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

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


Reception for initial consultations, examinations, and infusions

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


First visit

Please make a reservation in advance by phone and bring your health insurance card.

Revisit

Please make an appointment in advance by phone and bring your health insurance card and patient registration card.

Gastroenterology (Reservation Required)

Doctors with a blue background are available for online reservation.

A.M.
P.M.
Mon

Fujita

Akagi

Tue

Akagi

Akagi

Wed

Endo

Akagi

Furukawa

※14:00-17:00

Hara

17:00~ 18:00

Thu

Hara

Akagi

Fri

Ito

Akagi

Ito

The patients should be at least 16 years of age.

Specific care for each disease condition

Reflux esophagitis
  • These diseases.
    • 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
  • Complications
    • 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
  • These diseases.
    • 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
  • Complications
    • 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
  • These diseases.
    • 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
  • Complications
    • 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’s Profile

Ichiro Akagi

Tokyo Midtown Clinic

Department in charge: Gastroenterology

                       
Certifications and Affiliations
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
Board Certified Specialist in Gastrointestinal Endoscopy by Japan Gastrointestinal Endoscopy Society
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
ACLS Providers
American Association for Cancer Research (AACR) active member
Editorial Board Member of Global Journal of Oncologist
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.

Yuki Ohtake

Tokyo Midtown Clinic

Department in charge: Gastroenterology

                       
Certifications and Affiliations
Gastroenterologist
Endoscopy specialist
Certified Physician in Internal Medicine
Primary Care Specialist
Occupational Physician

Maiko Furukawa

Tokyo Midtown Clinic

Department in charge: Gastroenterology

Biography
School of Medicine, Tokyo Women's Medical University
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 Chief of Comprehensive Medical Checkup Center, Tokyo Midtown Clinic, Mitown Clinic Medical Corporation
Platanus Medical Corporation
Director and Chief of ihc Omotesando, a comprehensive healthcare center for women, Platanus Medical Corporation

Other medical departments

A thorough inspection system

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

We have an in-house laboratory, and therefore, we can provide testing and explanation of general blood test results (hematology, liver function, lipids, metabolic system, renal function, etc.) on the same day.

②More precise examinations are also available with highly advanced medical equipment

We have a wide selection of high-precision medical equipment, including an 80-slice CT, 3.0 Tesla MRI, and 2D/3D mammography, and can provide detailed examinations if there are any doubtful findings during medical checkups.

  • 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.