


Сhronic Kidney Disease Treatment in Rinku General Medical Center
About the clinic
Chronic kidney disease (CKD) care at Rinku General Medical Center includes diagnosis, medical management, dialysis, and blood purification. The center is in Izumisano, Osaka, Japan. Its nephrology department is the only one in the Senshu region that performs kidney biopsies.
CKD diagnosis and specialist care
A nephrology team of 7 physicians is led by Dr. Takashi Shigematsu, an honorary professor and certified nephrologist. Dr. Shigematsu is also a certified specialist and instructor in dialysis therapy.
- Urine tests: Check for protein and blood, which can help detect CKD early.
- Blood tests: Assess kidney function.
- Ultrasound: Checks vascular access used for dialysis.
- Percutaneous renal biopsy: A needle takes a small kidney tissue sample for testing. The procedure includes a 3–4 day hospital stay; the department performed 50+ biopsies in FY2025.
The center holds accreditation from the Japan Council for Quality Health Care and JMIP. It is also part of the DPC Special Hospital Group, at a university-hospital-equivalent level.
CKD treatment and dialysis options
- Conservative CKD management: Includes blood pressure control with kidney-protective drugs, salt and protein restriction, and weight management. This care aims to delay kidney failure; early-stage cases may be cured.
- Hemodialysis: Takes place in the Blood Purification Center or ICU. The center has 10 dialysis beds and performs 2,600+ hemodialysis sessions annually. Stabilized patients can transfer to nearby facilities for ongoing dialysis.
- Peritoneal dialysis: After treatment starts, patients receive follow-up through the clinic’s peritoneal dialysis outpatient service.
- Vascular access surgery: Nephrologists create or rebuild internal arteriovenous fistulas, place grafts, and insert catheters. The clinic performed 75+ new or reconstructed accesses in FY2025.
- Shunt angioplasty and thrombectomy: Nephrologists use ultrasound guidance, balloon catheters, and clot removal to restore access function. The clinic performed 300+ procedures in FY2025.
- Plasma exchange and apheresis: Options include simple plasma exchange, double membrane filtration, and LDL apheresis.
- Continuous blood purification: ICU doctors and nephrologists provide this care for acute kidney injury and severe CKD complications. Endotoxin adsorption is also available.
Patients can request a CKD consultation through Bookimed to discuss suitable diagnostic and treatment options.
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Rinku General Medical Center: more details about the clinic
Rinku General Medical Center is a multi-specialty hospital in Izumisano, Osaka, Japan. It runs 16 specialized departments and a dedicated Surgery Center. Care ranges from emergency medicine to advanced specialty surgery. The hospital has an 18-bed pediatric unit with NICU and GCU beds. In 2025, the Surgery Center performed over 3,500 operations.
Accreditations and Achievements
The hospital holds accreditation from the Japan Council for Quality Health Care (JCQHC). It also belongs to Japan's Society-Certified Facilities framework. The center maintains JMIP certification for foreign patient acceptance standards.
In 2025, the anesthesia department received international recognition from Wiley for a highly-viewed case report. Surgical staff have also won excellence awards at major regional medical conferences.
Cardiovascular Care and Heart Surgery
The Heart and Vascular Center provides 24-hour acute care for myocardial infarction and heart failure. Specialists focus on minimally invasive cardiac surgery (MICS) to shorten recovery time. Surgeons perform complete 3D endoscopic MICS for heart valve disease through small right-side incisions. This program started in 2021 and completed 50 cases in its first two years. Open-heart surgery volume exceeded 110 cases in 2025.
Heart surgery options include:
- Transcatheter aortic valve implantation (TAVI)
- Completely 3D endoscopic heart valve replacement
- Robot-assisted MICS using the Da Vinci Xi system
- Catheter ablation for arrhythmias
- Stent graft surgery for aortic diseases
The cardiovascular surgery team works with Osaka University's aortic team on complex cases. Post-treatment support includes cardiac rehabilitation and medication management. Dr. Hiroshi Fukuda leads the center. He specializes in off-pump coronary artery bypass and mitral valve repair.
Hematology and Neurology
The Hematology department treats blood malignancies and rare coagulation disorders. In 2025, the team managed about 130 cases of acute leukemia. Treatments include CAR-T therapy and bispecific antibodies for malignant lymphomas. The center also performs non-related donor bone marrow and cord blood transplants. Physicians use chemotherapy and cellular immunotherapy for multiple myeloma and myelodysplastic syndromes.
The Neurology department focuses on neurodegenerative diseases and movement disorders. Specialists manage Parkinson's disease, multiple sclerosis, and amyotrophic lateral sclerosis. The clinic offers botulinum therapy for post-stroke spasticity and involuntary movements.
Diagnostics include:
- SPECT for brain blood flow
- Nerve conduction velocity testing
- Needle EMG
Dr. Yusaku Nakamura leads these services. He trained at the London University Institute of Neurology.
Diagnostic Technologies and Support Services
The clinic uses the Da Vinci Xi robotic platform for complex surgical procedures. Clinical trials run through the Advanced Medical Development Center. This office conducts monthly reviews and uses the security-controlled DD Works system for data.
The Blood Purification Center managed over 2,600 hemodialysis sessions in FY2025. Specialists also use endoscopic ultrasound to diagnose digestive malignancies and bile duct stones.
The Health Management Center provides several screening services:
- Brain MRI screening (Brain Dock)
- Breast cancer screening with mammography reading
- AIRS lifestyle disease risk screening
- Aviation physical exams for individuals and corporations
- Stress and 24-hour Holter ECG monitoring
Rehabilitation services are available daily, including weekends and holidays. The team supports patients in the ICU and those recovering from major orthopedic surgery.
International Patient Services
International patients receive support through the International Center and a dedicated International Medical Public Relations Center. Free medical interpretation is available in several languages. Staff handle communication and documentation throughout treatment. The center also issues medical certificates and referral letters in English.
Interpretation services are scheduled as follows:
- English and Chinese: Monday to Friday, 10:00–15:00
- Spanish and Portuguese: Tuesday and Thursday, 10:00–15:00
- Vietnamese: Available for returning patients
The hospital offers free public Wi-Fi for all patients and visitors. Support coordinators help with admission arrangements and discharge planning to nearby facilities.
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マッカ
きらこ
きゃさ
紅蠍子
Achan
imotako nankin
佐々木正人
田村徹
和田陽子
李采庭
りんくう往来北2-23, Izumisano-shi, Osaka, Japan, 598-8577
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