{"id":18,"date":"2022-06-13T14:30:30","date_gmt":"2022-06-13T05:30:30","guid":{"rendered":"http:\/\/www.med.miyazaki-u.ac.jp\/home\/gastroenterology\/?page_id=18"},"modified":"2026-03-18T10:04:32","modified_gmt":"2026-03-18T01:04:32","slug":"classroom","status":"publish","type":"page","link":"http:\/\/www.med.miyazaki-u.ac.jp\/home\/gastroenterology\/classroom\/","title":{"rendered":"\u6559\u5ba4\u7d39\u4ecb"},"content":{"rendered":"\n
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\u533b\u5c40\u9577\u6328\u62f6<\/span><\/strong><\/p>\n\n\n\n

2015\u5e749\u6708\u3088\u308a\u5bae\u5d0e\u5927\u5b66\u306b\u6d88\u5316\u5668\u5185\u79d1\u5b66\u8b1b\u5ea7\u304c\u8a2d\u7acb\u3055\u308c\u30012017\u5e744\u6708\u3088\u308a\u8b1b\u5ea7\u518d\u7de8\u304c\u884c\u308f\u308c\u307e\u3057\u305f\u30022016\u5e744\u6708\u306b\u6559\u6388\u3068\u3057\u3066\u5317\u6d77\u9053\u5927\u5b66\u3088\u308a\u6cb3\u4e0a\u6d0b\u6559\u6388\u304c\u5c31\u4efb\u3055\u308c\u3001\u80c6\u81b5\u75be\u60a3\u306b\u304a\u3051\u308b\u6700\u65b0\u306e\u8d85\u97f3\u6ce2\u5185\u8996\u93e1\u95a2\u9023\u624b\u6280\u3092\u81ea\u3089\u5148\u982d\u306b\u7acb\u3061\u3001\u5927\u5b66\u75c5\u9662\u306e\u81e8\u5e8a\u306e\u73fe\u5834\u3067\u53b3\u3057\u304f\u3054\u6307\u5c0e\u3044\u305f\u3060\u3044\u3066\u304a\u308a\u307e\u3059\u3002\u307e\u305f\u81e8\u5e8a\u306e\u307f\u306a\u3089\u305a\u3001\u591a\u65bd\u8a2d\u5171\u540c\u7121\u4f5c\u70ba\u5316\u6bd4\u8f03\u8a66\u306a\u3069\u306e\u81e8\u5e8a\u7814\u7a76\u3078\u306e\u53c2\u52a0\u3084\u3001\u82e5\u624b\u533b\u5e2b\u3078\u306e\u82f1\u8a9e\u8ad6\u6587\u306e\u6295\u7a3f\u306a\u3069\u3082\u7a4d\u6975\u7684\u306b\u884c\u3063\u3066\u304a\u308a\u3001\u5927\u5b66\u75c5\u9662\u306e\u81e8\u5e8a\u533b\u3068\u3057\u3066\u7686\u69d8\u306b\u9084\u5143\u3067\u304d\u308b\u3088\u3046\u306a\u8a3a\u7642\u3092\u5fc3\u304c\u3051\u3066\u304a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n

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\u708e\u75c7\u6027\u8178\u75be\u60a3\u306b\u5bfe\u3057\u3066\u8a3a\u65ad\u306e\u305f\u3081\u306b\u5c0f\u8178\u5185\u8996\u93e1\u3084\u30ab\u30d7\u30bb\u30eb\u5185\u8996\u93e1\u306a\u3069\u306e\u7279\u6b8a\u691c\u67fb\u3092\u7a4d\u6975\u7684\u306b\u884c\u3044\u3001\u6cbb\u7642\u3068\u3057\u3066\u8840\u7403\u9664\u53bb\u7642\u6cd5\u3084\u514d\u75ab\u6291\u5236\u5264\u3001\u751f\u7269\u5b66\u7684\u88fd\u5264\u3092\u884c\u3063\u3066\u3044\u307e\u3059\u3002\u65e9\u671f\u6d88\u5316\u7ba1\u764c\u306b\u5bfe\u3057\u3066\u6700\u65b0\u306e\u7279\u6b8a\u5149\u3092\u7528\u3044\u305f\u62e1\u5927\u5185\u8996\u93e1\u8a3a\u65ad\u3084\u3001\u6cbb\u7642\u3068\u3057\u3066\u5185\u8996\u93e1\u7684\u7c98\u819c\u4e0b\u5c64\u5265\u96e2\u8853\uff08ESD\uff09\u3001\u624b\u8853\u4e0d\u80fd\u306e\u9032\u884c\u764c\u306b\u5bfe\u3057\u3066\u6700\u5584\u306e\u5316\u5b66\u7642\u6cd5\u306e\u9078\u629e\u304a\u3088\u3073\u653e\u5c04\u7dda\u6cbb\u7642\u304b\u3089\u7de9\u548c\u533b\u7642\u307e\u3067\u884c\u3063\u3066\u3044\u307e\u3059\u3002\u80c6\u81b5\u75be\u60a3\u306b\u5bfe\u3057\u3066\u8d85\u97f3\u6ce2\u5185\u8996\u93e1\uff08EUS\uff09\u3001\u8d85\u97f3\u6ce2\u5185\u8996\u93e1\u4e0b\u7a7f\u523a\u5438\u5f15\u6cd5\uff08EUS-FNA\uff09\u3001\u5185\u8996\u93e1\u7684\u9006\u884c\u6027\u80c6\u7ba1\u81b5\u7ba1\u9020\u5f71\uff08ERCP\uff09\u3001\u307e\u305fERCP\u56f0\u96e3\u4f8b\u306b\u5bfe\u3057\u3066\u306f\u7a4d\u6975\u7684\u306binterventional EUS\u3082\u884c\u3063\u3066\u3044\u307e\u3059\u3002\u809d\u75be\u60a3\u3067\u306f\u809d\u7d30\u80de\u764c\u306b\u5bfe\u3057\u809d\u52d5\u8108\u5316\u5b66\u585e\u6813\u7642\u6cd5\u3001\u30e9\u30b8\u30aa\u6ce2\u713c\u707c\u7642\u6cd5\u3001\u5206\u5b50\u6a19\u7684\u85ac\u3001\u514d\u75ab\u30c1\u30a7\u30c3\u30af\u30dd\u30a4\u30f3\u30c8\u963b\u5bb3\u85ac\u306a\u3069\u306b\u3088\u308b\u96c6\u5b66\u7684\u306a\u96c6\u5b66\u7684\u6cbb\u7642\u3092\u884c\u3044\u3001\u98df\u9053\u80c3\u9759\u8108\u7624\u306b\u5bfe\u3057\u3066\u5185\u8996\u93e1\u7684\u6cbb\u7642\u3001\u30ab\u30c6\u30fc\u30c6\u30eb\u6cbb\u7642\uff08IVR\uff09\u3001\u6162\u6027\u809d\u75be\u60a3\u3084\u809d\u816b\u760d\u306b\u5bfe\u3057\u3066\u8d85\u97f3\u6ce2\u30ac\u30a4\u30c9\u4e0b\u809d\u751f\u691c\u306a\u3069\u3092\u884c\u3063\u3066\u3044\u307e\u3059\u3002\u307e\u305f\u6d88\u5316\u7ba1\u51fa\u8840\u306a\u3069\u306e\u6551\u6025\u75be\u60a3\u306b\u5bfe\u3057\u3066\u6551\u547d\u6551\u6025\u30bb\u30f3\u30bf\u30fc\u3068\u306e\u9023\u643a\u306b\u3088\u308a\u7dca\u6025\u5bfe\u5fdc\u3092\u884c\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n

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\u307e\u305f\u79c1\u305f\u3061\u306f\u6d88\u5316\u5668\u5185\u79d1\u306b\u8208\u5473\u3092\u6301\u3063\u3066\u3044\u308b\u591a\u304f\u306e\u5b66\u751f\u3055\u3093\u3084\u5148\u751f\u65b9\u3067\u3001\u6211\u3005\u3068\u4e00\u7dd2\u306b\u5bae\u5d0e\u3067\u6d88\u5316\u5668\u5185\u79d1\u8a3a\u7642\u3092\u3057\u3066\u3044\u305f\u3060\u3051\u308b\u65b9\u3005\u3092\u63a2\u3057\u3066\u3044\u307e\u3059\u3002\u6d88\u5316\u5668\u75be\u60a3\u3084\u5185\u8996\u93e1\u306a\u3069\u306b\u95a2\u5fc3\u306e\u3042\u308b\u65b9\u306f\u3001\u662f\u975e\u3044\u3064\u3067\u3082\u6c17\u8efd\u306b\u304a\u58f0\u3092\u304b\u3051\u3066\u3044\u305f\u3060\u3051\u307e\u3059\u3068\u5e78\u3044\u3067\u3059\u3002<\/p>\n\n\n\n

2025\u5e744\u670825\u65e5
\u6d88\u5316\u5668\u5185\u79d1\u3000\u533b\u5c40\u9577\u3000\u4e09\u6c60\u5fe0<\/p>\n\n\n\n

<\/p>\n\n\n\n

Gastroenterology<\/strong><\/p>\n\n\n\n

Overview<\/strong><\/p>\n\n\n\n

The Department of Gastroenterology at University of Miyazaki was established in September 2015, with Professor Kawakami Hiroshi appointed as the founding chair in April 2016 after his tenure at Hokkaido University. Under his leadership, the department has become a center of excellence in the diagnosis and treatment of pancreatobiliary diseases, particularly through the advanced use of state-of-the-art endoscopic ultrasound\u2013guided techniques. Professor Kawakami leads the clinical team at the forefront of patient care, providing expert instruction and mentorship within the university hospital.<\/p>\n\n\n\n

Beyond clinical excellence, the department is deeply committed to academic advancement. We actively engage in multicenter randomized controlled trials and other collaborative clinical studies, while fostering an environment that supports young physicians in publishing high-quality research in international journals. Through the integration of cutting-edge clinical practice, research, and education, we aim to deliver innovative and reliable medical care that contributes meaningfully to the regional community and the global medical field.<\/p>\n\n\n\n

<\/p>\n\n\n\n

Advanced Clinical Care & Research<\/strong><\/p>\n\n\n\n

1. Inflammatory Bowel Disease<\/strong><\/p>\n\n\n\n

We actively perform advanced diagnostic procedures, including balloon-assisted enteroscopy and capsule endoscopy, to evaluate small-bowel lesions. Our therapeutic approaches include granulocyte and monocyte apheresis, immunosuppressive agents, and biologic therapies, tailored to each patient\u2019s disease activity and condition.<\/p>\n\n\n\n

2. Early Gastrointestinal Cancer<\/strong><\/p>\n\n\n\n

We utilize state-of-the-art magnifying endoscopy with image-enhanced technologies for precise diagnosis. Therapeutic options include endoscopic submucosal dissection (ESD). For patients with unresectable advanced cancer, we provide optimal systemic chemotherapy, radiotherapy, and comprehensive palliative care.<\/p>\n\n\n\n

3. Pancreatobiliary Diseases<\/strong><\/p>\n\n\n\n

Our department offers advanced pancreatobiliary diagnostics and interventions, including endoscopic ultrasound (EUS), EUS-guided fine-needle aspiration (EUS-FNA), and endoscopic retrograde cholangiopancreatography (ERCP). For cases in which ERCP is technically challenging, we actively perform interventional EUS procedures.<\/p>\n\n\n\n

4. Liver Diseases<\/strong><\/p>\n\n\n\n

For hepatocellular carcinoma, we provide multidisciplinary treatment approaches, including transarterial chemoembolization (TACE), radiofrequency ablation (RFA), molecular targeted therapies, and immune checkpoint inhibitors. We also offer endoscopic and interventional radiology treatments for esophagogastric varices, as well as ultrasound-guided liver biopsy for chronic liver diseases and hepatic tumors.<\/p>\n\n\n\n

5. Emergency Care<\/strong><\/p>\n\n\n\n

In close collaboration with the Emergency and Critical Care Center, we provide prompt and effective management of gastrointestinal emergencies, including acute gastrointestinal bleeding.<\/p>\n\n\n\n

<\/p>\n\n\n\n

\n\n\n\n

A Message to Future Colleagues<\/strong><\/p>\n\n\n\n

We are always looking for motivated medical students and physicians who are interested in gastroenterology and wish to practice and grow with us in Miyazaki. If you have an interest in gastrointestinal diseases or endoscopic medicine, please feel free to contact us at any time. We would be delighted to welcome you as a member of our team.<\/p>\n\n\n\n

<\/p>\n\n\n\n

Tadashi Miike, MD, PhD<\/strong>
Chief of the Medical Staff<\/strong>
Department of Gastroenterology<\/strong>
Last updated: February 2026<\/strong><\/p>\n\n\n\n

 <\/p>\n\n\n\n

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