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Tottori University Hospital > Index of Department > 2nd Internal Medicine : Gastroenterology / Nephrology

Index of Department

2nd Internal Medicine : Gastroenterology / Nephrology

Gastroenterology / Nephrology


  • Head of division
     Hajime Isomoto
We treat not only gastrointestinal diseases but also patients as "human beings."

Ever since its opening in 1947 as Second Internal Medicine, we believe that we have significantly contributed to the treatment of gastrointestinal diseases in the San-in area. We utilize the latest equipment for diagnosis and treatment to meet a wide variety of patient needs. We always put emphasis on the establishment of a trust relationship between patients and medical professionals.

Fields of expertise

In the San-in area, we have the richest experiences in integrative diagnosis of liver cancer using image analysis and in medicinal treatment using radiofrequency ablation. We also often provide arterial injection chemotherapy for advanced liver cancer. We also provide antiviral therapy for type B and type C hepatitis, prevention of cancer, and early-detection screening. As for esophageal, stomach, or bowel cancer, we provide precise diagnosis and minimally invasive endoscopic treatment such as endoscopic submucosal dissection (ESD) using the latest endoscopic instrument. For biliopancreatic diseases, we provide treatment options after confirming histological evidence based on detailed observation with ultrasound endoscopy and fine-needle aspiration (EUS-FNA).

Diseases of interest

Benign and malignant disease of the overall digestive region

Principal treatment

  • Digestive tract treatment including ESD with an endoscope
  • Gallbladder and pancreas treatment including endoscopic nasobiliary drainage with an endoscope
  • Inflammatory bowel disease treatment
  • Viral hepatitis treatment
  • Radiofrequency ablation, ethanol injection therapy for liver tumor
  • Multimodality therapy including chemotherapy for various digestive cancers

Principal tests

  • Endoscopy examination of the upper and lower digestive tract
  • Endoscopic retrograde cholangiopancreatography
  • Small-bowel endoscopy and capsule endoscopy
  • Ultrasound endoscopy,endoscopic ultrasound-guided fine-needle aspiration biopsy
  • Abdominal ultrasonography, contrast-enhanced ultrasonography, liver stiffness measurement (FibroScan)
  • Laparoscopy
  • Liver biopsy, liver tumor biopsy


  • Head of division
    Chichio Munenura
We want to protect your kidneys.

We provide treatment for a variety of renal diseases. The recently proposed CKD (chronic kidney disease) is drawing attention because of the high number of affected patients and the risk of cardiovascular disease. For this, we provide education for citizens in the region and treatment in collaboration with medical facilities in the region.

Fields of expertise

For early-stage renal disease patients, we perform renal biopsy for a definitive diagnosis and provide curative treatment. For patients with advanced CKD, we slow down its progress with multimodality therapy. And for patients with end-stage renal disease, after sufficient explanation of the treatment, we provide hemodialysis or peritoneal dialysis. We also refer the patients to transplant facilities for renal transplantation on the will of the patients.

Diseases of interests

  • Chronic kidney disease
  • Acute kidney failure
  • Various primary and secondary glomerular diseases

Principal treatment

  • Steroid therapy and cocktail therapy for various glomerular diseases
  • Tonsillectomy and steroid pulse therapy in patients with IgA nephropathy
  • Various plasma exchange therapy
  • Hemodialysis
  • Peritoneal dialysis

Principal tests

  • Renal biopsy
  • Peritoneum function test