Tokai University Hospital

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Clinical department/department

Pediatrics

Greetings

Pediatrics is a medical specialty that treats all aspects of childhood, from the neonatal period to adolescence. We treat a wide range of conditions, from common childhood illnesses like bronchitis and pneumonia to chronic and intractable diseases that require specialized expertise. In regional medical care, we work closely with primary and secondary medical institutions in the western Kanagawa region to provide a tertiary medical institution. We also work closely with municipal governments in the area of maternal and child health. Designated by Kanagawa Prefecture as the Center for Comprehensive Perinatal Medicine, we serve as a core facility for neonatal care of high-risk newborns, premature infants, and low-birth-weight infants. Our outpatient clinic is staffed with specialized staff for specific disease-specific treatment teams (pediatric emergency medicine, perinatal and neonatal medicine, hematology/malignant tumors, cardiovascular system, renal and urinary tract, neurology, endocrinology/metabolism, respiratory system, allergy/immunology, and collagen diseases), so you can rest assured when visiting us.

Chief of pediatrics
Atsushi Uchiyama

Treatment details

We cover a wide range of childhood illnesses, from common acute illnesses to chronic or emergency conditions that require a high level of expertise. While we accept new patients every day in our general outpatient clinic, we also have specialized outpatient clinics with specialized staff assigned to each disease-specific clinical team (pediatric emergency medicine, perinatal medicine, hematology/malignant tumors, circulatory system, renal/urinary tract, neurology, endocrinology/metabolism, respiratory system, allergy/immunology, and collagen disease). Because of the many diseases that need to be treated in the pediatrics department, we maintain a system that allows for smooth medical exchange with other departments within the hospital, and in providing regional medical care, we strive to collaborate with primary and secondary medical institutions in the western parts of the Kanagawa Prefecture.

Pediatric emergency care

As the hospital is in a medical school affiliated with the Emergency Medical Center approved by the Ministry of Health, Labor and Welfare, it utilizes its extensive experience as a tertiary emergency response facility for children to provide cutting-edge pediatric emergency medical care in cooperation with holiday and night clinics and nearby core hospitals.

Perinatal and neonatal medicine

As of April 1, 2006, we were designated the Center for Comprehensive Perinatal Medicine. As a central facility in central and western Kanagawa Prefecture, we provide medical care for newborns who require intensive care, working in cooperation with the local medical community. Furthermore, for patients who require regular outpatient follow-up and treatment after discharge, we work with related medical departments to provide growth and development follow-up. We also provide one-month checkups and nutritional counseling for newborns, aiming to enhance maternal and child health in the region. Starting in April 2025, we will expand our neonatal Intensive Care Unit (NICU) to 14 beds, further enhancing our medical system to meet the needs of the local community. 

Hematological and malignant tumor diseases

We diagnose and treat leukemia, childhood cancer, blood disorders, and other diseases. In collaboration with the Department of Cell Transplantation, we perform hematopoietic stem cell transplants not only for malignant diseases such as leukemia, but also for diseases such as aplastic anemia, congenital immunodeficiency, and congenital metabolic disorders, making us one of the top transplant facilities in Japan. We have provided in-hospital classes (elementary and junior high schools) for patients who are hospitalized for a long time.

Cardiovascular disease

We provide care for patients with congenital heart disease, primarily through the diagnosis and treatment of congenital heart disease by doctors trained at children's hospitals and other institutions, and we are also referred by many patients who have undergone surgery at other hospitals. In particular, we place emphasis on preventive medicine and are responsible for the annual heart checkups for almost all elementary and junior high schools in western Kanagawa Prefecture, as well as interpreting and diagnosing more than 20,000 electrocardiograms annually, and are also involved in community medical care.

Kidney/Urinary tract disease

We perform kidney biopsies as needed for kidney diseases such as nephritis and nephrotic syndrome, and decide on a treatment plan. We provide medical care for urinary tract infections and congenital kidney and urinary tract diseases in collaboration with the Pediatric Surgery and Urology departments. We provide medical care for patients who have been diagnosed with hydronephrosis in fetal or infant kidney ultrasounds, and for patients who have been diagnosed with hematuria or proteinuria in school urine tests. We also treat water and electrolyte abnormalities and high blood pressure.

Neurological disorders

As children continue to grow, it is important to monitor their mental and motor development, so we mainly diagnose and treat developmental delays, seizures, involuntary movements, etc. Head MRI and EEG tests can be performed early on the day of consultation. We also perform special tests such as MR angiography and cerebral blood flow scintigraphy (SPECT).

Endocrine and metabolic disorders

Specialists play a central role in the diagnosis and treatment of growth disorders, thyroid diseases, gonadal diseases, diabetes, etc. In addition, hematopoietic cell transplantation, which is a distinctive feature of our department, often results in endocrine disorders as late complications, so we also provide long-term follow-up in collaboration with Department of Cell Transplantation and Regenerative Medicine.

Respiratory disease

We provide medical care for congenital and acquired airway diseases using various imaging tests and respiratory function tests, and also focus on the diagnosis and treatment of intractable and recurrent respiratory infections.

Allergies and immune disorders

We provide outpatient and inpatient care for allergic diseases such as asthma, atopic dermatitis, and food allergies, which have been on the rise in recent years. Regarding asthma, we perform respiratory function tests and diagnostic imaging for children, as well as special tests such as airway hyperresponsiveness tests and measuring exhaled nitric oxide concentrations for airway inflammation. Regarding Food-protein-induced enterocolitis syndrome, we perform food elimination tests and food challenge tests for diagnosis and treatment for children who are deemed to need them.

Collagen disease

We diagnose and treat pediatric rheumatic diseases, including juvenile idiopathic arthritis (JIA), systemic lupus erythematosus, and mixed connective tissue disease.We aim to maintain a higher quality of life by providing early diagnosis and treatment so that children can continue to live their daily lives.

Main target diseases

Fetal and neonatal disorders

General neonatal diseases, including premature and low-birth-weight infants. Regarding congenital heart disease and neurosurgical disorders that require emergency surgical treatment, we will refer patients to other medical institutions because it is difficult to perform surgery at our hospital.
Regarding congenital heart disease that requires emergency surgical treatment, we refer patients to other medical institutions as surgery is difficult at our hospital.

Hematology/Malignant tumors

Leukemia, lymphoma, aplastic anemia, anemia, hemophilia, solid tumors, etc.

Cardiovascular disease

Congenital heart disease, Kawasaki disease, arrhythmia, etc.

Kidney/Urinary tract disease

Nephritis, nephrotic syndrome, abnormal urine in school urine tests, congenital malformations of the kidney and urinary tract such as hydronephrosis, chronic renal failure, electrolyte abnormalities, renal tubular dysfunction, high blood pressure

Neurological disorders

Developmental disorders, epilepsy, status epilepticus, encephalitis/encephalopathy, etc.

Endocrine and metabolic disorders

Various growth disorders (short stature, growth hormone deficiency short stature, SGA short stature, Turner syndrome, etc.), thyroid disease, adrenal gland disease, gonadal disease, chromosomal abnormalities, congenital metabolic disorders, diabetes, childhood lifestyle-related diseases, late complications after hematopoietic cell transplantation, etc.

Respiratory disease

Childhood asthma, persistent cough, recurrent lower respiratory tract infections, abnormal chest shadows, etc.

Allergic and immunological disorders

Asthma, atopic dermatitis, food allergies, etc.

Collagen disease

Juvenile idiopathic arthritis (JIA), systemic lupus erythematosus (SLE), mixed connective tissue disease (MCTD), etc.

Main medical achievements

Fetal and neonatal disorders

Total number of hospitalizations per year: 150-250 cases, Very low birth weight infants (birth weight less than 1500g): 20-40 cases,
Neonatal hypothermia therapy: 2-3 cases, nitric oxide inhalation therapy: 5-10 cases

Hematology/Malignant tumors

Total number of hospitalizations per year: 20-30 cases, number of hematopoietic cell transplants: 20-30 cases

Cardiovascular disease

Total number of outpatient visits per year: Approximately 1,500; Number of cardiac ultrasound examinations per year: Approximately 3,000

Renal disease

Renal biopsy: 15-20 cases per year, cystography: 30-50 cases per year, refractory nephrotic syndrome with frequent recurrence or steroid resistance: 1-3 cases

Neurological disorders

Total number of outpatients per year: approximately 1,000, First-time outpatient visits: approximately 100 cases

Endocrine and metabolic disorders

Growth disorders: 20-30 people, thyroid disease: 10-15 people, adrenal gland disease: 2-3 people, gonadal disease: 5-10 people, diabetes: 5-7 people, dyslipidemia: 2-5 people, obesity: 3-5 people, parathyroid disease, calcium metabolism disorder: 2-3 people

Respiratory disease

Number of outpatients: 70 cases/month, Number of airway endoscopy examinations: Larynx: approximately 15 cases/year, Tracheobronchial: 21 cases/year, Airway endoscopy examinations (larynx and tracheobronchial): approximately 130 cases/year

Allergic and immunological disorders

Number of outpatients: Bronchial asthma: approximately 80, Atopic dermatitis: approximately 50, Food allergies: approximately 30, Other: Chronic cough, Oral allergy syndrome, etc. Pulmonary function tests (flow volume): approximately 100, Airway hyperresponsiveness tests: approximately 60, Prick tests: approximately 80, Food challenge tests: approximately 50

Collagen disease

Juvenile idiopathic arthritis: approximately 10 people, systemic lupus erythematosus: 2-4 people, aortitis syndrome: 0-3 people, juvenile dermatomyositis, mixed connective tissue disease: 1-2 people, Sjogren's syndrome, etc.

Doctor List

Department Chief: Atsushi Uchiyama
NICU/GCU Ward Chief: Atsushi Uchiyama
Chief physician of Ward 6B: Yoshiyuki Yamada
Chief physician of Ward 8A: Takashi Koike
Assistant Chief of Ward 12B (sterile): Shohei Yamamoto

Outpatient: 0463 (93) 1121 extension 6381

Professor Atsushi Uchiyama

Specialization

Fetal and Neonatal Medicine

Specialist

Neonatal respiratory diseases, neonatal endocrine diseases, and neonatal cardiovascular diseases

Specialized Areas

Neonatal respiratory diseases, neonatal endocrine diseases, and neonatal cardiovascular diseases

Outpatient medical day

Mondays and Wednesdays

Professor Yoshiyuki Yamada

Specialization

Allergy and immunology, laboratory medicine, infection control

Specialist

Pediatrics specialist and certified pediatrics instructor / Clinical laboratory specialist and supervisor of the Japanese Society of Clinical Laboratory Medicine / Specialist and instructor of the Japanese Society of Allergology / Infection control doctor / Clinical training instructor / Certified doctor of the Japanese Society of Pediatric Gastroenterology and Hepatology and Nutrition

Specialized Areas

Pediatrics diseases in general, allergic and immunological diseases, eosinophilic diseases in general

Outpatient medical day

Mondays and Thursdays

Professor Shohei Yamamoto

Specialization

Pediatric hematological malignancies

Specialist

Pediatrics specialist and certified pediatrics instructor / Japanese Society of Pediatric Hematology and Oncology specialist and instructor / Japanese Society of Hematology specialist and instructor / Japanese Society of Hematology certified physician / Japanese Society of Hematopoiesis and Immuno-Cellular Therapy certified physician / Certified cancer treatment physician / Japanese Society of Transfusion Medicine and Cell Therapy certified transfusion physician / Japanese Society of Transfusion Medicine and Cell Therapy certified cell therapy manager / Japanese Society of Thrombosis and Hemostasis certified physician

Specialized Areas

Pediatric hematologic malignancies, hematopoietic cell transplantation

Outpatient medical day

Tuesdays, Thursdays

Lecturer: Nobuyoshi Sugiyama

Specialization

General pediatrics, pediatric neurology

Specialist

Pediatrics specialist, certified pediatrics instructor, and pediatric neurologist

Specialized Areas

Pediatric Neurology

Outpatient medical day

Wednesday and Saturday

Lecturer: Takashi Koike

Specialization

Pediatric hematological malignancies

Specialist

Pediatrics specialist and certified pediatrics instructor / Japanese Society of Hematology specialist / Japanese Society for Hematopoietic Cell Transplantation certified physician / Certified cancer treatment physician / Certified path instructor of the Japanese Society for Clinical Pathway

Specialized Areas

Pediatric hematologic malignancies, hematopoietic cell transplantation

Outpatient medical day

Wednesday and Friday

Lecturer: Kana Saito

Specialization

Fetal and Neonatal Medicine

Specialist

Pediatrics/Certified/pediatrics, Instructor/ Neonatologist /Instructor/Prenatal Consult pediatrics of the Japanese pediatrics Society/Instructor for Neonatal Resuscitation Specialty Course/Clinical Training Instructor/Provisional Follow-up Certified Doctor of the Japanese Society of Neonatal and Developmental Medicine

Specialized Areas

Neonatal infections, neonatal respiratory diseases, neonatal endocrine diseases

Outpatient medical day

Friday

Assistant Professor Yoshifumi Murayama

Specialization

Fetal and Neonatal Medicine

Specialized Areas

Management of low birth weight and premature babies

Outpatient medical day

Mondays and Saturdays

Assistant Professor Ryota Kaneko

Specialization

Pediatric hematological malignancies

Specialist

Pediatrics specialist/certified pediatrics instructor/specialist of the Japanese Society of Hematology/certified doctor of the Japanese Society of Pediatric Infectious Diseases

Specialized Areas

Pediatric hematologic malignancies, hematopoietic cell transplantation

Outpatient medical day

Friday

Assistant Professor Junya Toyoda

Specialization

Pediatric endocrine disorders

Specialist

Pediatrics specialist

Specialized Areas

Pediatric endocrine disorders

Outpatient medical day

Wednesday and Friday

Assistant Professor Shigeki Ochiai

Specialization

Fetal and Neonatal Medicine

Specialist

Pediatrics specialist /Neonatal Resuscitation Specialist Course Instructor

Specialized Areas

Management of low birth weight and premature babies

Outpatient medical day

Thursday

Kohei Otsuka, Assistant Professor

Specialization

Fetal and Neonatal Medicine

Specialist

pediatrics, Neonatologist

Specialized Areas

Management of low birth weight and premature babies

Outpatient medical day

Wednesday

Assistant Professor Yukie Yokoyama

Specialization

Pediatric hematological malignancies

Specialist

Pediatrics specialist

Specialized Areas

Pediatric hematologic malignancies, hematopoietic cell transplantation

Outpatient medical day

Tuesday

Assistant Professor Ishizuka Kazuhiro

Specialization

General pediatrics

Specialist

Pediatrics specialist

Specialized Areas

General pediatrics

Outpatient medical day

Thursday

Assistant Professor Hiroki Kawamura

Specialization

Fetal and Neonatal Medicine

Specialist

Pediatrics specialist /Neonatal Resuscitation Specialist Course Instructor

Specialized Areas

Management of low birth weight and premature babies

Outpatient medical day

Monday

Assistant Professor Chen Lingyu

Specialization

General pediatrics

Specialized Areas

General pediatrics

Outpatient medical day

Monday

Professor Fumio Niimura

Specialization

Kidney/urinary tract disease, water/electrolyte abnormalities

Specialist

Pediatrics specialist/certified pediatrics instructor/Japanese Society of Nephrology certified specialist

Specialized Areas

Nephritis, nephrosis, hypertension, water and electrolyte imbalance, morphological abnormalities of the kidney and urinary tract, urinary tract infection, kidney biopsy

Outpatient medical day

Tuesday

Associate Professor Shinichi Matsuda

Specialization

Pediatric cardiovascular disease, pediatric emergency care

Specialist

Pediatrics specialist and certified pediatrics instructor / Japanese Society of Pediatric Cardiology specialist and instructor

Specialized Areas

Diagnosis and treatment of congenital heart disease, pediatric emergency care, pediatric intensive care, Kawasaki disease

Outpatient medical day

Tuesday

Lecturer Kosuke Akiyama

Specialization

Pediatric hematological malignancies

Specialist

Pediatrics specialist and certified pediatrics instructor / Japanese Society of Pediatric Hematology and Oncology specialist / Japanese Society of Hematology specialist and instructor / Certified cancer treatment physician

Specialized Areas

Pediatric hematologic malignancies, hematopoietic cell transplantation

Outpatient medical day

Saturday

Instructor: Mayumi Enseki

Specialization

Pediatric allergies, pediatric respiratory diseases

Specialist

Pediatrics specialist and certified pediatrics instructor

Specialized Areas

Pediatric allergic diseases, pediatric bronchoscopy, laryngomalacia

Outpatient medical day

Tuesday

Lecturer: Takashi Sakama

Specialization

Kidney/urinary tract disease, water/electrolyte abnormalities

Specialist

Pediatrics specialist

Specialized Areas

Nephritis, nephrosis, hypertension, water and electrolyte imbalance, morphological abnormalities of the kidney and urinary tract, urinary tract infection, kidney biopsy

Outpatient medical day

Tuesday

Assistant Professor Masanori Ishimaru

Specialization

Pediatric endocrine disorders

Specialist

Pediatrics specialist

Specialized Areas

Pediatric endocrine disorders

Outpatient medical day

Wednesday

Hiroyuki Mochizuki (Part-time Doctor and Visiting Professor)

Specialization

Pediatric respiratory diseases and allergic diseases

Specialist

Pediatrics specialist, certified pediatrics instructor, and instructor of the Japanese Society of Allergology

Specialized Areas

Infant asthma, chronic cough, atopic dermatitis

Outpatient medical day

Thursday

Hiromasa Yabe (Part-time Doctor and Visiting Professor)

Specialization

Pediatric hematological malignancies

Specialist

Pediatrics specialist and certified pediatrics instructor / Japanese Society of Hematology specialist and instructor / Japanese Society for Hematopoietic Cell Transplantation certified physician

Specialized Areas

Pediatric hematologic malignancies, hematopoietic cell transplantation

Outpatient medical day

Wednesday

Masaaki Mori (Part-time Doctor and Visiting Professor)

Specialization

Pediatric rheumatic diseases, collagen diseases

Specialist

Pediatrics specialist / Japanese Rheumatology Association specialist and instructor / Japanese Association of Infectious Diseases specialist and instructor / Japanese Society of Allergology specialist and instructor / Japanese Society of Chemotherapy instructor

Specialized Areas

Pediatric rheumatic diseases, collagen diseases, pediatric infectious diseases

Outpatient medical day

Tuesday

Yoshihiro Miyashita (Part-time doctor)

Specialization

Pediatric Neurology

Specialist

Pediatrics specialist and certified pediatrics instructor

Specialized Areas

Diagnosis and treatment of epilepsy, diagnosis and treatment of convulsive disorders, diagnosis and treatment of pediatric neuromuscular disorders

Outpatient medical day

Thursday

Shojiro Okamoto (Part-time doctor)

Specialization

Kidney/urinary tract disease, water/electrolyte abnormalities

Specialist

Pediatrics specialist and certified pediatrics instructor

Specialized Areas

Nephritis, nephrosis, hypertension, water and electrolyte imbalance, morphological abnormalities of the kidney and urinary tract, urinary tract infection, kidney biopsy

Outpatient medical day

Tuesday

Hideaki Nakamura (Part-time doctor)

Specialization

Pediatric cardiovascular disease

Specialist

Pediatrics specialist and certified pediatrics instructor

Specialized Areas

Congenital heart disease, Kawasaki disease

Outpatient medical day

Tuesday

Mariko Ikegami (Part-time doctor)

Specialization

Pediatric Neurology

Specialist

Pediatrics specialist and certified pediatrics instructor

Specialized Areas

Diagnosis and treatment of epilepsy, diagnosis and treatment of convulsive disorders, diagnosis and treatment of pediatric neuromuscular disorders

Outpatient medical day

Thursday

Hideyuki Tabata (Part-time doctor)

Specialization

Pediatric allergies, pediatric respiratory diseases

Specialist

Pediatrics /Certified pediatrics Instructor/Specialist of the Japanese Society of Allergology

Specialized Areas

Childhood asthma, atopic dermatitis, pediatric bronchoscopy

Outpatient medical day

Wednesday