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British Medical Journal (Clinical Research Ed.) logoLink to British Medical Journal (Clinical Research Ed.)
. 1981 Dec 12;283(6306):1583–1586. doi: 10.1136/bmj.283.6306.1583

An evaluation of flexible fibreoptic sigmoidoscopy.

K D Vellacott, J D Hardcastle
PMCID: PMC1508025  PMID: 6796178

Abstract

Results of 350 flexible fibreoptic sigmoidoscopy examinations showed a diagnostic yield of 30% compared with 6.5% by rigid sigmoidoscopy of the same patients. The mean time for the examinations was eight minutes, a distance of over 50 cm being visualised in 65% of the patients. Preparation of the bowel with a single phosphate enema was adequate in 95% of the patients. As an outpatient investigation for clinicians fibreoptic sigmoidoscopy is a safe, quick, and useful addition to rigid sigmoidoscopy and should result in a decrease in the number of barium enema examinations required.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bohlman T. W., Katon R. M., Lipshutz G. R., McCool M. F., Smith F. W., Melnyk C. S. Fiberoptic pansigmoidoscopy. An evaluation and comparison with rigid sigmoidoscopy. Gastroenterology. 1977 Apr;72(4 Pt 1):644–649. [PubMed] [Google Scholar]
  2. Christie J. P. Flexible sigmoidoscopy--why, where and when? Am J Gastroenterol. 1980 Jan;73(1):70–72. [PubMed] [Google Scholar]
  3. Cochrane J. P., Williams J. T., Faber R. G., Slack W. W. Value of outpatient follow-up after curative surgery for carcinoma of the large bowel. Br Med J. 1980 Mar 1;280(6214):593–595. doi: 10.1136/bmj.280.6214.593. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Coller J. A. Technique of flexible fiberoptic sigmoidoscopy. Surg Clin North Am. 1980 Apr;60(2):465–479. doi: 10.1016/s0039-6109(16)42094-3. [DOI] [PubMed] [Google Scholar]
  5. Gillespie P. E., Chambers T. J., Chan K. W., Doronzo F., Morson B. C., Williams C. B. Colonic adenomas--a colonoscopy survey. Gut. 1979 Mar;20(3):240–245. doi: 10.1136/gut.20.3.240. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Henry L. G., Condon R. E., Schulte W. J., Aprahamian C., DeCosse J. J. Risk of recurrence of colon polyps. Ann Surg. 1975 Oct;182(4):511–515. doi: 10.1097/00000658-197510000-00017. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Holt R. W., Wherry D. C. Why flexible fiberoptic sigmoidoscopy is important in the geriatric patient. Geriatrics. 1979 May;34(5):85–88. [PubMed] [Google Scholar]
  8. Isbister W. H. Flexible fibreoptic sigmoidoscopy--an alternative to colonoscopy? N Z Med J. 1980 Oct 8;92(669):283–285. [PubMed] [Google Scholar]
  9. Lipshutz G. R., Katon R. M., McCool M. F., Mayer B., Smith F. W., Duffy T., Melnyk C. S. Flexible sigmoidoscopy as a screening procedure for neoplasia of the colon. Surg Gynecol Obstet. 1979 Jan;148(1):19–22. [PubMed] [Google Scholar]
  10. Manier J. W. Fiberoptic pansigmoidoscopy: an evaluation of its use in an office practice. Gastrointest Endosc. 1978 Feb;24(3):119–120. doi: 10.1016/s0016-5107(78)73477-2. [DOI] [PubMed] [Google Scholar]
  11. Marks G., Boggs H. W., Castro A. F., Gathright J. B., Ray J. E., Salvati E. Sigmoidoscopic examinations with rigid and flexible fiberoptic sigmoidoscopes in the surgeon's office: a comparative prospective study of effectiveness in 1,012 cases. Dis Colon Rectum. 1979 Apr;22(3):162–168. doi: 10.1007/BF02586809. [DOI] [PubMed] [Google Scholar]
  12. Morson B. President's address. The polyp-cancer sequence in the large bowel. Proc R Soc Med. 1974 Jun;67(6 Pt 1):451–457. [PMC free article] [PubMed] [Google Scholar]
  13. O'Connor J. J. Reduction of sigmoid volvulus by flexible sigmoidoscopy. Arch Surg. 1979 Sep;114(9):1092–1092. doi: 10.1001/archsurg.1979.01370330114029. [DOI] [PubMed] [Google Scholar]
  14. Winnan G., Berci G., Panish J., Talbot T. M., Overholt B. F., McCallum R. W. Superiority of the flexible to the rigid sigmoidoscope in routine proctosigmoidoscopy. N Engl J Med. 1980 May 1;302(18):1011–1012. doi: 10.1056/NEJM198005013021806. [DOI] [PubMed] [Google Scholar]

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