A medical institution specializing in comprehensive obesity treatment based on evidence-based medicine. The hospital provides bariatric surgical procedures that can only be performed by a limited number of physicians in Asia.

Highly skilled physicians holding various board certifications, instructor qualifications, and Endoscopic Surgical Skill Certification — a qualification with a pass rate below 20% — perform day surgeries with advanced minimally invasive techniques.

A medical institution specializing in comprehensive obesity treatment based on evidence-based medicine. The hospital provides bariatric surgical procedures that can only be performed by a limited number of physicians in Asia.

Highly skilled physicians holding various board certifications, instructor qualifications, and Endoscopic Surgical Skill Certification — a qualification with a pass rate below 20% — perform day surgeries with advanced minimally invasive techniques.

Outstanding surgical achievements:
The hospital director has personally performed more than 6,000 surgeries to date, participated in over 10,000 surgical procedures, and currently performs approximately 600 surgeries annually. The director is board-certified and accredited as an instructor in gastrointestinal surgery, vascular surgery, and bariatric surgery, and also holds the Endoscopic Surgical Skill Certification with a pass rate below 20%.

In obesity treatment, the hospital provides comprehensive care including advanced bariatric surgical procedures that can only be performed by a small number of physicians in Asia, as well as pharmacotherapy, device-based treatments, and endoscopic therapies.

Location

〒177-0033
2F, Decorato Nerima Takanodai, 1-5-4 Takanodai, Nerima-ku, Tokyo

Website

https://www.tokyo-takahashi-clinic.com/

Specialty

Obesity treatment (ESG/LGP/stomach Botox), cholelithiasis/gallbladder polyps, inguinal hernia/femoral hernia/umbilical hernia, appendicitis, varicose veins, gastric submucosal tumor

Facility details

【Location】
1 minute walk from Nerima Takanodai Station

【Equipment】
ESG/MEGA

【Other Information】
Obesity surgery that only a few doctors in Asia can perform. Same-day surgery by excellent doctors who are specialists, instructors, and endoscopic surgery technology certified doctors with a pass rate of less than 20% in gastrointestinal surgery, vascular surgery, and weight loss surgery.
To date, he has performed over 6,000 surgeries and participated in over 10,000 surgeries. The surgery time for each surgery is shorter than average, and the laser treatment for varicose veins in the lower limbs is overwhelmingly fast at 15 minutes per side. The clean and fast surgery without waste makes same-day surgery possible, and postoperative recovery is good and quick. By being able to perform same-day surgery, you can use the time that would have been spent in hospital for other purposes.

Available Programs

• ESG/MEGA (Endoscopic Sleeve Gastroplasty) Ablation Therapy Endoscopic Gastric Botulinum Toxin Injection Triple Approach Program [Tokyo Takahashi Clinic Nerima]

  ESG/MEGA (Endoscopic Sleeve Gastroplasty)
  
  A minimally invasive endoscopic treatment for obesity designed to reduce procedural risk. Using an endoscope inserted through the mouth, the stomach is sutured from the inside to reduce its volume by approximately 70–80%. Because no abdominal incision is required, recovery is generally faster than with conventional surgery. Ablation therapy can also be performed during the same procedure.
  
  Gastric Botulinum Toxin Injection
  
  This treatment promotes weight loss by injecting botulinum toxin into the stomach wall. The toxin relaxes the stomach muscles, temporarily reducing gastric contractions and helping patients feel full sooner. The feeling of fullness also lasts longer than usual, helping to reduce food intake.
  
  Ablation Therapy
  
  Ablation therapy reduces stomach contractions and suppresses the secretion of ghrelin, the hormone that stimulates appetite. By decreasing the functional capacity of part of the stomach and lowering ghrelin levels, appetite is reduced, resulting in greater weight-loss effects than a single treatment alone.
  
  Triple Approach Program
  
  This comprehensive treatment combines ESG/MEGA, Ablation Therapy, and Gastric Botulinum Toxin Injection in a single procedure to maximize weight-loss outcomes.

  ESG / MEGA / Triple Approach / Ablation Preoperative Assessment: Blood tests are performed, followed by a detailed explanation of the procedure by the physician (approximately 1 hour). Day of Procedure: Performed as a same-day procedure. The treatment itself takes approximately 30–60 minutes, and patients can usually return home in as little as 3 hours, including the postoperative observation period. The Following Day: A follow-up visit includes blood tests, examination of the treatment site, and a consultation with the physician. Expected Outcomes: Average 15–20% total body weight reduction. When combined with anti-obesity medications, published studies have shown weight-loss results comparable to bariatric surgery. Systematic reviews conducted in Europe and North America have reported total body weight loss of 14.8–18.6%, with an average 15.9% weight reduction maintained at 5 years. Gastric Botulinum Toxin Injection The entire treatment is completed in a single visit. After consultation with the physician, patients take pre-procedure medication and receive intravenous sedation. The procedure is completed in approximately 15 minutes while the patient is asleep. After 30–60 minutes of recovery and a final medical examination, patients may return home. Overseas studies have reported an average 12% body weight reduction within 6 months, with reductions of up to 17% in some cases. No preoperative or postoperative examinations or additional testing are required, other than the procedure day itself.

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• ・Inguinal, Umbilical, and Femoral Hernias (Laparoscopic Inguinal, Umbilical, and Femoral Hernia Repair) ・Gallstones and Gallbladder Polyps (Laparoscopic Cholecystectomy) ・Appendicitis (Laparoscopic Appendectomy)[Tokyo Takahashi Clinic Nerima]

  Surgery is performed using the TAPP method, which observes the groin from inside the abdominal cavity using a laparoscope. Since the surgery is performed with smaller instruments than in general surgery, the scars are smaller and recovery is faster.
  A single-hole surgery that is less invasive than other laparoscopic surgeries. Since it is performed with a 2cm incision + 2mm incision in the navel, postoperative recovery is quick and the scars are not noticeable. Since the rate of conversion to laparotomy is overwhelmingly low, it is safe to have surgery on an outpatient basis.
  A single-hole endoscopic surgery is performed with a 2cm incision + 2mm incision in the navel, the scars are not noticeable and postoperative recovery is quick! The overwhelmingly low rate of conversion to laparotomy and the short average surgery time reduce the burden after surgery.

  ・Blood sampling, respiratory examination, electrocardiogram, and cardiac ultrasound are performed in one day, and the doctor will explain the surgery (about 1-2 hours). ・Surgery is an outpatient procedure on the day (surgery takes about 1 hour, and you can go home in as little as 3 hours, including post-op rest). ・The day after surgery, blood sampling, wound check, and explanation from the doctor are performed. ・Patients are generally required to visit the clinic at least three times: before surgery, on the day of surgery, and after surgery. However, if preoperative test results, such as blood tests and CT or MRCP scans, performed at a hospital in your home country or region can be shared with us, we may be able to accept your surgical booking without repeating all preoperative examinations, subject to the surgeon's review and approval.

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• Varicose Veins [Tokyo Takahashi Clinic Nerima]

  Our clinic has extensive experience in treating recurrent and highly complex varicose vein cases, including patients who were considered unsuitable for treatment elsewhere. We believe there are no cases of lower extremity varicose veins beyond our capability to treat.
  
  Our procedures are based on the Stab Avulsion technique, with refinements to optimize each surgical approach. The average procedure time is only 15–25 minutes, which is less than half the national average of approximately 60 minutes.
  
  The complication rate is approximately 0.1%, and all reported complications have been mild. The recurrence rate is 0.08%.
  
  All procedures are performed through tiny needle punctures, eliminating the need for skin incisions or sutures. Because of this minimally invasive approach, we have not encountered cases in which surgery could not be performed.
  
  Even patients taking blood-thinning medications for heart disease or those in their 90s can safely undergo treatment after appropriate medical evaluation.

  ・After an ultrasound examination of the lower limbs, the doctor will explain the operation (about 15-30 minutes). ・After changing clothes, you will be taken to the operating room. You will be given a drug that makes you sleepy via IV, and the operation will take about 15-45 minutes while you are drowsy or asleep. After resting for about 30 minutes after the operation, you will be examined by the doctor and can go home in as little as about 2 hours. ・The day after the operation, blood samples will be taken, the wound will be checked, and the doctor will explain the operation to you. ・Since we have experience with many cases of recurrence and high difficulty that have been rejected at other hospitals, there are no varicose veins of the lower limbs that we cannot handle. Furthermore, the complications rate is about 0.1%, and all of them are mild, and the recurrence rate is 0.08%, so the quality is high. ・Through experience with more than 3,000 procedures, we have continuously refined our surgical techniques, reducing the average procedure time to just 15–25 minutes—less than half the national average of approximately 60 minutes.

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