TABLE 1.

Cognitive aspects of flexible sigmoidoscopy

Safe and effective flexible sigmoidoscopy requires a full understanding of:

Indications for flexible sigmoidoscopy; Contraindications to and limitations of flexible sigmoidoscopy; The principles of informed consent; The anatomy of the anorectum and the sigmoid and descending colon; The principles of conscious sedation; Indications for and contraindications of mucosal biopsy during flexible sigmoidoscopy; Indications for and contraindications to polypectomy during flexible sigmoidoscopy; The principles of endoscopic reporting and documentation; The initial management of the patient postprocedure; The recognition and management of potential complications; and Appropriate referral for complications, an incomplete procedure or abnormal findings