The era of self-medication in healthcare: From visiting a doctor for symptoms to testing and prevention because you are healthy - Protecting your own mental and physical health

Japan leads the world in universal health insurance, specific health checkups, cancer screening, pharmaceuticals, and medical equipment, making it the world's longest-living country. However, the large 10-year gap between average life expectancy and healthy life expectancy is a problem. Furthermore, in addition to a younger population, the working population is rapidly declining, leading to an ageing population. The population pyramid also reveals the limitations of social security systems such as health insurance and nursing care insurance.
My specialty, gastrointestinal cancer, has seen a significant decline in mortality worldwide as its risks, prevention methods, and early detection methods have become clearer. Unfortunately, Japan has somehow fallen behind, becoming the country with the highest age-adjusted mortality rate for stomach and colon cancer among those under 75.

Many expensive anti-cancer drug treatments. The root cause of this is the deeply rooted Japanese mentality that people should go to the hospital because they have symptoms or feel unwell.
Most diseases, including cerebral infarction, myocardial infarction, kidney failure requiring dialysis, and many cancers, which significantly affect life and quality of life, do not show symptoms until they progress. By understanding the risks of lifestyle-related diseases and undergoing specific health checkups and specific insurance guidance to prevent
them, as well as cancer screening and detailed examinations to detect them early and save lives, we can save many lives and ultimately protect society's medical and nursing care systems. Furthermore,
the reality is that many people who visit the hospital with stomach pain or abnormal bowel movements have functional gastrointestinal disorders caused by autonomic nervous system dysfunction. We hope to share current issues and solutions, such as how we should act and think to protect our mental and physical health, and what multidisciplinary collaboration is.

Areas of expertise and philosophy

Specializes in gastrointestinal endoscopy, Helicobacter pylori, and inflammatory bowel disease.

We aim to support
people so that they can live healthy lives with a smile that is true to themselves, through endoscopic examinations, prevention of digestive cancer and lifestyle-related diseases, and treatment of functional gastrointestinal disorders related to the autonomic nervous system .

Background　
Born in Sapporo in 1970 (Kindergarten to junior high school in Sendai, junior high and high school in Tokyo)
　March 1995 Graduated from Yamagata University School of Medicine March
　1999 Doctor of Medicine, Graduate School of Medicine, Yamagata University
　Degree: Doctor of Medicine (Medicine): No. 279
Effect of tea catechin on the eradication of Helicobacter pylori and the gastric mucosal injury associated with Helicobacter pylori infection (Study on the effect of green tea catechin on the eradication of Helicobacter pylori and
the gastric mucosal injury associated with Helicobacter pylori infection) 　1999 Worked in the Department of Gastroenterology, Tohoku Central Hospital, Public School Mutual Aid Association 　2000-present Worked in the Department of Internal Medicine (Gastroenterology), Yamagata Prefectural Central Hospital 　2003-present Chief of Internal Medicine, Yamagata Prefectural Central Hospital 　2006-present Deputy Director of Medical Information, Yamagata Prefectural Central Hospital 　2008-present Chief of Gastroenterology, KKR Sapporo Medical Center 　2010 Assistant Professor, Third 　Department of Internal Medicine, Hokkaido University Hospital. 2012: Concurrently Director of the Department of Gastroenterology, Hokkaido 　University. 2014: Specially Appointed Lecturer, Department of Cancer Prevention, Hokkaido University Graduate School of Medicine. 　2016: Director of the Department of Gastroenterology and Director of the Digestive Disease Center, National Hospital Organization Hakodate Hospital. 　　　　　Visiting Clinical Professor, Department of Optical Medicine, Hokkaido University Hospital. 　October 2019: Director, Kurashiki, 　Junpu-kai Health Management Center. September 2023~: Academic Advisor, Junpu-kai Health Management Center. 　October 2023~: Director, Mabe Goryokaku Gastroenterology and Endoscopy Clinic.












 

Career

Certified physician, instructor
: Japanese Society of Gastrointestinal Cancer Screening: Certified physician for gastrointestinal cancer screening, instructor, secretary, delegate.
　Japan Society of Gastrointestinal Endoscopy: Specialist, instructor, endoscopic screening certified physician, council member. Japan Society of Gastroenterology: Specialist. Japanese
　Society of Internal Medicine :
　Certified physician.
　Japan Helicobacter Society: H. pylori infection certified physician, secretary, delegate.
　Japan Gastroenterological Society: Gastroenterologist, instructor, Hokkaido/Tohoku branch secretary, delegate.
　Japan Society for Cancer Prevention: Council member.

Homepage
https://hakodate-naishikyou.jp

Mabe Goryokaku Gastroenterology and Endoscopy Clinic

Director Katsuhiro Mabe

Publications:
Colorectal Cancer Screening and Colonoscopy Screening: Aiming for a Decrease in Colorectal Cancer Mortality
　　https://www.bunkodo.co.jp/book/ZETH987S20.html;
　
Upper Gastrointestinal Endoscopy Screening Based on Risk Stratification
　　https://www.bunkodo.co.jp/book/5ZUY1BA5HA.html