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Intestinal Care & Rehabilitation Center

Specialized medical services

OKUYAMA Hiroomi Director of the Intestinal Care & Rehabilitation Center
OKUYAMA Hiroomi
Director of the Intestinal Care
& Rehabilitation Center

We support the treatment and recuperation of patients with intestinal dysfunction in multiple disciplines, providing comprehensive and specialized medical treatment. The conditions are gastrointestinal diseases, such as short bowel disease, intestinal motility dysfunction, and intractable diarrhea, which require parenteral nutrition because the intestine alone cannot maintain nutrition.

Treated diseases

Short bowel disease
A condition in which a large amount of small intestine has been resected or the intestine is congenitally short, so that it is not possible to absorb sufficient nutrients and water from the intestine. Many patients with diarrhea, weight loss, dehydration or malnutrition are dependent on total parenteral nutrition.
Intestinal motility dysfunction
A refractory disease that causes symptoms of intestinal obstruction, such as abdominal distension, nausea/vomiting, abdominal pain, and bowel dilation, despite the absence of anatomical intestinal obstruction. There is still no standard treatment, and total parenteral nutrition is relied on, because dietary intake is inadequate due to dehydration from diarrhea or ileus/abdominal pain from abdominal distension. Since the condition of each patient is different, surgical treatment or intestinal rehabilitation is needed according to the individual's condition.
Intractable diarrhea
Even though the anatomical morphology of the intestinal tract is normal, nutrients cannot be absorbed because of marked watery diarrhea due to functional abnormality of the intestinal mucosa. Many patients with diarrhea, weight loss, dehydration or malnutrition depend on long-term total parenteral nutrition.
Others
Consultation is also available for patients who have disabilities because of diseases that are not directly related to the gastrointestinal tract, for whom ingestion is not possible, or who require a colostomy due to difficulty in defecation management.

Features

This hospital has been a pioneer in Japan in spreading total parenteral nutrition and the activities of the nutrition support team (NST). Previously, treatment of intestinal dysfunction was often done by individual doctors and clinical sections. By providing comprehensive and specialized medical care as a collaborative department, we aim to maintain/restore intestinal function, avoid complications, and improve QOL in home care. Since this hospital also performs small intestine and liver transplantations, we provide consultation on acute phase treatment of intestinal insufficiency, chronic nutrition management, and treatment of patients with intestinal dysfunction, from home care to medical transplantation.
Patients are supported by the individual expertise of pediatric gastroenterologists, pediatric surgeons, transplant surgeons, adult gastroenterologists, adult gastroenterology surgeons, nurses, pharmacists, registered dietitians, WOC nurses, speech therapists, physical therapists, dental hygienists, and medical social workers.

Considerations in referring your patients to the Intestinal Care & Rehabilitation Center

Doctors who have any problems in treating intestinal dysfunction should feel free contact us. Appointments can be made through the Social Service Department of this hospital (Telephone: 06-6879-5080, Fax: 06-6879-5081).

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Information for Outpatients

Consultation times

First visit 8:30 am to 11:00 am
Revisit 8:30 am to 11:30 am
Revisit with appointment 8:30 am to 3:00 pm

※First-time visitors to Osaka University Hospital must have a referral from a physician.

Outpatient consultation days

Monday to Friday

Non-consultation days

Saturdays, Sundays, Holidays New Year’s Holidays: Dec. 29 to Jan. 3

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