In February 2026, we held a farewell party for Dr. Nikko Theodore Raymundo, who completed a one-year clinical training program at our center.


 


Dr. Raymundo joined us as an international fellow from St. Luke’s Medical Center, Global City in the Philippines and trained at the Digestive Diseases Center of Showa Medical University Koto Toyosu Hospital from April 1, 2025 to February 28, 2026.


During his time with us, Dr. Raymundo dedicated himself wholeheartedly to advanced therapeutic endoscopy, including POEM, ESD, and ARMI.
His strong commitment to clinical excellence, remarkable focus, humility, and intellectual curiosity were truly inspiring to all members of our department.
His willingness to share perspectives shaped by a different medical environment provided us with invaluable insights. Through daily clinical practice, conferences, and academic discussions, we were able to grow together over this meaningful year.

Although the training period may seem brief, we are sincerely grateful for the opportunity to have worked alongside him.


We wish Dr. Raymundo continued success in his future endeavors, and we extend our warmest wishes to him and his family for health and happiness.


Message from Dr. Nikko Theodore Raymundo

“My time at Showa Medical University Koto Toyosu Hospital has been one of the most transformative chapters of my professional life.

I came to Japan hoping to deepen my skills in third-space endoscopy, particularly POEM, but I am leaving with far more than technical expertise.

Under the guidance of Professor Haruhiro Inoue and the esteemed senseis of the Digestive Diseases Center, I was given invaluable exposure to advanced therapeutic endoscopy, including POEM, ESD, and ARMI.

Observing and participating in these procedures allowed me to appreciate not only the precision and discipline required, but also the philosophy behind Japanese endoscopy — meticulous technique, patience, and deep respect for the craft.

What impressed me most was not only the high procedural volume and complexity of cases, but also the consistency of excellence. Every movement in the endoscopy room had intention. Every discussion reflected humility despite mastery.


Being welcomed into such an environment pushed me to grow, not only as an endoscopist, but also as a physician. I am especially grateful to Professor Inoue for allowing me to be part of the team.

To train under a pioneer in POEM is an extraordinary privilege. His quiet dedication, vision, and commitment to innovation continue to inspire endoscopists around the world, myself included. I will always carry the lessons I learned from him — not only about technique, but also about leadership and perseverance.

Beyond the hospital walls, I was fortunate to also experience something equally meaningful: camaraderie. Sharing meals after long days, exchanging stories, and even laughing together over simple dinners reminded me that medicine is not only about procedures — it is also about people. Those moments of warmth and friendship made my stay in Japan feel like home.


The generosity, kindness, and openness of the team made a foreign country feel familiar. This training was not just an academic milestone; it was a personal journey.

I leave Showa Medical University Koto Toyosu Hospital with improved skills, broadened perspective, lifelong mentors, and cherished friends. For all the guidance, patience, trust, and friendship extended to me, I offer my deepest gratitude.

I hope to carry forward the spirit of excellence and humility that I witnessed here, and to honor my mentors by practicing with the same dedication that they exemplify every day.”

 


International Fellowship & Hospital Observership Opportunities

Our center welcomes international fellows and observers from around the world.

If you are interested in training or visiting our institution, please feel free to contact us:


Digestive Diseases Center Showa Medical University Koto Toyosu Hospital

📩 toyosu2008@med.showa-u.ac.jp