Access

IUHW Narita HospitalA university hospital that aims to contribute to community healthcare,from state-of-the-art treatment to comprehensive checkups
By carApprox. 7 minutes from Tomisato IC or Narita IC (smart interchange
only for ETC-equipped vehicles) on the Higashi Kanto Expressway
By train
Approx. 60 minutes from JR/Keisei Nippori Station to Narita Station
By bus*For the timetable, check the Narita Hospital website or call.

● From Narita Station
Approx. 15 minutes by public bus from JR Narita Station East
Exit, Platform #5
Disembark at “IUHW Narita Hospital”
Fare: 300 yen for adults (270 yen for IC)● From Kozunomori Station on the Keisei Line (No reservation required)
Approx. 20 minutes by free shuttle bus from in front of theIUHW School of Medicine building
Prior reservation required● From Narita International Airport
Approx. 15 minutes by free shuttle bus from Bus Stop 23-B at
Terminal 2
Call 0476-35-5600 to reserve a seat on the shuttle bus● From Tokyo Station
Approx. 90 minutes by Chibakotsu or JR bus from Yaesu South
Exit, Expressway Bus Stop #3
Fare: 1,800 yen for adults (1,680 yen for IC)

Inquiries[Appointments for primary care]

TEL. 0476-35-5576, FAX. 0476-35-5702[Appointments for comprehensive checkups] TEL. 0476-35-5602, FAX. 0476-35-5743[Bus reservations / Other]

TEL. 0476-35-5600, FAX. 0476-35-5586[Regional Medical Liaison Office]

TEL. 0476-35-5601, FAX. 0476-35-5588

852 Hatakeda, Narita City, Chiba Pref. 〒286-8520
220901500

Drawing on the advantages of our airport-adjacentlocation, IUHW Narita Hospital contributes to local
healthcare while also serving the needs of both
domestic and international patients

Message from the Board of Directors

International University of
Health and Welfare
ChairmanInternational University of
Health and Welfare
President

Kuninori Takagi

Yasuhiro Suzuki

Thanks to your warm support, the International University
of Health and Welfare celebrated its 25th anniversary in 2020,
having produced approximately 30,000 graduates in the fieldof medicine and welfare. In that memorable year, we opened
the main hospital for the School of Medicine, theInternational University of Health and Welfare Narita Hospital,
a 642-bed facility with centers of unprecedented excellence.
The International Center for Clinical Infectious Diseases, which
is located near the airport to prevent the introduction ofpathogens from overseas. The Center for Genomic Diagnosis
deals with genome analysis. The Radiotherapy Cancer Center
is for advanced diagnosis and treatment. The Center for
Preventive Medicine, one of the largest in Japan, accepts up to
200 patients a day. The International Remote Diagnostic
Center provides medical care in collaboration with overseas
facilities such as the medical checkup center that was opened
in Vietnam. These centers are equipped with state-of-the-art
medical technology, including tomotherapy which is extremelyrare in Chiba Prefecture. This full range of facilities allows us
to provide advanced medical care to many people in Narita
City and Chiba Prefecture.
Following the effects of COVID-19 causing confusion in theworld, our role as a regional university hospital has become
even greater. With its contribution to regional medical care atits core, we will respond to international medical needs by
adapting to various cultures, dietary diversity, as well as
various world language needs. We will also provide
high-quality medical care and services to patients overseas,
aiming to become a world-class hub for medical care that
represents Asia. We look forward to your continued support.

Our Five Fundamental
Principles

1
2
3

1

The International University of Health and Welfare (IUHW) is Japan's
first comprehensive university of medicine and welfare, which opened in
1995 with the aim of fostering professionals in medicine and welfare andimproving their status. The university has 10 faculties and 25
departments on five campuses in Otawara City, Tochigi Prefecture; Narita
City, Chiba Prefecture; Minato-ku, Tokyo; Odawara City, Kanagawa
Prefecture; and Okawa City, Fukuoka Prefecture, with approximately
10,000 students, including those in graduate school.
In 2017, the School of Medicine was newly established at the Narita
Campus in Chiba Prefecture and began training physicians. Based on an
innovative, world-standard curriculum, we aim to train physicians withcomprehensive medical skills and an international mindset. Our
graduates can contribute to team-based medicine and team-based carein clinical settings both in Japan and overseas.
The construction of the International University of Health and Welfare
Narita Hospital, reached completion in March 2020, and it now serves as
the main hospital for the School of Medicine. The hospital aims to be aninternational hub for medical care that provides highly advanced services
to patients from both Japan and overseas. Furthermore, by strengthening
its function as a training facility for our students, we will strive to provide
high-quality medical care to the local community.
Since the establishment of the School of Medicine, our university has
continued to develop and educate human resources to meet the needs
for medical care by opening the Tokyo Akasaka Campus in 2018, whichhouses the Faculty of Psychology and Healthcare Management, and by
establishing the Clinical Engineering Special Course at the Narita Campus
in 2021 to train clinical engineering technicians.
We will continue to work closely with our affiliated and related facilities
to provide quality medical care to the local community. And as auniversity, we will strive to develop excellent human resources. We
sincerely appreciate your continued understanding and cooperation.

At IUHW Narita Hospital, all of our staff are devoted to providing warm,
patient-centric service. To this end, we have established five fundamental principles.

High-quality medical services
The guarantee of quality is an indispensable component ofhealthcare. At IUHW Narita Hospital, we strive to provide ourpatients with medical services that are always of the highest quality.

Respect for patients’ rights
At IUHW Narita Hospital, we respect the dignity and privacy of ourpatients. We also ensure that our patients’ personal information is
fully protected.

Full and sufficient explanations for patients
We strive to provide patients with full and easy-to-understandexplanations of their health status to ensure they are satisfied withthe care they receive.

4
5

Narita International Airport

IUHW Narita Hospital[Departments] • Cardiology • Cardiac Surgery • Vascular Surgery • Pulmonology • Pulmonary Surgery • Gastroenterology

Departments /Centers[Centers] • Center for Preventative Medicine (Health Checkup Center) • Spine and Spinal Cord Center • Digestive Diseases Center• Rehabilitation Center • Dialysis Center • Stroke Center • Wound Treatment Center• International Center for Clinical Infectious Diseases (Infectious Diseases / Infection Control Department) • Center for Genomic Diagnosis• International Remote Diagnostic Center (Radiodiagnosis / Clinical Pathology / Internal Medicine Diagnosis) • Radiotherapy Cancer Center

Medicalreception hours

Hospital
overview

Monday to Saturday (excl. Sundays and national holidays)

8:30 AM to 11:30 AM, 12:30 PM to 4:30 PM

Beds: 642 (600 for general patients, 40 for psychiatric patients, 2 for infectious disease patients)
Floor space: Approx. 105,513 m2
Buildings: [Hospital Ward] Eight above-ground floors, reinforced concrete construction with earthquake-absorbing structure[Health Checkup Ward] Four above-ground floors, steel construction with earthquake-resistant structure[Education and Training Center] Eight above-ground floors, steel construction with earthquake-resistant structure

Designations

Designated insurance medical institution; designated hospital for clinical training; designated medical institution for Class I Infectious Diseases; Chiba
Prefecture-designated emergency medical care institution; Chiba Prefecture-designated medical institution for treatment of liver disease; Chiba
Prefecture-designated medical institution for research and promotion of treatment of liver cancer and severe liver cirrhosis; Chiba Prefecture-designatedmedical institution specializing in liver disease; Chiba Medical Association-designated training institution under the Maternal Health Act; medical
institution enrolled in the Obstetric Compensation System; medical institution for specific pediatric chronic diseases; designated medical institution for
intractable diseases; general medical institution for atomic bomb survivors; designated medical institution for tuberculosis; designated self-support
medical institution for persons with disabilities; designated public assistance medical institution; designated medical institution for industrial accident
compensation insurance; and many more.

Accreditation

Japanese Circulation Society-certified specialist training facility; Japan Society for Respiratory Endoscopy specialist system-certified facility; Japanese
Orthopaedic Association specialist system training facility; Japan Surgical Society surgical specialist system training facility; Japanese Society of
Gastroenterology-certified specialist system institution; Japan Society of Hepatology-certified facility; Japanese Breast Cancer Society specialist
system-certified facility; Japanese Society of Hematology-certified facility for professional training; Japanese Society of Nephrology-certified educational
facility; Japan Biliary Association-certified instructional facility; Japanese Society for Dialysis Therapy specialist system-certified facility; Japan Diabetes
Society-certified educational facility I; Japanese Society of Hypertension-certified educational facility I; Japanese Ophthalmological Society-certified
training facility; Japanese Rhinologic Society-certified training facility for rhinology surgery; Japanese Society of Otorhinolaryngology-Head and Neck
Surgery-certified specialist training facility; Japan Society for Head and Neck Surgery-certified head and neck cancer specialist training facility; facility
certified for robot-assisted surgery in otorhinolaryngology and head and neck surgery; Japan Atherosclerosis Society-certified medical specialist
educational facility; Japanese Urological Association specialist educational facility; Japan Society of Coloproctology-certified facility; Japan Society for
Dementia Research-certified educational facility; Japanese Society of Neurology-certified educational facility; Japan College of Rheumatology
educational facility; Japanese Association of Rehabilitation Medicine training facility; Japanese Society of Allergology allergist educational and training
facility; Japanese Society of Anesthesiologists-certified hospital; Japanese Society of Intensive Care Medicine specialist training facility; Japanese Societyof Nuclear Medicine specialist teaching hospital; Japan Radiological Society-certified diagnostic imaging management facility; and many more.

Respect for patients’ freedom to decide
We respect the decisions our patients make regarding their medical
treatment. We strive to provide patients with enough informationand knowledge to freely make their own healthcare choices.

Protecting patients’ quality of life
We provide a quiet, comfortable environment equipped withamenities that patients need to achieve peace of mind and devote
themselves to their recovery.

• Hepato-Biliary-Pancreatic and Gastrointestinal Surgery • Neurology • Neurosurgery • Orthopedics • Rehabilitation • Nephrology• Renal and Urological Surgery • Diabetes, Metabolism and Endocrinology • Allergy and Rheumatology • Infectious Diseases• Obstetrics and Gynecology • General Medicine • Oncology • Hematology • Psychosomatic Medicine • Psychiatry • Pediatrics• Pediatric Surgery • Breast Surgery • Plastic and Reconstructive Surgery • Dermatology • Ophthalmology • Palliative medicine• Otorhinolaryngology, Head and Neck Surgery • Oral Rehabilitation and Maxillofacial Surgery • Anesthesiology and Intensive Care Medicine• Anatomic Pathology • Clinical Laboratory • Radiology (Diagnosis, Nuclear Medicine, and Treatment) • Emergency Room

2

Floor Guide

Education and Training Center

Hospital Ward
Health Checkup Ward

8F

Restaurant, halal kitchen

5F - 8F

Ward

4F

Narita International Hall

4F

Executive Office, Nutritional Consultation Office, Clinical Trial Center

3F

Health Promotion Center (swimming pool, gym, sauna,fitness & yoga room, relaxation space), prayer room

3F

Operating rooms, ICU, HCU, family waiting room, outpatient consultation rooms (Gastroenterology, Hepato-Biliary-Pancreatic and
Gastrointestinal Surgery, Endoscopy Center, Obstetrics and Gynecology, Ophthalmology, Oral Rehabilitation and Maxillofacial
Surgery, Wound Treatment Center, Plastic and Reconstructive Surgery, Dermatology, Angiography room, Anesthesiology)

3F Simulation Center

2F Lounge, Library

1F Diagnostic Center

2F

Center for Preventative Medicine (Health Checkup Center)

2F

Rehabilitation Center, Examination Center, Clinical Physiological Examination Center, Dialysis Center, Outpatient consultation rooms(Pediatrics, Pediatric Surgery, Pulmonology, Pediatric Surgery, Cardiology, Cardiac Surgery, Vascular Surgery, Neurology, Neurosurgery,
Oncology, Hematology, Breast Surgery, Chemotherapy room, Otorhinolaryngology, Head and Neck Surgery, Nephrology, Dialysis
Center, Renal and Urological Surgery, Psychosomatic Medicine, Diabetes, Metabolism and Endocrinology, Psychiatry)

1F

Food court, convenience store
Travel agency

1F

General reception, Admission/Discharge Center, Pharmacy, International Lounge, Outpatient consultation rooms (General Medicine,Radiology, Orthopedics, Spine and Spinal Cord Center, Allergy and Rheumatology, Emergency Room, Infectious Diseases)

Education and Training Center

Health Checkup Ward Hospital Ward

4F-8F

Information

1F

East entrance

Health Promotion Center
Swimming pool

General waiting area

Radiology(Diagnosis)

Pre-payment machinefor parking lot

Front entrance
Reception
machine for
return visits

Admission
andDischarge
centerCashier
Generalwaiting
area
Reception

Operating room

Prayerroom

TomoTherapy

Hybrid operating room

Oral Rehabilitation andMaxillofacial Surgery

Emergency
Room

Ophthalmology

Gynecology
Family waiting
room

Obstetrics

Out-ofhours
reception

Angiography
room

General
Medicine Infectious
DiseasesDigestive Diseases Center
Gastroenterology
Endoscopy
Hepato-Biliary-Pancreatic
Centerand Gastrointestinal
Surgery

PET-CT

South entrance
Outpatient entrance
for Infectious Diseases

Pre-payment
machine forparking lot

ICU (all rooms are private)
ICU

Hospital Ward

2F

Food court

Nephrology / Dialysis Center
Renal and Urological Surgery
Otorhinolaryngology /Head and Neck Surgery

HCU

Health Promotion Center

Muslim prayer room

Hospital Ward

Health Checkup Ward

Nursing room

Outpatient waiting area
International Lounge

Travel agency

EV

North
entrance

EV

Convenience
store

Vending machine

Anesthesiology

Relaxation
space

Fitness &yoga room

Pharmacy

Wound Treatment Center
Plastic and Reconstructive
Surgery, Dermatology

Sauna
Training room

Food court

ATM

3F

Radiology(Treatment Center)

Health Checkup Ward

Orthopedics,
Spine and Spinal
Cord Center,
Allergy andRheumatology

Restroom

Hospital Ward

Health Checkup Ward

Out-of-hours
pharmacy

Escalator

Hospital Ward

Radiology(Nuclear Medicine)

Pre-payment
machine forparking lot

Elevator

International Remote

Rehabilitation
CenterSwimming pool

4F
Health Checkup Ward

ClinicalPhysiological
Examination
CenterTraining room

Chemotherapy room

Oncology, Hematology,
Breast Surgery
Neurology, Neurosurgery
Stroke Center
Cardiology, Cardiac Surgery
Vascular Surgery

DialysisCenterPulmonology
Pediatrics,
Pediatric Surgery Pulmonary
Surgery

Examination Center Blood
Transfusion
Center3

Center for Preventative Medicine (Health Checkup Center)

NaritaInternational Hall
Narita International Hall, with a capacity of 2,000 people

Psychosomatic Medicine
Diabetes, Metabolism
and Endocrinology

Psychiatry

Center for
Preventative Medicine(Health Checkup Center)

Sauna

Reception
Nutritional
Consultation OfficeCounseling RoomClinical Trial Center
Center for Genomic Diagnosis

Clinical Trial
CenterLarge conference
room

Break room
Rehabilitation Center4

Ward floors
Four-bed ward rooms

5F - 7F

Ward floor

Multi-bed ward room brightly lit forlivability and partitioned for privacy

Standard private room

Spacious private room with a bathand toilet

Special rooms

8F

The eighth-floor ward consists of 76 private rooms of various types, from Japanese-style to Western-style.

Private rooms that include kitchen, reception room, walk-in closet, and other facilities for superior comfort

Westernstyle

Maternity ward

Japanesestyle

Pediatrics ward

Bathroom
Private pediatrics room

Private maternity room

Annexed reception room

KitchenAnnexed reception room

Private infant-nursing room

Bar counter

C D
B

ward

ward
Ward hallway

A

Restaurant private rooms

ward

Pediatrics ward

Patient rooms
Elevator

StaffstationStaffstationRestaurant

ward

RestaurantStaff
stationDay room
Day room

Day room

RestroomStaffstationStaffstationStaffstationStaffstationRestaurant offering a view of the airport

Animal sculptures visible from the Pediatric WardDay room

5

Private room

6

Centers for each specialty that provide advanced, high-quality,
team-based healthcare for a wide variety of diseases

Stroke Center

The Neurosurgery, Neurology, and Rehabilitation departments work together with nursing and the Regional
Medical Liaison Office to provide seamless, up-to-date medical care from the acute to the chronic stage.

1. Stroke diagnosis and treatment

Spine and Spinal Cord Center

Cutting-edge, highly specialized treatments for all spine and spinal cord disorders,
optimized for the patient’s condition

1. Provide thorough conservative treatment, and in cases where
surgery is necessary, use the least burdensome surgical techniquespossible
2. We perform minimally invasive spine surgery using world-classendoscopy and other techniques
MED (2 cm incision), FESS (1 cm incision), LIF (3 cm incision), etc.

4. Artificial cervical disc replacement
This is an innovative and minimally invasive surgery for cervical spine
disorders, the first case of which was performed in Japan in 2018 at our
University’s affiliated hospital. Our hospital and IUHW Mita Hospital boast thelargest number of surgeries among general hospitals in Japan.

Subarachnoid hemorrhage

Cerebral infarction
Our experienced stroke specialists make full use of advanced medical
equipment to accurately diagnose strokes. If it is still within a few hours of thestroke onset, we provide treatment using a drug called tPA to dissolve theblood clot that occluded the cerebral blood vessel and reopen cerebral blood
flow. In addition, we perform clot retrieval therapy to remove blood clots in
occluded cerebral vessels by aspirating them with a catheter or by removing
them with a device called a stent
retriever.
Intracerebral hemorrhage
Most cases can be treated medically,
but if the hematoma is large orenlarged, craniotomy orneuroendoscopic hematoma
removal is performed.

Artificial cervical disk implant
Decompression of nerve compression due to hernia/stenosis with an incision of about 1 cm

3. We have introduced rare state-of-the-art equipment to safely perform
complicated surgeries
Latest model of surgical navigation system / VR (Virtual Reality), etc.

Latest model of surgical CT navigation

Digestive Diseases Center

5. Innovative treatment for spine deformity
We provide our original rehabilitation therapies to treat spine curvatures suchas adolescent idiopathic scoliosis, adult spinal deformities, and dropped head
syndrome. In cases where surgery is required, we actively carry out minimallyinvasive treatment.
5. Treatments for atlantoaxial rotatory fixation and congenital muscular
torticollis (torticollis muscularis)
Our treatment results are among the best in Japan. For atlantoaxial rotatory
fixation, we use a
non-surgical remodelingtherapy developed by thiscenter’s director, Dr. Ken
Ishii, and for torticollis
muscularis, we perform an
original minimally invasive
surgery technique throughAfter surgery
Before surgery
small incisions.

A team of experts in esophagus, stomach, large intestine, hepatobiliary, and pancreatic regions
actively treat diseases that are difficult to manage according to the standard treatment guidelines

1. Commitment to minimally invasive treatment
Experts in every relevant field provide accurate diagnoses and focus onachieving minimally invasive treatment for all types of gastrointestinal cancer.
• Endoscopic diagnosis and treatment
We use the latest endoscopic technology to perform EMR (endoscopic
mucosal resection), ESD (endoscopic submucosal dissection), double-balloon
enteroscopy in the small intestine, biliary endoscopy and capsule endoscopy
in any part of the digestive tract to detect and treat gastrointestinal tumors
at an early stage.
• Radiofrequency therapy and preventative care for hepatocellular
carcinoma
We perform radiofrequency and microwave therapy procedures that areminimally invasive and can be applied repeatedly. One of the causes of livercancer is continuous liver damage, and there has been an increase in livercancer incidence in recent years among heavy drinkers and patients withdiabetes. One of our goals is to eliminate the risk of developing chronic liver
damage at an early stage before it progresses to liver cancer.
• Minimally invasive surgery
We actively employ laparoscopic hepatectomy in intractable cases including
liver re-resection. The team also has experts in thoracoscopic surgery androbot-assisted surgery so that they can provide video-assisted thoracic
esophagectomy, robotic-assisted rectal resection, and other minimallyinvasive surgeries.

Hybrid operating room

X-ray after surgery

2. Performing delicate surgeries
We actively perform multiple organ / vascular combined resections and otherextended operations. Through pre- and mid-operative simulations, we provide
high-quality and safety-guaranteed surgeries.
3. Practicing personalized therapy
We perform selective tests for hereditary cancers based on family history andprovide genetic counseling as necessary.
4. Acute liver failure
Led by doctors who have medically saved the most lives in acute liver failurecases in Japan, our team engages in
multidisciplinary treatment from theearly stage of the disease, from
artificial liver support to livertransplantation.

Dialysis Center

Comfortable treatment at our spacious, 1000 m2 Dialysis Center

1. Comfortable treatment environment
Patients receive treatment in a relaxed atmosphere in a spacious dialysis room.
We have prepared a comfortable environment, including an arm-mounted LCD
TV for each bed.
2. Maintenance system in collaboration with community facilities
Through precise renal pathology and evidence-focused treatment, we do ourutmost to prevent deterioration of kidney function and progression toadvanced condition that requires dialysis. If a patient comes to require dialysis
or a kidney transplant, we consider the most suitable treatment methods
together with the patients and their family, and provide support in choosing
the best treatment options. Additionally, we have also built a support system
in cooperation with local community facilities to achieve careful and efficientkidney disease management.
3. Hemodialysis
Dialysis machines are equipped with the Future Net System, a cutting-edge
telecommunications system. This system automatically tracks dialysis
information, blood pressure, and other important physical data on electronic
medical records in real time, and it enables staff responsible for dialysis toshare information in a rapid, precise, and efficient manner. This cutting-edge
equipment and the teamwork of experienced staff allow team-based
healthcare to achieve an unprecedentedly high level that provides patientswith appropriate dialysis treatments.

4. Continuous ambulatory peritoneal dialysis (CAPD) rooms
We are one of the few hospitals in the prefecture with staff skilled in CAPD
treatment management, and we have a system in place to manage CAPD,
including nighttime services. At our facility, in many cases CAPD can be placedby laparoscopic surgery, even in cases of obesity or intra-abdominal adhesions
after surgery.
CAPD rooms have been set up where CAPD treatment can be delivered
efficiently and hygienically using the most advanced equipment. Each CAPD
room is equipped with a high-precision ultrasound machine that can instantly
diagnose catheter infection. We provide "peritoneal dialysis supported by acollaborative team" including specialized nurses and clinical engineers.
5. Artificial pancreas device system
An artificial pancreas is a device that regulates blood sugar levels bymonitoring those levels in real time and delivering insulin and glucose via
intravenous administration based on that data during diabetes treatment andtests, during and after surgery,and in intensive / critical-caretreatments. Few facilities in
Chiba Prefecture possess thesedevices.

Dialysis Center

Wound Treatment Center

Through multidisciplinary therapy across departments, advanced treatment is provided
from ulcers caused by diabetes and connective tissue disease to hidden skin cancers

1. Highly specialized techniques to treat hard-to-heal wounds(Case) Chronic, slow-healing wounds
This patient’s calf was scratched by his cat’s claws, and these wounds
developed into venous stasis ulcers.
①① Beforetreatment

7

We perform direct surgical clipping of ruptured cerebral aneurysms and coilembolization, which is an endovascular treatment. We have established asystem that allows us to perform any of these procedures 24 hours a day,
whatever the patient’s condition.
We treat not only strokes but also other neurological emergencies, such as
convulsive seizures, dizziness, and epilepsy. We make full use of diagnostic
imaging and electrophysiological tests to treat all kinds of neurodegenerativeand muscular diseases.
2. Cooperation with Rehabilitation
Therapists intervene immediately after hospitalization for a stroke. Doctors,
nurses, physical therapists, occupational therapists, and speech therapists
perform appropriate evaluation and rehabilitation for various disorders (higher
brain dysfunction such as paralysis, aphasia, apraxia, and sensory neglect).
3. Multidisciplinary discharge support
The Regional Medical Liaison Office, nurses, and social workers provide
discharge support at various consultation offices with the aim of transferringor discharging patients for more active rehabilitation, taking into account theirsocial circumstances.

②② Excised necrotic
tissues andtransplanted
artificial dermis③③ Blood flow
improved, and amesh skin graft
was thenperformed④

2. Multidisciplinary therapy provided by more highly specialized experts(Case) Localized treatment [Dermatology, Orthopedics, Plastic andReconstructive Surgery]An ulcer on the buttocks caused by malignant lymphoma. The malignant
lymphoma was successfully treated, and the ulcer healed with topical
medication.

④ Elastic stocking
to prevent
recurrence8Information about Each Department
Manage and treat any cardiovascular disease in close cooperation with Cardiac Surgery and Vascular Surgery
Many specialists in cardiac catheterization, catheter ablation for arrhythmia, and other areas

Cardiology

1. Outpatient cardiac catheterization (specialized in ischemic heart disease)
More than ten cardiologists are available 24 hours a day, 365 days a year for
emergency cardiac catheterization (acute coronary syndrome) treatment.
2. Safer arrhythmia treatments[Arrhythmia: Ablation, pacemaker] Experienced doctors perform catheter
ablation to treat tachyarrhythmia with high-frequency current and othertechniques, and pacemaker implantation is carried out for bradyarrhythmia.
[Structural Heart Disease] Catheterization for valvular heart disease (TAVI,
Mitral Clip), congenital heart disease (ASD), left atrial appendage closure, andpatent foramen ovale (PFO) closure began in FY2021 (patent ductus arteriosus(PDA) will be available soon).
3. Diagnosis and treatment of special cardiomyopathy and secondary
cardiomyopathy
Specialists provide meticulous diagnosis and treatment for special

Pulmonology

cardiomyopathies such as cardiac amyloidosis, cardiac sarcoidosis, and Fabry
disease. As well as cardiac MRI examinations, isotope analysis, andmyocardial biopsies, we can also perform genetic testing.
4. Pulmonary hypertension treatment to address the development of
economy-class syndrome
We have already established the Pulmonary Hypertension Center at IUHW
Mita Hospital, one of our Group facilities, and we have been providing
internal medicine services and advanced treatments such as balloon
pulmonary angioplasty for a significant number of patients. The Cardiology
Department at IUHW Narita Hospital also provides cutting-edge treatment fordomestic and international patients.
[Other areas and specialized medical care]
Percutaneous cardiopulmonary support circulation, congenital heart disease(Patent ductus arteriosus)

Specialized treatment for all aspects of pulmonology, from various respiratory diseases (including infectious
diseases) to making treatment decisions for lung cancer and pathological studies of interstitial pneumonia

1. Considering treatment options from multiple perspectives• Respiratory disease is sometimes complicated by other medical conditions,so we work closely with other internal medicine departments.
• In lung cancer treatment, we provide the best possible care based on
histological diagnosis and genetic mutations results.
• For diseases in the advanced stage, we first try chemotherapy before
considering surgery, and other non-surgical treatments (such as moleculartargeted therapy) are also considered.
2. Focus on pulmonary rehabilitation
Pulmonary rehabilitation is essential in acute and chronic respiratory diseases.
While making the maximum use of remaining lung function, we work withpulmonary rehabilitation doctors to improve physical activity.

3. We also treat severe and difficult diseases
We have extensive experience in using relatively new treatments and treating
patients with severe or difficult-to-cure diseases. For example, treatment forinterstitial pneumonia is expensive, so we make use of the specified diseasesystem to provide medical care.
4. Specialized outpatient clinics›› Interstitial pneumonia outpatient clinic: Supports local doctors in making
treatment decisions.
›› Lung cancer outpatient clinic: Provides therapeutic follow-up for cases
where surgery is not indicated.
›› Sleep outpatient clinic: Treats patients with sleep apnea due to snoring.
›› Asthma/COPD outpatient clinic: Specializes in bronchial asthma.

Diabetes, Metabolism and Endocrinology
1. Wide-ranging treatments through collaboration with allied medical
professionals (Diabetes)• We provide reliable treatments and guidance through collaboration between
allied health professionals including nurses, pharmacists, registered dietitians,
physical therapists, diabetic care instructors, and other professionals.
• We manage diabetic complications, pregnancies complicated by diabetes,
diabetes in the elderly, gestational diabetes, and high-risk pregnancies suchas pregnancies complicated by thyroid disease.
• Particularly in the case of diabetes in the elderly, which will become
increasingly common in the future, we aim to improve the number ofhealthy elderly people by preventing sarcopenia and frailty (weakness / lossof muscle mass with aging) through dietary therapy by registered dietitians
and muscle strength training by physical therapists.
2. Specialized treatment (dyslipidemia, severe obesity)• Genomic diagnosis, treatment, and management of hyper-LDL
cholesterolemia, hypertriglyceridemia, and low-HDL cholesterolemia.

Nephrology

We treat a wide range of diseases, from common illnesses in adults
to high-risk conditions such as pregnancy complicated by diabetes• In the case of severe obesity, we offer avariety of weight-loss treatments throughmultidisciplinary collaboration amongnurses, registered dietitians, and physicaltherapists, such as cognitive behavioral
therapy performed by the Psychiatry
department and bariatric surgical treatment
performed by the Hepato-Biliary-Pancreatic
Monthly diabetes awareness-classes
and Gastrointestinal Surgery department.
3. We provide the latest, most suitable testing and treatment
Diabetologists and medical staff work together to ensure the best
management of the disease. We use continuous glucose monitoring andinsulin pumps for patients who meet the requirements.
4. Other endocrine disorders
Isotope therapy for Basedow disease and adrenal vein sampling for primaryaldosteronism are also performed in collaboration mainly with Radiology.

We provide a high level of treatment with integrated management of all aspects of renal disease, from initial
treatment of early kidney disease to dialysis treatment for renal failure at the terminal phase

1. Top-tier diagnosis and treatment
We perform prompt and accurate in-hospital diagnosis of renal pathology foracute kidney injuries from proteinuria and hematuria, chronic
glomerulonephritis, and chronic kidney disease, and provide evidence-based
treatment appropriate for the patient.
In particular, even for acute renal failure, which is said to be difficult to treat,
early intervention with steroids or immunosuppressive drugs is possible at thestage of rapid and appropriate pathological diagnosis. Moreover, we can offer
the highest level of treatment options by implementing various effective blood
purification therapies.
For chronic renal failure, we are equipped with a network system of electronic
medical records and dialysis machines, and our staff can provide high-quality

hemodialysis with detailed guidance. In addition, we have established one of
the top peritoneal dialysis treatment systems in the prefecture, which
maintains high QOL (quality of life). We are committed to providing dialysis
that is friendly to patients and their families, particularly for the elderly.
2. Full explanations for choosing treatment options
We explain all treatment options in detail to patients who require dialysis.
Further explanation can be provided using models and by showing patients tothe dialysis room to observe actual treatment in practice.
[Other areas and special medical care]
Maintenance system for peritoneal dialysis and hemodialysis, psychological care,
etc.

[Other areas and special medical care]Acute respiratory distress syndrome, interventional treatment using bronchoscopy

Oncology
Gastroenterology

We mainly treat diseases of the upper and lower gastrointestinal tracts and intra-abdominal organs
such as the liver, biliary system, pancreas, and spleen

1. Specialists in various fields
We have deployed specialists in various fields. In the gastrointestinal tract field, we
also offer procedures involving advanced operation techniques including
endoscopic submucosal dissection for early gastric and colorectal cancer,
percutaneous radiofrequency ablation/ERCP in the liver, biliary system and pancreas,and endoscopic ultrasonography. Many gastrointestinal diseases are emergencies,
and we respond to requests from neighboring facilities while dealing with severecases such as gastrointestinal bleeding, acute liver failure, and acute pancreatitis.

Neurology

In collaboration with Neurosurgery, we handle neurological emergencies, including cerebrovascular disorders (strokes).
We examine all kinds of neurological diseases, from common disorders such as dementia, epilepsy, and headaches tointractable cerebral nervous system diseases.

1. Managing neurological emergencies as a team
Cerebral infarctions, cerebral hemorrhages, and other cerebrovascular diseases(strokes), as well as cerebral nervous system emergencies such as epilepsy andimpaired consciousness, require immediate attention without a moment’s
delay. The Neurology Department has established an emergency care system
in collaboration with Neurosurgery, the Emergency Room, and otherdepartments to provide patients with the best treatment available.
2. We provide specialized treatment for epilepsy
We can accurately diagnose epilepsy through specialized testing such as
long-term video electroencephalogram monitoring, and can select appropriate
treatment including surgery.
3. Comprehensive approach to intractable neurological diseases
We provide accurate diagnosis and treatment of all kinds of intractableneuroimmune diseases such as myasthenia gravis and multiple sclerosis, and

9

2. Cooperation among departments
Since early detection of gastrointestinal malignancies by endoscopy andultrasonography is important, we collaborate with the Center for Preventive
Medicine for early detection through physical examinations. Together with
Hepato-Biliary-Pancreatic and Gastrointestinal Surgery, the Digestive Diseases
Center also collaborates in the fields of research and education as well as thefield of medical care. In addition, we work closely with Radiology for imaging
tests and with the Emergency Room for urgent conditions.

neurodegenerative diseases such as Parkinson’s disease and amyotrophic
lateral sclerosis (ALS).
4. Treating dementia from multiple perspectives
We make use of head MRI, detailed neuropsychological testing, cerebral blood
flow, and metabolism to accurately diagnose dementia. We then address
dementia holistically, including treatment, follow-up, and family support.
5. We work closely with Rehabilitation
Rehabilitation is very important for diseases of the cerebral nervous system.
Neurology holds weekly conferences with Rehabilitation and works closelywith them.
[Other medical specialties and specialized medical care]
Plasma purification therapy, intravenous immunoglobulin therapy, and therapy
using molecular-targeted drugs

We provide compassionate cancer treatment that combines palliative medicine with drug therapy

1. Holistic cancer treatment
Our "oncology pharmacotherapy specialists", who are essentially generalpractitioners, are able to deal with elderly patients and patients with various
internal medicine-related complications. They provide the best possible carebased on a cross-organ pathology, from standard to advanced treatment ofmalignant tumors.
2. Outpatient chemotherapy team
We provide cancer care with a team of qualified experts that includes
oncologists (including oncology pharmacotherapy specialists), certified cancer
chemotherapy nurses, certified cancer pain nurses, and certified outpatient
cancer treatment pharmacists. For the side effects of anticancer drugs, we
focus on prevention and aim to maintain QOL (quality of life) through various
supportive therapies such as scalp cooling to prevent hair loss, cooling gloves

Hematology

or socks to prevent peripheral neuropathy, and aroma massage and relaxation
to counteract fatigue and loss of appetite. For immune checkpoint inhibitors,
which have unique side effects that require special attention, we have asystem in place that allows patients to receive treatment with peace of mind
by implementing side effect countermeasures as a team.
3. Outpatient chemotherapy room
This room has a total of 40 beds, including
28 reclining chair units for anti-cancer drug
treatment and 12 treatment beds, and isequipped with TVs and DVD players as
amenities.
Chemotherapy room

We extensively treat various diseases of the blood / lymphoid tissues, including malignant lymphoma, acute /chronic leukemia, multiple myeloma, anemia, and bleeding disorders

1. In addition to chemotherapy, we offer new treatments thatincorporate molecular-targeted drugs
We strive to accurately understand the clinical conditions of a wide variety of
diseases, disease types, and side effects associated with treatment, and toselect appropriate medications, as well as to develop an optimal treatment
plan that takes into account the patient's background and requests.
In addition to conventional anti-cancer drug therapy, we aim to further
improve treatment outcomes by actively incorporating new molecular-targeteddrugs (drugs that target specific molecules) into treatment.

2. Japan’s top-class aseptic treatment environment
Powerful anticancer drug treatments for diseases such as leukemia andmalignant lymphoma can cause a temporary decrease in the number of whiteblood cells in the blood, leading to an increased risk of infectious disease.
IUHW Narita Hospital boasts one of Japan’s top aseptic treatment
environments with 36 beds in sterile treatment rooms. Treatment is provided
with maximum infection prevention measures in place.
[Other medical specialties and specialized medical care]
Molecular-targeted therapy for polycythemia vera, primary amyloidosis,
multidisciplinary therapy for POEMS syndrome, coagulation factor replacement
therapy for hemophilia, etc.

10

Allergy and Rheumatology

We treat allergic diseases such as hay fever and bronchial asthma, as well as rheumatoid
arthritis and connective tissue disease caused by abnormalities of the immune system

1. Rheumatoid arthritis
Diagnosis is made by ultrasonography, and depending on the patient’s
condition, we conduct an activity assessment and give appropriate treatment.
In addition to providing new treatments such as using biologics, we also focus
on rehabilitation in cooperation with the hospital's Rehabilitation Department
after surgery, or in cases of advanced joint destruction.
2. Connective tissue disease
Working in collaboration with Pulmonology, Nephrology, General Medicine,and Infectious Diseases, we provide appropriate treatment for pulmonary andrenal complications of rheumatoid arthritis and connective tissue disease. In
addition, by coordinating with General Medicine and Infectious Diseases, weare able to appropriately deal with cases in which diagnosis is complicated,such as fevers of undetermined origin.

General Medicine

Psychosomatic Medicine

3. Emphasis on coordination with medical institutions in the local
community
If specialized care is needed, the patient will be referred to a specialized
department within the hospital, but as a general rule, patients will be sent totheir primary care physicians for ongoing medical care for everyday ailments.
4. Outpatient symptom relief support
General Medicine is staffed by doctors trained in palliative medicine. Patients
receiving treatment at other departments can also be referred by their primary
physician.
[Other medical specialties and specialized medical care]
Medical treatment for prevention of everyday ailments, etc.

We provide comprehensive medical treatment for psychosomatic disorders, combining
physical treatments with treatments for stress
We also have a specialized outpatient clinic for chronic fatigue syndrome

1. Psychosomatic and stress-related disorders
In addition to psychosomatic disorders in general, we treat functional somatic
syndrome and stress-related conditions. Moreover, if a patient’s physicalillness is poorly controlled due to stressful conditions or does not improve withnormal physical treatment (such as when blood sugar, blood pressure, pain, orallergic symptoms get worse or become intractable due to stress),
Psychosomatic Medicine will work to treat stress and introduce stresscountermeasures for patients with a physical illness.
In combination with specialized treatments from various departments, or
through integrated treatment, we can help prevent stress-related physicalillnesses from worsening and promote better control and healing.

2. Psychogenic fever, orthostatic dysregulation, irritable bowel
syndrome
While we treat psychosomatic diseases in general, we provide treatment forthese diseases in particular.
3. Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS)We provide medical care for ME/CFS and research new treatments (including
ME/CFS as a symptom after infection with COVID-19).

In addition to general psychiatric disorders, we treat all kinds of psychiatric symptoms including
neurodevelopmental disorders from children to adults, eating disorders, and perinatal mental health

1. Various types of psychotherapeutic approaches offered by amultidisciplinary team
We provide various therapeutic approaches including psychotherapy, grouptherapy, occupational therapy, and rehabilitation therapy according to eachpatient’s needs. All staff involved in psychiatric care, including doctors, nurses,
licensed psychologists and clinical psychologists, occupational therapists,
speech therapists, registered nutritionists, and pharmacists, work as a team tosupport patients’ recovery.
2. Consultation/liaison psychiatry, and other specializations
We practice consultation and liaison psychiatry through close collaborationthat reaches across the boundaries of medical departments.
• Diagnosis and support for neurodevelopmental disorders (developmental
disorders) (in collaboration with Pediatrics and Rehabilitation)• Evaluation, treatment, and care for delirium

11[Other medical specialties and specialized medical care]
Joint ultrasound, diagnosis of large vessel vasculitis by FDG-PET, allergen
immunotherapy for pollinosis and allergic rhinitis, measurement of exhaled NO in
asthma treatment, guidance on the proper use of inhaled steroids, etc.

1. From diagnosis and treatment to palliative medicine
We work closely with radiologists, pathologists, nurses, registered dieticians,
pharmacists, and physical therapists to provide team-based, integrated, andmeticulous care from diagnosis and treatment to palliative care.
2. Early diagnosis
Our specialists have a strong track record of detecting stomach cancer,
colorectal cancer, and liver cancer at an early stage by endoscopy andultrasound. In cooperation with the Center for Preventative Medicine (Health
Checkup Center), we strive for early diagnosis through checkups.
3. Commitment to non-surgical and minimally invasive treatment
We thoroughly pursue minimally invasive treatments that are easier on the
body and reduce the physical impacts on patients, such as endoscopic
treatment as a non-surgical option, and laparoscopic and thoracoscopic
surgeries as surgical options.

We provide team-based, integrated care, fromdiagnosis and treatment to palliative medicine

4. Highly delicate procedures and advanced treatments
We provide highly delicate, advanced treatments such as robot-assisted
surgery, laparoscopic endoscopic combined surgery (LECS), highly complex
hepatobiliary surgery combinedwith vascular resection, andtreatments performed in
combination with anti-cancer
drugs based on genomic
diagnosis.

State-of-the-art robot-assisted surgery

We diagnose patients without a clear diagnosis and refer them to the appropriate department

1. Specially trained staff are responsible for your care
Even when someone shows physical symptoms, there are many possible
causes: psychological or social, an organ that is distant from the site of thesymptoms, or a complex relationship among multiple diseases. General
Medicine treats all kinds of symptoms in patients and refers them to theappropriate specialist department if necessary.
2. If a visitor from overseas gets sickIf a traveler from overseas or a family member of a patient who has been
admitted to our hospital from overseas becomes ill during their stay in Japan,
General Medicine will be the first point of contact in the event that it is notpossible to determine a specific specialist they should see.

Psychiatry

3. Allergies
Allergens can be identified using intradermal allergy testing.
"Intradermal allergy test" involves injecting an allergen into the skin andexamining the reactions at the injection site within a certain period of time. It
is superior in both sensitivity and specificity to the conventional“allergen-specific IgE test,” which looks for the presence of IgE antibodies
against a specific allergen in serum collected from a blood sample.

Hepato-Biliary-Pancreatic and Gastrointestinal Surgery• Appropriate evaluation, testing, diagnosis, and comprehensive care fordementia (in collaboration with Neurology, Neurosurgery, andRehabilitation)• Management of obesity and excess weight (in collaboration with Diabetes,
Metabolism and Endocrinology)• Modified electroconvulsive therapy that can be performed safely (incollaboration with Anesthesiology *Currently in preparation)• Perinatal mental health (in collaboration with Obstetrics)[Other medical specialties and specialized medical care]
Schizophrenia, mood disorders such as depression and bipolar
disorder, eating disorders, anxiety, stress-related disorders, organic
mental disorders including symptoms, dementia and delirium,
psychological issues of children and adolescents, neurodevelopmental
disorders (developmental disorders), etc.

Orthopedics

For motor system disorders and sports injuries, focusing on the bones, joints, ligaments, and spine,
our experienced specialists provide cutting-edge treatment of a global standard

We perform thorough conservative treatment such as medication andrehabilitation, and if symptoms do not improve, we carry out cutting-edge
minimally invasive surgery.
1. Upper extremities (hand surgery, elbow joints, shoulder joints)• Our specialists treat common conditions and traumas of the upper
extremities in general, as well as difficult-to-treat cases such as severe
peripheral neuropathy and post-fracture malunion.
• We provide various treatments for osteoarthritis of the upper extremities andjoint diseases caused by rheumatoid arthritis. We perform artificial joint
replacement and difficult joint-sparing surgeries.

2. Lower extremities (hip, knee, and foot surgery)• We treat all lower limb diseases, from general external injuries to artificial
joints.
• Our foot surgeons conduct global-standard treatment of foot and ankle joint
diseases.

Pulmonary Surgery• We have provided many minimally invasive
joint replacement surgeries forosteoarthritis and rheumatoid arthritis.

3. Spine and spinal cord specialty (Spine and Spinal Cord Center)• We provide highly specialized, cutting-edge treatments, such as minimallyinvasive surgery using endoscopes.
• We have introduced rare state-of-the-art equipment such as the latest
surgical navigation/virtual reality (VR) to safely perform difficult surgeries.
• For more information, see the Spine and Spinal Cord Center (page 7).
4. Sports field• We perform minimally invasive surgery and rehabilitation usingstate-of-the-art arthroscopic systems for sports injuries such as knee andfoot ligament injuries and fatigue fractures to facilitate early return toactivities.
[Other medical specialties and specialized medical care]
Osteoporosis outpatient clinic, dropped head syndrome outpatient clinic, scoliosis
outpatient clinic, rheumatism outpatient clinic, musculoskeletal anti-aging
therapy outpatient clinic, etc.

We treat a wide range of diseases, from malignant lung tumors, focusing on lung cancer andmetastatic lung tumors, to mediastinal tumors, malignant pleural mesothelioma, and benign
diseases such as pneumothorax.

1. Surgical treatments
We are a clinical department that focuses on surgical treatment. Our main
target diseases are lung cancer, metastatic lung tumors from various organs,thymus-related tumors, malignant pleural mesothelioma, and other malignant
tumors. In collaboration with Pulmonology and Radiology, we determine
treatment strategies according to an individual’s medical condition and provide
patients with easy-to-understand explanations of their condition and treatment.
2. We aim for minimally invasive, conservative treatment, andpermanent cureWith respect to surgery, our first priority is to conduct surgical procedures
safely, and we strive to provide unintrusive treatments that are suitable foreach patient. We use thoracoscopic surgery to reduce the size of the woundarea, easing postoperative pain and preserving respiratory muscles. We also
actively perform bronchial and vascular plastic surgery in pursuit of permanentcures. We introduced robot-assisted surgery from 2021.

3. Rehabilitation in the perioperative period
By incorporating rehabilitation, which is one of IUHW Narita Hospital’s areasof strength, both before and after the operation, we aim for early ambulation,
reduction of postoperative complications, early discharge from the hospital,
and improvement of postoperative QOL (quality of life).
[Other medical specialties andspecialized medical care]
Pneumothorax, pyothorax,
myasthenia gravis, functional
recovery surgery, thoracic trauma
surgery, mediastinoscopy,
endobronchial ultrasound (EBUS),
tracheal and bronchialinterventions, etc.

Minimally invasive thoracoscopic surgery forsafety and permanent cures12

Neurosurgery

We treat cerebrovascular diseases (strokes), various brain tumors, and functional neurological diseases (epilepsy,
involuntary movements, pain) in cooperation with Neurology, Rehabilitation, and the Emergency Room

Pituitary adenoma (a cause of hormonal disorders, hormonal
overproduction, and visual field defects) We provide treatment as a
combination of medication and surgery. Surgery is performed using the latest
neuroendoscopy equipment without a craniotomy, and the tumor is removed
nasally. Symptoms improve quickly because of the low burden on the patient,and it is possible to walk freely from the next day.
Brain tumors (benign, malignant) Meningiomas and schwannomas are themost common benign tumors, and surgical removal is mainly performed withcareful preoperative diagnostic imaging. We make full use of the latest
equipment such as navigation systems and operating microscopes in surgery,while performing intraoperative monitoring to ensure safe surgery without
aftereffects. After removal of a malignancy, customized chemotherapy according
to the tumor is available, which can obtain good results. In addition, we are
equipped with a radiotherapy system.
Facial palsy (involuntary twitching on one side of the face), trigeminal
neuralgia (severe facial pain on contact) We have one of the highest
numbers of surgeries in the Kanto region. Patients come not just from Tokyo andChiba Prefecture, but also from as far away as Hokkaido and other distant regions.
Our staff are highly skilled in surgery and we have a very high level of satisfaction.
Surgery takes 1 hour and 30 minutes, and the hospital stay is about 1 week.
Minimally invasive surgery Cerebral endovascular treatment is a surgicalprocedure of approaching and treating lesions in the brain from inside bloodvessels using a catheter. It is applicable to a wide range of fields including
strokes, cerebral arteriovenous malformations, and brain tumors. We use
neuroendoscopy to approach the pituitary gland, ventricles, and deep brain
lesions to remove lesions and perform hydrocephalus surgery.
Cerebrovascular diseases We perform cerebral endovascular treatment or

Cardiac Surgery

Unruptured cerebral aneurysm (clipping/coil embolization), cerebral
arteriovenous malformation, cerebral vascular stenosis(stenting/endarterectomy), intracranial vascular stenosis (angioplasty),
moyamoya disease/internal carotid artery occlusion (bypass surgery)
Head injuries We perform treatment making full use of rapid surgery,state-of-the-art neuromonitoring, and neurointensive care. After acute-stage
treatment, we provide careful support for rehabilitation. We can also provide
appropriate treatment for sports concussions, which have been attracting attention.
Pediatric neurosurgery Neurosurgery is a broad field that includes not only
adult diseases, but also diseases that can be operated on right after birth, andcovers everyone from babies to the elderly. We can treat most pediatricneurosurgical conditions with the cooperation of doctors who are experts invarious fields of brain surgery and with the support of Pediatric Surgery and
Pediatrics. We have also established an outpatient head shape clinic in theoutpatient clinic. Please contact us if you are concerned about the shape of yourchild’s or grandchild’s head.
Normal-pressure hydrocephalus A waddling gait, dementia, and urinary
incontinence may result from normal-pressure hydrocephalus. It develops due toretention of intracranial spinal fluid. It can be improved through relatively simple
surgery. Don’t just blame it on aging and give up. Please come to us for a
consultation. Even dementia, which is said to be difficult to cure, may be cured.
In addition, we also provide cutting-edge medical treatment for conditions suchas headaches, various types of intractable pain, and epilepsy.

Our experienced surgical team provides safe and reliable surgical care for a wide range of heart diseases

1. Valvular heart disease
We have established a specialized outpatient clinic (outpatient heart murmur
clinic) to actively handle early detection. For mitral valve disease, we performmany valvuloplasty procedures that preserve and repair the patient’s own
valve. For aortic valve disease, we also perform valve-sparing aortic root
replacement, which is still not common in Japan, as well as valvuloplasty.
2. Ischemic heart disease
Experts who have been engaged in developing national guidelines in Japan
will review the treatment strategy. Coronary artery bypass surgery (off-pumpsurgery), which does not involve stopping the heart, is the standard
procedure, and we strive to make the treatment as easy on the body as

Vascular Surgery

direct surgery, depending on which one is appropriate. In addition, a hybrid
operating room is available to perform both at the same time, and the twosurgeries are performed jointly to ensure safety.

possible. By using multiple arterial grafts, we practice a treatment strategy thatis more than a decade ahead of the times.
3. Aortic diseases
We collaborate with thevascular surgery team tohandle a wide range oftreatments, from stent grafts tocomplex thoracotomy
procedures, and we haveextensive treatment
experience.

Rehabilitation

We perform high-quality rehabilitation more broadly and in close cooperation with many other medical
departments

1. High-quality rehabilitation
We provide high-quality rehabilitation services that can only be offered by ahospital affiliated with the International University of Health and Welfare,which has produced many rehabilitation specialists since its opening.
Approximately 50 rehabilitation professionals (physical therapists,
occupational therapists, and speech therapists) will make the most of theirexpertise.
2. Fully equipped facilities and environment
With our spacious Rehabilitation Center of approximately 1,200 square
meters, we provide services using the latest equipment, including gait
training, strength training, and cardiorespiratory endurance training. Speech
and language training and cognitive training by a speech therapist areprovided in a calm private room.
3. Advanced, specialized rehabilitation
We also provide botulinum toxin therapy for post-stroke spasticity, gait
training using equipment for Parkinson’s disease, and Social Skills Training fordevelopmental disorders. Especially for developmental disorders (pediatricpatients), we attempt comprehensive treatment and rehabilitation incooperation with Pediatrics and Psychiatry.

Renal and Urological Surgery

1. Conservative therapy for bladder cancer
We provide aggressive treatment to preserve the bladder. In general, thetreatment of muscle-invasive bladder cancer is based on total cystectomy plus
urinary diversion, but the patient's quality of life (QOL) may decrease after theoperation. Renal and Urological Surgery has extensive experience in this field,
and we actively recommend conservative treatment to maintain QOL.
2. Robot-assisted surgery for prostate cancer
For early-stage prostate cancer, we mainly recommend total prostatectomy
using the state-of-the-art Da Vinci Xi surgical robot, followed by radiotherapy.
In appropriate circumstances, active surveillance can be an option. In addition
to surgical treatment, we also offer guideline-based treatment plans including
hormone therapy, anti-cancer drugs for recurrent cancers, and new hormone
therapy drugs.

Da Vinci Xi

Before surgery

13

After surgery

3. Peripheral artery
We perform minimally invasive treatments and surgical or hybrid procedures fora wide range of conditions, from carotid arteries to abdominal and lower
extremity arteries. If the blood flow in the lower extremities is poor, this will
eventually result in necrosis. If you have symptoms such as cold feet or calf pain
when walking, please see your doctor as soon as possible.
4. Varix of the lower extremities
In the past, surgery was the only treatment used for varicose veins, but,recently, endovascular treatment is covered by insurance, making it possible tooffer this minimally invasive treatment. Laser treatment and injecting adhesives
enable early discharge from the hospital.
5. Abdominal visceral artery aneurysm or acute arterial occlusion, etc.
We can also treat abdominal visceral aneurysms and acute arterial occlusions,in which leg arteries are clogged by blood clots, as well as hemodialysis accessproblems.
6. Cutting-edge treatments
Since medical device technologies like stent grafts are constantly being improved,
we always try to incorporate new techniques and provide the latest safe treatment.

Breast Surgery

Rehabilitation Center

Surgical and medical treatment for what are collectively called urinary tract diseases:
problems involving kidneys, ureter, bladder, urethra, prostate, testes and epididymis

Specializing in the treatment of all types of vascular diseases through a collaboration between
Cardiology and Cardiac Surgery

1. Aortic aneurysm
Our doctors are highly experienced in minimally invasive treatments, including
the use of stent grafts (artificial blood vessels covered with metal), an
endovascular treatment technique.
2. Aortic dissection
Aortic dissection is a condition in which a blood vessel tears and often
requires emergency treatment. The Vascular Surgery Department treats type B
aortic dissection, which is a type of dissection that does not involve theascending aorta. Most
Fenestrated stent graft for thoracic aortic aneurysm
patients are treated
medically withantihypertensive drugs,
but if organ ischemia orother event occurs,
emergency surgery will be
required.

[Other medical specialties and specialized medical care]
Stroke, head injury, spinal cord and spine injury, Parkinson’s disease and othercranial nerve diseases, higher brain dysfunction (aphasia, memory disorder, etc.),
physical function decline after orthopedic surgery or due to cancer, physicalfunction decline due to aging, physical function decline due to heart failure,
respiratory failure or renal failure, pediatric diseases (developmental disorders,
cerebral palsy), etc.

3. Male menopause
This disorder occurs in middle-aged and older men due to a decrease in male
hormones with aging. It is characterized not only by decreased sexualfunction, but also by depression-like mental symptoms and physical symptoms
such as muscle weakness, for which male hormone replacement therapy iseffective.
4. Treatment of urinary tract stones with extracorporeal shock wave
lithotripsy
For urinary tract stones, we can provide either extracorporeal shock wave
lithotripsy or endoscopic treatment. Our doctors have extensive experience inextracorporeal shock wave lithotripsy (ESWL), which is a non-surgicalprocedure where shock waves are applied to urinary tract stones from outside
the body to break the stones into pieces without damaging the body.
5. Female urology
Stress urinary incontinence: Many women suffer from incontinence caused bypoor coordination between pelvic floor muscles and abdominal pressure,which is often improved by pelvic floor muscle exercises. In the case ofsurgery, a urethral sling operation takes about 30 minutes, with a hospital
stay of about 3 nights and 4 days.
Pelvic organ prolapse: Female pelvic organs have a different structure thanmale ones, as women have a vaginal canal for childbirth. A prolapse (hernia)
of various organs through the vaginal canal is called a pelvic organ prolapse.
A dropping bladder is called a cystocele, a dropping rectum is called a
rectocele, and a dropping uterus is called a uterine prolapse. In the case of acomplete prolapse, we suggest active treatment.
[Other medical specialties and specialized medical care]
Urinary tract infections, kidney transplants, etc.

Breast specialists with vast experience in breast cancer treatment provide reliable medical care fromdiagnosis and treatment to postoperative follow-up

1. Personalized therapy
For various types of cancers, depending on their characteristics and stage ofprogress, we perform a histological examination of the tumor to confirm thediagnosis of breast cancer, then examine the characteristics of the breast
cancer (hormone receptors, HER2 protein expression, proliferative capacity,etc.), and combine various treatment methods including surgery, radiotherapy,
endocrine therapy, and chemotherapy according to the cancer stage andextent of the cancer spread.
2. Surgical procedure decision: Total mastectomy or partial mastectomy
Standard surgical techniques include total mastectomy and partial mastectomy(breast-conserving surgery). Although there is no difference in survival rates,

breast-conserving surgery usually involves radiotherapy applied to thepreserved breast.
We determine which procedure should be carried out based on a comprehensive
consideration of factors including the size of the tumor, its spread to thesurrounding area, the presence or absence of multiple lesions, the degree of
intraductal spread of cancer, the appearance of the remaining breast if preserved,
the possibility of postoperative radiotherapy, and the patient's requests. When atotal mastectomy is performed, the nipples can be preserved, or breastreconstruction using autologous tissue or an artificial breast can be performed
with the cooperation of the Plastic and Reconstructive Surgery Department.

14

Plastic and Reconstructive Surgery

We help improve QOL (quality of life) by minimizing and correcting congenital
deformities, as well as deformities and scars caused by injury and illness

1. We treat a wide-range of deformities and wounds
We treat a wide range of deformities and injuries, from treatment of traumatic
injuries caused by accidents, etc., or symptoms caused by aging (droopy
eyelids, facial blotches, etc.) to advanced medical care and treatment.
2. Team-based healthcare in collaboration with various departments
Different issues are addressed in a multidisciplinary manner in cooperation withother departments. Facial fractures and burns are handled together with theEmergency Room, Orthopedics for extremity trauma, Breast Surgery for breastreconstruction, Dermatology for reconstruction after skin tumor resection,
Otorhinolaryngology and Head and Neck Surgery for reconstruction after heador neck cancer resection, and Diabetes, Metabolism and Endocrinology or
Vascular Surgery for intractable ulcers of the lower extremities.
[Other medical specialties and specialized medical care]
Scar Center We offer custom-tailored, state-of-the-art treatments thatcombine pharmacotherapy, lasers, regenerative medicine, surgery, andradiotherapy for those who are prone to noticeable scarring.
Outpatient laser clinic For black, brown, and red birthmarks, we offer a
combination of laser treatment and surgery to provide optimal treatment.
Depending on the disease, laser treatment may also be covered by insurance.

Obstetrics and Gynecology

1. Pregnancy outpatient treatment and pregnancy checkups:
Working together to relieve anxiety and concerns during pregnancy
Doctors and midwives work together to provide various prenatal checkups,
special examinations, and counseling based on the condition of the pregnant
woman and her needs.
Outpatient fetal ultrasound screening, outpatient fetal 3D/4D ultrasoundWe perform outpatient prenatal testing and counseling NIPT (fetal ultrasoundscreening using maternal blood) and amniotic fluid testing.
Pregnancy and medication outpatient services: We perform consultationand counseling regarding medications used during pregnancy and prior topregnancy (not covered by insurance).
Outpatient midwife care: Midwives provide detailed advice on all aspects ofpregnancy, including lifestyle and diet.
Parenting classes: We provide knowledge and information on becoming amother or father.
Outpatient acupuncture and moxibustion: We offer support for problems during
pregnancy and the postpartum period from the perspective of Oriental medicine.
2. Inpatient <Childbirth> Hotel-like room with a relaxed atmosphere
To provide a comfortable environment where expectant mothers can relax both

Outpatient hyaluronic acid treatment for wrinkles and sagging skinHyaluronic acid is found in the skin, and acts as a cushion while helping to form
youthful skin. Hyaluronic acid injection treatment improves wrinkles and sagging
by injecting it into areas where facial volume loss has occurred. Our certified
doctors use a syringe to inject hyaluronic acid approved by the Ministry of
Health, Labour and Welfare. (Not covered by insurance.)
Outpatient lymphedema treatment For swollen limbs after breast cancer
surgery with lymph node dissection or after gynecological surgery, in addition to
wearing elastic sleeves or stockings, surgery to connect lymph vessels and small
veins (lymphovenous anastomosis) to drain stagnant lymph fluid into the venous
system is performed depending on the patient’s medical condition.
Outpatient cleft lip and cleft palate treatment We provide treatment forcleft lip and cleft palate in collaboration with Pediatrics, Otolaryngology, Oral
Rehabilitation (pediatric, orthodontics, etc.), and speech therapists.

mentally and physically, in addition to our hotel-style private rooms, four-personrooms are also equipped with stylish partitioned furniture to ensure privacy.
3. Discharge (After childbirth)
While in the hospital as well as after discharge, please consult us not only
about the newborn baby, but also about raising older children and themother’s health after childbirth, breastfeeding, and other issues. We also
provide postpartum mother and child care hospitalization.
Gynecology field
1. Assignment of specialists in gynecology
We have multiple gynecological oncologists and certified laparoscopic
surgeons on staff. Laparoscopic surgery is used to treat early-stage cancers,
while invasive cancers are treated with a combination of laparoscopic andabdominal surgery, chemotherapy, and radiation therapy.
2. Juvenile uterine and ovarian cancer
For young patients with cervical cancer, uterine cancer, or ovarian cancer, we
actively perform fertility preservation therapy to preserve the patient’s ability
to become pregnant. Especially for early-stage uterine cancer, we actively seek
the possibility of uterine preservation by combining hormone therapy andhysteroscopic surgery. Specialists in women’s health care and reproductive
medicine are also on staff to provide support from a specialist’s standpoint.

From newborns to becoming adults, we watch over children’s health

1. We are general doctors for children
As the brain develops, children change significantly from babies toadolescents. In addition to pediatric specialists, we have specialists inneuromuscular diseases, mental health issues, newborns, allergic diseases,
and the circulatory and endocrine systems.
2. We provide a wide range of specialized medical care and treat all
types of diseases• Neurological: Convulsions, epilepsy, disorders of consciousness, involuntary
movements, Gorlin syndrome, muscular dystrophy, dyssomnia• Allergies: Food allergies, atopic dermatitis, bronchial asthma, collagen disease• Mental: Developmental disorders, ADHD, learning disabilities, intellectual
impairment• Circulatory system: EKG, echocardiography, congenital heart disease,
Kawasaki disease, arrhythmia• Newborns: Respiration disorders, heart murmurs, congenital anomalies,
chromosome aberrations, high-risk pregnancies

15

Outpatient Botox for wrinkles and hyperhidrosis We offer Botox injection
treatments for wrinkles and armpit hyperhidrosis (maschalyperidrosis).
*Wrinkles (not covered by insurance), hyperhidrosis (covered by insurance)

We provide medical care covering diseases specific to women, benign and malignant
gynecological tumors, and reproductive and perinatal fields representing pregnancy
and childbirth

Perinatal field

Pediatrics

We also treat pigmented patches such as age spots (not covered by insurance).

• Infectious diseases: Pneumonia, urinary tract
infections, COVID-19 infection treatment andvaccination• Endocrine system: Short stature, diabetes,
precocious puberty, obesity,
hypothyroidism/hyperthyroidism
3. Practice of cutting-edge treatment using
the latest equipment
We use long-term video EEG monitoring,polysomnography, and the Multiple Sleep Latency Test (MSLT) to treat epilepsy
and dyssomnia in children, and diagnose and treat pediatric diseases withstate-of-the-art imaging equipment.
4. Short-term intensive training program for pediatric movement disorders
P3NUTS (Pediatrics, Rehabilitation, Psychiatry, and the Regional Medical Liaison
Office) collaborate to provide short-term motor training (two weeks) so thatchildren with limb disabilities can have a secure home life and school education.

Pediatric Surgery

We treat various surgical diseases in children from newborns to those under 15 years of age (except
for hearts, cranial nerves, and bones)

1. Doctors with extensive experience in pediatric surgical diseases
collaborate with various departments
We handle the treatment of surgicalProtruding navel
Groin swelling
diseases in children from newborns tothose under 15 years of age (other thanthe circulatory system, cerebral nervous
system, and orthopedic surgery).
Different heights ofScrotal swelling
Pediatric Surgery deals with diverse
testes (testicles)
disease fields, and many of them are rarediseases. In Pediatric Surgery, specialists
who are familiar with all types ofpediatric surgical diseases are
Symptoms seen in children

Ophthalmology

responsible for treatment.
In addition, by working closely with doctors in Pediatrics and otherdepartments, we have established a system to provide comprehensive
treatment for childhood illnesses. While closely cooperating with nearby
pediatrics departments, we aim to provide prompt treatment 24 hours a day,365 days a year.
2. Reducing the burden on small patients
Surgery itself becomes a major physical and emotional stress for children andtheir families. We are actively performing laparoscopic surgery for various
diseases to practice minimally invasive surgery that minimizes the burden on
the body and surgical wounds.

We cover a wide range of ophthalmological diseases and provide advanced medical care that all
patients can trust

1. A wide range of diagnosis and treatment, from common to
intractable diseases
Our experienced specialists diagnose and treat a wide range of diseases, from
common disorders such as cataracts, glaucoma, dry eye, conjunctivitis, and allergic
diseases to those requiring advanced techniques such as bullous keratopathy,
corneal perforation, corneal infection, and nasolacrimal duct obstruction.

2. Cutting-edge examination equipment
We use cutting-edge examination equipment such as optical coherence
tomography (anterior and posterior OCT), laser speckle, microperimeter, andwide-field specular to identify conditions and provide highly accurate
diagnoses and treatments.

Otorhinolaryngology / Head and Neck Surgery
Hearing loss, nasal discharge / nasal congestion, cancer
We have specialists in ear diseases, nasal diseases, and head and neck cancers,
so we can deal with all kinds of diseases relevant to otorhinolaryngology andhead and neck surgery.
With regard to hearing loss, we offer diagnosis and treatment of infant hearing
loss in collaboration with speech therapists, genetic diagnosis of hearing loss,
minimally invasive transcanal endoscopic ear surgery (TEES) for otitis media, andcochlear implants and other treatment using hearing implants. We use
state-of-the-art equipment such as imaging and smell tests to diagnose the causeof nasal symptoms such as nasal congestion, and provide treatment with a
combination of drug therapy, immunotherapy, or surgical treatment. We mainly

Dermatology

We treat all kinds of diseases of the ears, nose, throat,head, and neckprovide surgery through safe minimally invasive endoscopic procedures.
For cancers of the head and neck (pharynx, larynx, tongue and oral cavity, noseand para-nasal sinus, salivary glands, thyroid, etc.), we provide advanced
treatment to improve curative effects, reduce the burden on the body, andpreserve function as much as possible after treatment.
[Other medical specialties and specialized medical care]
Diagnosis and surgical treatment of sleep apnea syndrome, swallowing
rehabilitation/minimally invasive surgery to improve swallowing function for
dysphagia, preventive surgery against aspiration, olfactory rehabilitation(olfactory training) for smell disturbance, inner ear window closure and facial
nerve decompression surgery, etc.

We treat all skin conditions such as redness, itching, and boils
We provide appropriate treatment based on the latest research, even for conditions that are difficult todiagnose and treat.

[Difficult-to-cure skin conditions]
We have extensive experience in treating not only common diseases such aseczema and athlete’s foot, but also “intractable skin diseases” that are complex
to diagnose and treat even for dermatologists.
1. New treatments
We are well-versed in new treatments such as biologics for psoriasis andatopic dermatitis, and new anti-cancer drugs for cutaneous lymphoma. For
those whose symptoms do not stabilize despite attempting various

Oral Rehabilitation andMaxillofacial Surgery

treatments, and especially for more severe cases, we offer these newtreatment methods.
2. Second opinions
For cutaneous lymphoma, we accept second opinions referrals from all overJapan. We also see patients referred to us from overseas. Our doctors play arole within the collaborative team handling palliative care alongside othermedical professionals.

We provide a wide range of dental care, from dental surgery for oral tumors and maxillofacial
trauma to treatment for people with special oral conditions (e.g. cavities, periodontal disease,dentures) after surgery

1. Comprehensive dental care for patients with systemic illnesses
To provide dental support to patients who undergo surgery at IUHW Narita
Hospital, we collaborate with their regular dental service providers to offer oral
health management (specialized oral cleaning and preventative measures for
accidental symptoms during surgery). Patients with systemic illnesses (such as
cardiovascular or hematological diseases) as well as children and adults withdisabilities who require cooperation with multiple departments, can receive
dental care with peace of mind, because we work closely with otherdepartments in the hospital.
2. We perform a wide variety of oral surgeries
We perform various surgeries: for tumors and cysts in the jawbone and oral
mucosa, anti-inflammatory procedures for widespread dental inflammation,
jawbone fractures, and orthognathic surgeries in collaboration with local
community orthodontists. We also provide short-term hospitalization after
surgery such as tooth extraction that involves administration of local
anesthesia.

16Radiology

Experienced specialists work closely with each department to provide integrated diagnosis and treatment

The Radiology Department consists of the departments of Radiodiagnosis,
Nuclear Medicine, and Radiotherapy, under the leadership of Dr. Kuni Ohtomo,
former chairman of the Japan Radiological Society, who is also the former
president of IUHW.
1. Diagnosis
We primarily use CT and MRI scans to diagnose all kinds of diseases andcontribute to treatment in other departments. We perform treatment by

PET-CT

Emergency Room

3 Tesla MRI

interventional radiology using catheters and other tools under imaging
guidance, as well as low-dose, low-exposure safe examinations using thelatest AI technology.
2. Nuclear Medicine
We conduct nuclear medicine examination and treatment using radioisotopes(RI). Pathological diagnosis is accomplished mainly by imaging physiologicaland biochemical functions, and RI internal therapy is performed using
therapeutic radionuclides that are highly selective in targeting the disease.
3. Radiotherapy
Intensity modulated radiation therapy and stereotactic irradiation, which arehighly precise radiotherapies, can improve treatment outcomes while
preserving functions and reducing side effects.

320-row area detector CT

The ER endeavors to save lives in our local community, contributing to emergency transport for awide range of minor as well as serious illnesses.

1. “Reliable ER” that contributes to the community
In addition to five full-time doctors in the Emergency Room, the ER also has atotal of 10 dedicated nurses and paramedics to contribute to emergency
medical services in the local community. The ER handles emergency outpatientcare for patients brought in by ambulance and inpatient care for sepsis,trauma, resuscitation, poisoning,and other specialized emergency
medical fields.
2. Facilities, equipment,
technology, and capacity totreat patients with all kindsof symptoms
Up to four patients in criticalcondition can be treated at thesame time. We have also set up
an after-hours clinic space incooperation with otherdepartments, creating a systemthat can smoothly handle bothambulatory patients andtransported emergency patients.
A dedicated elevator has also
been installed so that patients inProvides comprehensive
medical care to each andevery patient with a high levelof safety

1. Expertise
The department has several intensive care specialists and pain clinic
specialists on staff, and is responsible for the management andoperation of the ICU in IUWH Narita Hospital.
2. Broad range of knowledge
The department can handle almost any type of surgery currently
performed in Japan.
3. Infectious disease countermeasures and safety management
There are also Infection Control Doctors (ICD, medical professionals
who specialize in infectious diseases, disease control, and nosocomial
infection countermeasures). Our doctors possess extensive knowledge
about infection control, safety management, and proper bloodtransfusion, and they provide support for the hospital infrastructure.
[Other medical specialties and specialized medical care]
Cardiovascular anesthesia / JB-POT / Pediatric anesthesia / Obstetricanesthesia / Palliative care

17International Center for
Clinical Infectious Diseases

Drawing on the advantages of our airport-adjacent location, the center protects thenation’s borders from pathogens and contributes to pathogen countermeasures

Infectious Diseases
As the Infectious Diseases Department of a university hospital, our experienced
specialists provide a wide range of services to patients referred by neighboring
medical institutions (in such cases as fever of unknown origin, sexuallytransmitted diseases, HIV infection, parasitic diseases, and tuberculosis) as wellas handling consultations from other departments in the hospital.
As the Designated Medical Institution for Class I Infectious Diseases that is closest
to Narita International Airport, we also play an important role in countermeasuresagainst the incursion of infectious
diseases from overseas in cooperation
with the Quarantine Station and Chiba
Prefecture. We have two beds in Class I
Infectious Disease Rooms that canaccommodate patients with Ebola
hemorrhagic fever and other Class I
infectious diseases, as well as a separate
infectious disease outpatient clinic and

One of the two Class I Infectious Disease Rooms
in Narita Hospital

serious condition can be taken immediately to the Intensive Care Unit,
operating rooms, or catheterization labs. Our system enables multiple healthcare professionals to liaise closely and provide team-based care while utilizing
advanced medical equipment.
A heliport on the premises is available for air ambulances
An air ambulance is a helicopter equipped with specialized medical
equipment for emergency first aid, with a doctor and nurse on
board to provide life-saving medical care while transporting thepatient from the scene to a medical institution. In addition to theprompt provision of emergency first aid by a doctor, the rapid
admission of patients to a more sophisticated medical facility canbe expected to improve the rate at which lives are saved andreduce residual disabilities.
IUHW Narita Hospital
contributes to community
medical care as a disasterbase hospital for theregion, achieving rapid
life-saving medical care andproviding an effective initial
response to disasters.

A critical care unit is also set up to treat
up to four critically ill patients at one time

Anesthesiology /Intensive Care
Medicine

Distinctive facilities leading the way in advanced medical care

Clinical Laboratory

Prompt reporting of test
results with high accuracy

In collaboration with other departments, the Clinical Laboratory performs
biochemical analyses (such as blood and urine tests), physiological tests(such as electrocardiography and ultrasonography), blood transfusion
management, and infectious disease management.

Clinical Pathology

Diagnostic pathology for
all organs(histology, cytology, autopsy)

Using a variety of tools, from morphology to new molecular pathology
techniques, the Clinical Pathology Department is able to make accurate
diagnoses and quickly report the results to help determine a treatment plan.
Based on a well-developed framework, the department collaborates with
the International Remote Diagnostic Center (Clinical Pathology) to support
making diagnoses not only at IUHW Narita Hospital but also at otherfacilities in Japan and abroad.

Radiotherapy Cancer Center

negative pressure rooms. Additionally, we have been treating patients with
COVID-19 since the hospital opened in 2020. PCR testing is performed in thehospital, and features rapid evaluation and treatment, including diagnostic
imaging. We are also involved in collaborative research with the National Instituteof Infectious Diseases and other institutions, and in the development of new drugs.
In the future, we will make use of our university’s network to further deepen ourcollaboration with universities in Asia and other institutions, with the aim ofcontributing to the global fight against infectious diseases.
Infection Control Department
Under the leadership of Chief Professor Tetsuya Matsumoto,we carry out various activities to prevent nosocomial
infections being caused by various infectious diseases broughtin from outside the hospital. In addition to maintaining aninspection system, conducting surveillance, educating staff,
and checking the implementation of infection control
measures in the hospital, we also collaborate with otherhospitals through a network.

Seeks to fully cure diseases and reduce side effects and the burden placed on
patients’ bodies

The goal of the Radiotherapy Cancer Center is to provide optimal radiotherapy
using the latest medical equipment and treatment methods, in collaboration withall medical departments.
Intensity-modulated radiation therapy(IMRT), “TomoTherapy” (available only
at a limited number of facilities in Chiba
Prefecture) is used to provide
radiotherapy based on the shape of thetumor. This enables more precise cancer
treatment by delivering radiationaccording to the shape of cancerous
TomoTherapy

tissue, even if it has a complex shape. LINAC is a cutting-edge multi-purpose
radiotherapy system that uses high-definition imaging technology to capture theaffected area and precisely focus
radiation of the optimal energy level on
the target. By making full use of thesedevices and treatment methods, we seek
to achieve a full recovery while
preserving as much function as possible
and reducing side effects and the burden
on the body.
Multi-purpose radiotherapy system (LINAC)

International Remote Diagnostic Center

Connects with facilities in Asia and other countries to improve
diagnoses and treatments(Radiodiagnosis / Clinical Pathology / Internal Medicine Diagnosis)
The International Remote Diagnostic Center operates in collaboration with the
Health Evaluation & Promotion Center, the first facility in Vietnam specializing in
health checkups, which was established by IUHW and Cho Ray Hospital.
The purpose of the International Remote Diagnostic Center is to support on-site
diagnosis remotely through dedicated lines connected to an overseas university,
medical institutions, and international IUHW hubs. For radiological imaging, the center
provides in-depth support, from imaging methods to diagnosis (Radiodiagnosis).

Center for Genomic Diagnosis

exposes normal tissue to a lower amount of radiation

Pathology specimens are prepared on-site and a digital image of the glass
specimen is made using a whole slide imaging (WSI) scanner. These images areused to make a diagnosis online.
For symptoms that are difficult to diagnose, a specialist trained in general
medicine provides a cross-organ diagnosis for all of the patient’s biological,
psychological, and social issues (Internal Medicine Diagnosis).

Promotes genomic medicine under the guidance of a leading genome researcher

The Center for Genomic Diagnosis is headed by Shoji Tsuji, professor emeritus of
the University of Tokyo and a leader in genome research on hard-to-cureneurological diseases. Dr. Tsuji is also the director of the Institute of Medical
Genomics, which opened in the IUHW School of Medicine in 2018. He has been
conducting world-class genome analysis research while making full use of the
NovaSeq 6000 (developed in 2017), a cutting-edge genome analysis instrument
few of which exist in Japan. The NovaSeq (one of the latest generation
sequencers) is capable of reading a large volume of genome sequences at highspeed. It can read the entire human genome in a few days and at low cost.
IUHW’s Institute of Medical Genomics has greatly contributed to genomic
medicine research by introducing other computer systems for analyzing big data,

robots for automating operations, and a DNA amplification system called digital
PCR that can accurately detect specific mutations in genomic DNA and RNA withultra-high sensitivity. We started to offer genomic medicine services for hereditarydiseases from November 2021. We also conduct genome analysis on mutant
strains of COVID-19, and share important information with the public. In
collaboration with the Center for Preventative Medicine (Health Checkup Center),
we are also preparing genomic diagnosis as an optional item for comprehensive
checkups. Currently, causative genes have been identified for 6,318 diseases. In
collaboration with facilities and experts in Japan and overseas, we aim todevelop diagnostic and treatment methods especially for intractable diseases,
which companies tend to refrain from focusing on.

18

Overview of Center for Preventative Medicine
Health Checkup Ward, 2F

The second floor of the Health Checkup Ward is dedicated to comprehensive
checkups and is independent from other medical departments.
Placing examination rooms in a centralized location allows us to conduct
examinations smoothly. The center has an endoscopy area with dedicatedexamination rooms, recovery rooms, and pre-treatment rooms, as well as afull range of amenities and a floor plan designed with women in mind sothey can relax and undergo their exams in a relaxed atmosphere.

1

Exams can be conducted on a dedicatedfloor that is independent of the medical
departments
A 4,750-m2 dedicatedfloor has been
established for exams
in the Health Checkup
Ward. On this floor,
patients can receive
comprehensive
Internal Medicine Clinic
checkups in privacy
and comfort, with shortened waiting times and without
coming in contact with general patients.

2

3

Hospital Ward

Education and Training Center

Health Checkup WardExperienced doctors make full use of cutting-edge
medical equipment to provide highly accurate
diagnoses
The center is equipped with cutting-edge medical equipment that isused to provide more accurate diagnoses. This includes 3.0 Tesla MRI,
which has the highest field strength in Japan, and is radiation free
therefore placing less of a burden on the patient. The center also
includes PET-CT and a 320-row area detector CT.

4

Advanced examination options to meet avariety of medical needs
From one-day courses to two-night premium courses,
there is a multitude of examination choices to meet avariety of medical needs. For overnight comprehensive
checkups, patients can use private hotel-style rooms
equipped with amenities.

The center has a full and complete infrastructure in place due tocoordination with the hospital’s medical departments.
If a patient needs a follow-up or in-depth
examination or treatment, IUHW Narita
Hospital specialists can help. It is evenpossible to have a follow-up examinationon the same day that the patient receives
the results from their comprehensive
checkup.
Patient consultation

Restaurant

The third floor of the Health Checkup Ward has a swimming pool, training gym, sauna, fitness &yoga room, large bath house, and relaxation space. Doctors and exercise instructors on staff will
help patients achieve optimal fitness from a medical perspective.

After the comprehensive checkup, you can relax
and enjoy authentic Japanese or Western cuisine
at the restaurant on the top floor (8th floor) of the
Hospital Ward with a view of the airport.

Fitness & yoga room

Large public bath

Hotline for comprehensive checkup
appointments and inquiries

19

Da Vinci Xi

Hybrid operating room

Da Vinci is a state-of-the-art surgicalassistance robot

Enables safer treatment by combining anangiography system with an operating roomin a single space (conventionally set up
separately)

PET-CT

3 Tesla MRI

320-row area detector CT

Checks the location, size, and metastasis oflesions in one session through full-body scanCreates higher-definition images in less time,and more safely

High-speed imaging of an entire organ in asingle rotation

Few facilities in Chiba Prefecture haveintroduced this system, which enables
high-precision cancer treatment

Hospital Ward, 8F

Training room
Restaurant

Mist sauna

TomoTherapy(High-precision radiotherapy device)

Close cooperation with the hospital’s medical
departments to provide specialists

Health Promotion Center Health Checkup Ward, 3F

Swimming pool

Cutting-edge Examination and Treatment Equipment at
IUHW Narita Hospital

Break room

Japanese cuisine (example)

Western cuisine (example)

TEL.0476-35-5602
Hours: 9:00 AM - 5:00 PM (Mon. to Sat.)DEXA bone density

SPECT

Angiography

Multi-purpose
radiotherapy system

Scans the lumbar
vertebrae and both
femurs at one time

Equipped with threedetectors that look atchanges in blood
flow, metabolism, andother functions

Angiosystem
State-of-the-art
equipment fortreatment of myocardial
infarctions and strokes

Accurate, minimallyinvasive radiotherapy
for any cancer site

LINAC

SPECT

International lounge with dedicated staff to support patients speaking
different languages from around the world
The lounge provides support for international patientsby attending to them during their stay at the hospital,
interpreting and translating so that they can be at theirease while receiving care at IUHW Narita Hospital.
We provide advanced, high-quality medical care andwarm service with doctors licensed to practice medicine
in the U.S. and doctors and medical staff with extensive
clinical experience overseas, as well as always-available
English-, Chinese-, and Vietnamese-speaking staff.
There is also a halal kitchen and prayer room toaccommodate cultural and dietary diversity.
International lounge

Halal kitchen

20International University of Health and Welfare, Narita Campus*Clinical research centers for medicine: Facilities whose role is to cooperate fully on student education and research by collaborating and supporting each other as university-affiliated organizations

In 2016, the Department of Nursing, Department of Physical Therapy,
Department of Occupational Therapy, Department of Speech and Hearing
Sciences, and the Department of Medical Technology and Sciences were
established. The next year, in 2017, the School of Medicine was establishedto provide unprecedented and innovative medical education while fostering
medical professionals who can play active roles in local as well as global
communities. In 2021, we also establishedthe Special Advanced Course in the
Department of Clinical Engineering. Thus this
hospital serves as the central facility forclinical training for students at Narita Campus.

School of Medicine /Graduate School

School of Nursing at Narita /School of Health Sciences at Narita

Kozunomori Station
on Keisei Line

Features of the School of Medicine
World-class medical education
Twenty international students enrolled each year, classes
taught in English in most subjects
One in seven students is an international student, and the majority ofcourses in the first and second years are conducted in English. The school
has many non-Japanese and Japanese faculty members with extensive
clinical and educational experience abroad. Overseas clinical practice iscompulsory in the 6th year, with 90 weeks of clinical practice withparticipation in treatment exceeding world-class standards by the time ofgraduation.

Graduate school and well-equipped research departmentsthat promote medical research
The Graduate School of Medicine, which includes a program in Medicine
and one in Public Health, provides education in close collaboration with the
School of Medicine and fosters talent that will be able to play an active roleinternationally. The university has also established organizations including
the Institute of Medical Genomics, the Center for International Research of
Infectious Diseases, and the Innovation and Research Support Center inorder to focus on fields of research for which needs will grow in the future.

Practical education at one of the world’s largest simulation
centers and an abundance of affiliated and related facilities
The Narita Simulation Center, one of the world’s largest simulation
centers, is located on the campus, covering more than 5,300 square
meters. It has full-scale functions such as a surgical simulation room,
ICU simulation room, and 22 simulated examination rooms. In
addition, six affiliated hospitals and a wide variety of group-related
hospitals and facilities provide support for clinical training incooperation with each other.

School of Medicine

University Hospitals

IUHW Mita Hospital

IUHW Hospital(Minato City, Tokyo: 291 beds)(Nasushiobara City, Tochigi Pref.: 408 beds)

IUHW Mita Hospital has adopted a centralized systemcrossing departmental boundaries to realize
team-based medical practice and care. As a Tokyo
Designated Cancer Care Hospital, it provides advanced
cancer treatment under the supervision of specialists inrelevant fields. In addition to being designated by the
Tokyo Metropolitan Government as a secondary
emergency medical institution, we have acquired
various certifications such as JIH and JMIP, which
evaluate our system for accepting overseas patients,
and we are highly regarded by overseas patients fromJapan and abroad.

As a medical and welfare university, our strength is that we are able
to cross departmental boundaries and conduct joint education withstudents from other departments in cooperation with allied healthprofessions. In fourth year at the School of Medicine, students canparticipate in collaborative practical training with students from otherdepartments at training hospitals and facilities while still in school,
to learn the team medicine and team-based care that is required in
the medical field.

School of Nursing at Narita

Department of Nursing
Department of Physical
Therapy

School of Health Sciences

Department of Occupational
Therapy

Department of Speech andHearing Sciences

Department of Physical
Therapy

Department of Social Services and Healthcare Management

School of Pharmacy

Department of Pharmaceutical Sciences (6-year curriculum)

Department ofOccupational Therapy

Department of Medical
Technology and Sciences

As a flagship hospital covering the eastern partof Shizuoka Prefecture and the western part of
Kanagawa Prefecture, IUHW Atami Hospitalprovides emergency medical services,transplantation service, and other medical care.
The hospital plays a core role in the regional
community and offers high-quality care
ranging from emergency response topreventive medicine, with pediatric careavailable 24 hours a day, 365 days a year.

As a key regional hospital, IUHW Shioya
Hospital provides extensive in-home medicalcare to meet the medical needs of the aging
local population, including preventive
medicine, rehabilitation, and nursing careservices. It is also a disaster base hospital and
DMAT (Disaster Medical Assistance Team)
designated hospital for Tochigi Prefecture,organizing systems to support emergency
medical care.

Sanno Hospital / Sanno Birth Center(Minato City, Tokyo: 78 beds / 19 beds)

Sanno Hospital is a pioneer among private hospitals, with ahistory and track record of success. Together with its adjacentobstetrics clinic, the Sanno Birth Center, Sanno Hospitalprovides comprehensive medical services including infertility
treatment, endoscopic surgery, and surgical procedures using
surgical assistance robots. It provides patient-centric medicalcare in cooperation with the Sanno Medical Center, a facility
located a short distance away which specializes incomprehensive checkups.

Fukuoka Sanno Hospital

Department of Radiological
Sciences

Department of Speechand Hearing Sciences

Department of Orthoptics andVisual Sciences

School of Health Sciences at Odawara

Department of Nursing

Department of Physical
Therapy

Department of Occupational
Therapy

Okawa Campus

School of Health Sciences at Fukuoka

Department of Physical
Therapy

Department of Occupational
Therapy

Department of Speech andHearing Sciences

Department of Pharmaceutical Sciences (6-year curriculum)
Doctoral Program / Health Sciences

Ho Chi Minh City, Vietnam
Department of Medical
Technology and Sciences

Department of Nursing**Scheduled for establishment inApril 2023 / In the planning stage(Schedule may change)

Master’s Program / Health Sciences, Health and Welfare Management, Clinical Psychology

Graduate School of Pharmacy

Doctoral Program (4-year curriculum) / Medical and Pharmaceutical Life Sciences

Graduate School of
Pharmaceutical Sciences

Mater’s Program / Pharmaceutical Life Sciences
Doctoral Program (4-year curriculum) / Medicine

With 110 years of history, Takagi Hospital is a core
hospital in the region, covering a wide range ofservices from primary care to advanced medicine,and from preventive to emergency care. The
hospital is established alongside the Fukuoka
Simulation Medical Center, one of the leading
medical training facilities in Japan.

International Network

Odawara Campus

Graduate School of Health andWelfare Sciences(Okawa City, Fukuoka Pref.: 506 beds)

Fukuoka Sanno Hospital wasestablished in 2009 in the Seaside
Momochi area overlooking Hakata Bay
as part of the International University of
Health and Welfare / IHW Group’s
100th anniversary project. It houses
199 private patient rooms.

Department of Radiological
Sciences

Department of Healthcare Management

School of Pharmacy at Fukuoka

Takagi Hospital(Fukuoka City, Fukuoka Pref.: 199 beds)

Department of Psychology

School of Psychology and
Healthcare Management at Akasaka

IUHW Japanese Language Program

21

Department of Nursing

School of Health and Welfare

Graduate School of Medicine(Yaita City, Tochigi Pref.: 240 beds)(Atami City, Shizuoka Pref.: 269 beds)*Scheduled for establishment in April 2023

Tokyo Akasaka Campus

Graduate School(Ichikawa City, Chiba Pref.: 260 beds)

IUHW Ichikawa Hospital is particularly strong in theoverall respiratory and digestive fields; it also houses
the outpatient chemotherapy room, outpatient dialysis
center, and rehabilitation ward for recovering patients.
Moreover, the hospital has been reinforcing nursing
care services, as well as gearing up its
outpatient/home-visit rehabilitation and home care
support operations.

Major Clinical Research Centers for Medicine

IUHW Shioya Hospital

IUHW Atami Hospital

Department of Clinical Engineering:Special Advanced Course

Otawara Campus

IUHW Hospital is a core hospital equipped withadvanced medical equipment such as PET-CT,
radiotherapy equipment, and Da Vinci Xi, the first
surgical assistance robot introduced in the northernpart of the prefecture. The hospital supports regional
healthcare, while reinforcing emergency medical caresystem, providing NICU, and enhancing pediatric andperinatal care. It also has lodgings and researchbuildings as a mainstay clinical training facility forstudents at the university’s School of Medicine.

Faculty of Medicine

School of Health Sciences at Narita

Department of Care and Welfare:Special Advanced Course*

IUHW Ichikawa Hospital

The advantage of a comprehensive university of healthand welfare in terms of team-based medical careOrganizational Chart
Narita Campus

The university/graduate school, the university hospitals, and the clinical research centers for
medicine* work closely together to provide advanced education, research, and clinical care.

Major Group Facilities

Master’s Program / Public Health

Cho Ray Hospital, International University of Health and Welfare

Health Evaluation & Promotion Center (HECI)The Health Evaluation & Promotion Center (HECI) wasestablished in 2018 as Vietnam’s first Japanese-style facility forcomprehensive checkups. It is a joint project with Cho Ray
Hospital in Vietnam. The most important feature of this system isthe backup infrastructure provided by Japanese specialists who
work through a remote diagnosis system. Radiological imaging
and pathological examinations are double-checked by Japanese
doctors through an Internet connection via a dedicated line to
IUHW’s Narita Hospital, School of Medicine, and Mita Hospital.

Yangon, Myanmar

Ulaanbaatar, Mongolia

An IUHW Rehabilitation
Training Center has been
established in the National
Rehabilitation Hospital.
This training center
provides human resource
development and academic
support, including
dispatching experts toserve as teachers, doctors,
and rehabilitation staff.

IUHW has signed a basic agreement toestablish an IUHW Education andTraining Center in the Mongolia-Japan
Teaching Hospital, which was establishedin 2019 as the first hospital affiliatedwith a national medical university. IUHW
plans to provide support mainly in theform of human resource development
and the dispatching of experts who canprovide service based primarily on
Japanese-style advanced medical care.

22