Greetings
Our Respiratory Medicine has physicians with deep knowledge and extensive experience in all aspects of respiratory diseases, including expertise in lung cancer, allergies, interstitial pneumonia, and bronchoscopy. Furthermore, in recent years, we have welcomed enthusiastic young physicians, creating a medical system capable of providing high-level care for a wide range of respiratory illnesses.
Furthermore, all of our staff members value treating not only the "illness" but also the "person who is ill," and we strive every day to help everyone regain a healthy life. Please feel free to come and see us with confidence.
Director Respiratory Medicine Medicine
Tsuyoshi Oguma
Treatment details
Respiratory Medicine diagnoses and treats a wide range of respiratory diseases, including neoplastic diseases such as lung cancer, bronchial asthma, chronic obstructive pulmonary disease (COPD), respiratory infections, sleep apnea syndrome, interstitial lung disease, pulmonary embolism, respiratory failure, and rare lung diseases. In treatment, our goal is to safely provide the latest evidence-based, world-standard medical care. We strive for accurate and rapid diagnosis, including bronchoscopy, which is indispensable for diagnosing lung cancer, and aim to initiate treatment as early as possible in close cooperation with Thoracic Surgery, Department of Radiation Therapy, and Department of Diagnostic Pathology. In addition to lung imaging, we also have a comprehensive range of specialized pulmonary function tests and respiratory resistance tests to evaluate the functional aspects of various lung diseases.
Main target diseases
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Allergic diseases such as asthma
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Obstructive lung diseases such as COPD
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Respiratory infections such as pneumonia and mycobacterial infections.
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tumor diseases such as lung cancer
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sleep-disordered breathing
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Interstitial lung diseases such as pulmonary fibrosis and sarcoidosis
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Pleural diseases such as pleural effusion and pneumothorax
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Occupational respiratory diseases such as pneumoconiosis
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pulmonary vascular disease, such as pulmonary embolism
Main medical achievements
Asthma and allergic diseases:
Our team of certified allergologists and specialists, certified by the Japanese Society of Allergology, provides meticulous, individualized treatment tailored to the specific condition of each patient, even in cases where symptoms and lung function do not normalize with standard treatments. We also offer treatment with the latest biological agents, such as anti-IgE antibodies, anti-IL-5 antibodies, and anti-TSLP antibodies. We have extensive experience with related diseases such as allergic bronchopulmonary aspergillosis/mycosis, and we actively engage in new diagnostic and treatment approaches as a leading institution in nationwide clinical research.
Chronic obstructive pulmonary disease:
We aim to prevent exacerbation and enable patients to live a comfortable daily life by making an appropriate diagnosis using respiratory function tests, imaging tests, etc., and selecting individualized drug treatments, including inhaled medications, which have rapidly improved in recent years. We also work closely with paramedical staff to provide guidance and management for home oxygen therapy and home mechanical ventilation therapy for patients with chronic respiratory failure.
Respiratory infections:
We diagnose and treat respiratory infections such as pneumonia, pulmonary abscess, empyema, chronic lower respiratory tract infections associated with bronchiectasis, fungal and other opportunistic infections, pulmonary tuberculosis (in cases of negative sputum), and pulmonary nontuberculous mycobacterial disease. In addition to empirical treatment (treatment based on the prediction of the causative bacteria), we also perform bronchoscopy if necessary to identify the causative bacteria, and provide appropriate antibiotic treatment based on drug sensitivity. However, since our hospital does not have an inpatient facility for infectious sputum-positive pulmonary tuberculosis cases, pulmonary tuberculosis patients with sputum will be referred to a specialized tuberculosis facility.
Neoplastic diseases such as lung cancer:
We diagnose and treat primary lung cancer, metastatic lung cancer, benign lung tumors such as hamartomas, and malignant pleural mesothelioma. For the definitive diagnosis of lung tumors, including primary lung cancer, we primarily perform bronchoscopic lung biopsy, but for some lung tumors and malignant pleural mesothelioma, we may also perform thoracoscopic biopsy in collaboration with Thoracic Surgery Surgery. For neoplastic diseases, after performing the aforementioned histological examinations (including genetic testing) and a thorough systemic examination, we determine treatment strategies such as surgery, radiation therapy, chemotherapy, and immunotherapy in close cooperation with Thoracic Surgery and Department of Radiation Therapy. For the medical treatment of primary lung cancer, the first-line treatments are chemotherapy using molecular targeted drugs and anticancer drugs, and immunotherapy using immune checkpoint inhibitors, but we select the appropriate drug considering not only the pathology results and guidelines but also the patient's overall condition. The first round of chemotherapy is performed on an inpatient basis to fully evaluate the patient's physical function and side effects, but we actively introduce outpatient chemotherapy from the second round onward.
Sleep-disordered breathing:
Sleep apnea syndrome and narcolepsy can cause hypersomnia, and insomnia is also a significant problem. In particular, sleep apnea syndrome is linked to the exacerbation of many diseases, including hypertension, angina pectoris, myocardial infarction, cerebrovascular disease, and diabetes, making its diagnosis and treatment increasingly important. For the diagnosis and treatment of sleep apnea syndrome, we offer portable polysomnography (PSG), detailed examinations with short-term hospitalization, and the introduction of continuous positive airway pressure (n-CPAP) therapy. Please note that we do not currently provide treatment for sleep disorders other than sleep apnea syndrome (such as narcolepsy).
Interstitial lung disease:
We provide accurate diagnoses and appropriate treatment, including novel therapies, for interstitial lung diseases such as idiopathic interstitial pneumonia (IPF), acute exacerbations/acute respiratory failure of IPF, interstitial pneumonia associated with collagen diseases, hypersensitivity pneumonitis, drug-induced lung injury, eosinophilic pneumonia, and sarcoidosis. These diagnoses are based on high-resolution CT imaging, bronchoscopic lung biopsy, bronchoalveolar lavage, and thoracoscopic lung biopsy in close cooperation with Thoracic Surgery failure, interstitial pneumonia associated with collagen diseases, hypersensitivity pneumonitis, drug-induced lung injury, eosinophilic pneumonia, and sarcoidosis. We strive to provide clear and easy-to-understand explanations, as this is an area where many disease names are unfamiliar to patients.
Bronchoscopy:
We perform approximately 600 bronchoscopies annually, using them to diagnose conditions such as malignant lung tumors, diffuse lung diseases including interstitial pneumonia, pulmonary mycobacteria, and other lung infections of unknown cause. In addition to the latest diagnostic techniques such as endobronchial ultrasound with a guide sheath (EBUS-GS) and endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA), we also perform therapeutic procedures such as endobronchial bursing (Endobronchial Watanabe Spigot: EWS), laser treatment for bronchial tumors, removal of foreign bodies from the bronchi, and stent insertion for tracheal stenosis, all performed by specialists/instructors certified by the Japanese Society for Respiratory Endoscopy.
Doctor List
Department Head: Tsuyoshi Oguma
Chief of Ward 9A: Naoki Hashiyama
Outpatient: 0463 (93) 1121 extension 6201, 6202
Professor Tsuyoshi Oguma
| Specialization | Respiratory disease |
|---|---|
| Specialist | Certified Specialist and Instructor of the Japanese Respiratory Society / Certified Internist, General Internal Medicine Medicine Specialist and Instructor of the Japanese Society of Internal Medicine / Certified Specialist and Instructor of the Japanese Society of Allergology / Certified Oncologist of the Japanese Board of Cancer Therapy |
| Specialized Areas | Bronchial asthma, lung cancer, chronic obstructive pulmonary disease |
| Outpatient medical day | Tuesday and Friday |
Professor Yoko Ito
| Specialization | Respiratory disease |
|---|---|
| Specialist | Certified Specialist and Instructor of the Japanese Respiratory Society / Certified Internist, General Internal Medicine Specialist, and Instructor of the Japanese Society of Internal Medicine / Certified Specialist of the Japanese Society for Respiratory Endoscopy / Certified Smoking Cessation Instructor of the Japanese Society for Tobacco Control / Certified Oncologist of the Japanese Board of Cancer Therapy |
| Specialized Areas | Respiratory diseases in general |
| Outpatient medical day | Monday and Tuesday |
Lecturer: Naoki Hayama
| Specialization | Respiratory disease |
|---|---|
| Specialist | Certified Specialist and Instructor of the Japanese Respiratory Society / Certified Internist, General Internal Medicine Internal Medicine Specialist, and Internal Medicine Instructor of the Japanese Society of Internal Medicine / Certified Bronchoscopy Specialist and Instructor of the Japanese Society for Respiratory Endoscopy / Certified Oncologist of the Japanese Board of Cancer Therapy |
| Specialized Areas | Diagnosis and treatment of respiratory diseases, diagnosis and treatment of lung cancer |
| Outpatient medical day | Wednesday and Friday |
Lecturer Tomonori Uruma
| Specialization | Respiratory disease |
|---|---|
| Specialist | Specialist and Instructor of the Japanese Respiratory Society / Certified Internist, General Internal Medicine Internal Medicine Specialist, and Internism Instructor of the Japanese Society of Internal Medicine / Specialist of the Japanese Society of Allergology / Bronchoscopy Specialist of the Japanese Society for Respiratory Endoscopy / Certified Oncologist of the Japanese Board of Cancer Therapy / Specialist and Instructor of the Japanese Society for Infectious Diseases |
| Specialized Areas | respiratory infections |
| Outpatient medical day | Tuesday (PM) and Thursday (PM) |
Lecturer: Tomomatsu Katsuyoshi
| Specialization | Respiratory disease |
|---|---|
| Specialist | Specialist and Instructor of the Japanese Respiratory Society / Certified Internist, General Internal Medicine Internal Medicine Specialist, and Instructor of the Japanese Society of Internal Medicine / Bronchoscopy Specialist and Instructor of the Japanese Society for Respiratory Endoscopy / Specialist and Instructor of the Japanese Society of Allergology / Certified Oncologist of the Japanese Board of Cancer Therapy |
| Specialized Areas | Bronchial asthma, lung cancer, sleep apnea syndrome, chronic obstructive pulmonary disease |
| Outpatient medical day | Mondays and Wednesdays |
Lecturer: Hiroto Takiguchi
| Specialization | Respiratory disease |
|---|---|
| Specialist | Japanese Respiratory Society Certified Specialist / Japanese Society of Internal Medicine Certified Internist, General Internal Medicine Specialist, and Internal Medicine Instructor / Japanese Society for Respiratory Endoscopy Certified Bronchoscopist / Japanese Board of Cancer Therapy Certified Oncologist |
| Specialized Areas | General respiratory diseases, interstitial pneumonia |
| Outpatient medical day | Thursday and Friday |
Lecturer Jun Tanaka
| Specialization | Respiratory disease |
|---|---|
| Specialist | Certified Specialist of the Japanese Respiratory Society / Certified Internist, General Internal Medicine Specialist, and Internal Medicine Instructor of the Japanese Society of Internal Medicine / Certified Bronchoscopy Specialist of the Japanese Society for Respiratory Endoscopy |
| Specialized Areas | Respiratory diseases in general |
| Outpatient medical day | Monday (PM) |
Lecturer Yukihiro Horio
| Specialization | Respiratory disease |
|---|---|
| Specialist | Specialist of the Japanese Respiratory Society / Certified Internist and Instructor of the Japanese Society of Internal Medicine |
| Specialized Areas | interstitial pneumonia |
| Outpatient medical day | Thursday (AM) |
Instructor: Naoki Okada
| Specialization | Respiratory disease |
|---|---|
| Specialist | Japanese Respiratory Society Specialist / Japanese Society of Internal Medicine Certified Internist |
| Specialized Areas | Respiratory diseases in general |
| Outpatient medical day | Monday (PM) |
Assistant Professor Kai Yamazaki
| Specialization | Respiratory disease |
|---|---|
| Specialist | Specialist in Internal Medicine, Japanese Society of Internal Medicine |
| Outpatient medical day | Tuesday (PM) |
Naokata Kutsuzawa, Assistant Professor
| Specialization | Respiratory disease |
|---|---|
| Specialist | Specialist of the Japanese Respiratory Society / Specialist of Internal Medicine of the Japanese Society of Internal Medicine |
| Outpatient medical day | Wednesday (PM) |
Assistant Professor Mika Urata
| Specialization | Respiratory disease |
|---|---|
| Specialist | Specialist of the Japanese Respiratory Society / Specialist of Internal Medicine of the Japanese Society of Internal Medicine |
| Outpatient medical day | Thursday (AM) |
Assistant Professor Michiyasu Otaka
| Specialization | Respiratory disease |
|---|---|
| Outpatient medical day | Friday (AM) |
Assistant Professor Kaiki Suzuki
| Specialization | Respiratory disease |
|---|---|
| Outpatient medical day | Wednesday (AM) |
Professor Koichiro Asano (Institute of Comprehensive Medical Science)
| Specialization | Respiratory disease |
|---|---|
| Specialist | Specialist and Instructor of the Japanese Respiratory Society / Specialist and Instructor of the Japanese Society of Allergology / Certified Internist and Instructor of Internal Medicine of the Japanese Society of Internal Medicine / Certified Oncologist of the Japanese Board of Cancer Therapy |
| Specialized Areas | Allergic bronchopulmonary aspergillosis/fungal infection |
| Outpatient medical day | Wednesday (PM) |
Professor Tetsuya Urano (Institute of Sports Medicine and Science)
| Specialization | Respiratory disease |
|---|---|
| Specialist | Certified Specialist and Instructor of the Japanese Respiratory Society / Certified Internist, General Internal Medicine Medicine Specialist and Instructor of the Japanese Society of Internal Medicine / Tuberculosis and Mycobacteria Instructor of the Japanese Society for Tuberculosis / Japanese Respiratory Care and Rehabilitation Instructor |
| Specialized Areas | Respiratory management and pulmonary circulation in intensive care |
| Outpatient medical day | Thursday (PM) |
Professor Kei Takeshita (Medical Ethics)
| Specialization | Respiratory disease |
|---|---|
| Specialist | Certified Specialist and Instructor of the Japanese Respiratory Society / Certified Internist and General Internal Medicine Specialist of the Japanese Society of Internal Medicine / Certified Bronchoscopy Specialist and Instructor of the Japanese Society for Respiratory Endoscopy |
| Specialized Areas | Respiratory diseases in general |
| Outpatient medical day | Monday (AM) |
Hiromi Tomomatsu, Lecturer (Palliative Medicine)
| Specialization | Respiratory disease |
|---|---|
| Specialist | Specialist of the Japanese Respiratory Society / Certified Internist, General Internal Medicine Internal Medicine Specialist, and Instructor of the Japanese Society of Internal Medicine / Specialist of the Japanese Society of Allergology / Certified Oncologist of the Japanese Board of Cancer Therapy |
| Specialized Areas | Chronic obstructive pulmonary disease, lung cancer, bronchial asthma |
| Outpatient medical day | Tuesday (AM) |