advanced to ESD (Endoscopic Submucosal Dissection). Numerous EMR/ESD procedures are carried out as a daily part of our clinical practice. A world-famous endoscopic procedure, POEM (Per-Oral Endoscopic Myotomy), was developed by our team and first reported in 2010.

• High-level Endoscopic Surgery Operating Theater
  Most digestive surgery in our center is performed by minimally invasive techniques (laparoscopic surgery, thoracoscopic surgery, endoscopic surgery, or a combination of procedures). We have a strong collaboration with the research and development division of the Olympus company to create an ideal endoscopic surgery system. Many expert surgeons and gastroenterologists work together as part of a single medical unit.

If you have any question, please contact Dr. Yuto Shimamura (Assistant Professor,
E-mail:yutoshimamura1219@gmail.com).